军眷夫妻常有睡眠问题


  【24drs.com】一篇新研究发现,军眷配偶常有严重的睡眠问题,有可能影响整个军人家庭的健康与心理社会功能。
  
  主要研究者、宾州匹兹堡RAND Corp行为与社会资深科学家Wendy Troxel博士表示,这些结果很重要,因为我们对军眷睡眠问题的了解有限。
  
  Troxel博士指出,对于提升军人家庭在派任期间的调整,促进睡眠健康是很重要的策略,这是特别有关的,因为在过去14年的长期海外作战,美国军人和他们的家庭都付出了前所未有的代价。
  
  她在6月12日于SLEEP 2016: 联合专业睡眠学会第30届年会发表研究。
  
  Troxel博士在访谈中指出,我们曾在一篇大型的RAND报告指出,军人的睡眠障碍比率很高;这是我们首度探讨这类夫妻的睡眠障碍,我们认为这很重要,因为睡眠对军人家庭的整体应变能力以及健康与功能很重要。
  
  「Deployment Life Study」这篇研究之分组的一部分,军人家庭的1,480名女性配偶完成了有关睡眠、身体健康、婚姻满意度、忧郁症的自我报告量表。
  
  Troxel博士报告指出,44%的配偶表示,每晚睡眠少于6小时,超过半数(54%)表示因为睡眠问题而影响白天的功能性,62%表示,每周至少有1-2次发生日间疲劳。
  
  睡眠问题-睡眠质量不良、睡眠时间短、日间失能时间长-都与自我评比健康较差、婚姻满意度降低、更多忧郁症状有关。Troxel博士表示,我们在统计上控制与这些结果有关的其它一些主要变项后,这结果为真。
  
  相较于未曾被派任者的军眷,目前或以前有被派任的军人的配偶,睡眠质量比较差且比较疲劳。
  
  Troxel博士强调,军人和他们的眷属的睡眠问题,并不仅是因为被派任。
  
  Troxel博士表示,军人生涯有其它特点,包括不可预测的工作日程、危险的训练环境、工作要求高、以及经常搬迁住所,这些真的会影响家庭压力与睡眠。成功地确认睡眠问题是重要的,因为我们现在有实证行为疗法可用于第一线治疗,不过,仍未被充分利用。
  
  费城宾州大学精神科、宾州睡眠中心成员Philip Gehrman博士在访谈中指出,这篇研究是有趣的,因为未曾有人真正探讨军人配偶的睡眠问题。
  
  并未参与此篇研究的Gehrman 博士指出,这些结果有其道理,因为除了一般妇女的正常职责,军眷还要承担更多。
  
  他也指出,不论军人与一般民众,睡眠问题经常未被确认,因为人们不会提及这个话题,一线照顾医师也不会问。许多人有睡眠问题,但是只有自己知道。
  
  研讨会中发表的一篇相关研究显示,失眠在女性退伍军人很常见,但是,她们的医师大部份并不知道。
  
  加州Menlo Park退伍军人事务Palo Alto健康照护体系Kimberly Babson博士等研究者,进行了一篇横断面研究,研究对象是于退伍军人一线照顾机构就诊的6,247名女性退伍军人,Babson博士报告指出,整体而言,47.5%报告指出,失眠症状导致功能障碍,但是,根据他们的病历,不到1%有睡眠障碍诊断。
  
  Gehrman博士表示,他对于失眠症状未受到注意并不惊讶,并指出,未被诊断是一大问题。
  
  他表示,睡眠障碍的确认很重要,因为我们有一些有效的疗法,但是许多人并未获得治疗。获得认知行为治疗也是一个议题,Gehrman博士评论指出,如果你发现一般人的失眠发生率为10%至15%,单在费城就需要数百人提供治疗。
  
  资料来源:http://www.24drs.com/
  
  Native link:Sleep Problems Common in Military Spouses

Sleep Problems Common in Military Spouses

By Megan Brooks
Medscape Medical News

DENVER — A new study finds that spouses of military service members experience significant sleep disturbances, which has the potential to affect the health and psychosocial functioning of the entire military family.

"These results are important because we know very little about sleep problems among military spouses," principal investigator Wendy Troxel, PhD, senior behavioral and social scientist at the RAND Corp, Pittsburgh, Pennsylvania, said in a statement.

"Promoting sleep health may be an important strategy for enhancing military families' adjustment in the postdeployment period. This is particularly relevant given that the past 14 years of protracted overseas combat have exacted an unprecedented toll on US service members and their families," Dr Troxel added.

She presented the study here June 12 at SLEEP 2016: 30th Anniversary Meeting of the Associated Professional Sleep Societies.

"We previously reported in a large RAND report that service members have very high rates of sleep disturbances," Dr Troxel noted in an interview with Medscape Medical News. "This is the first time we are looking at sleep disturbances in the spouses, which we think is really important because sleep is such an important contributor to health and functioning and the overall resilience of military families."

As part of the Deployment Life Study group, 1480 female spouses of military service members completed self-report instruments related to sleep, physical health, marital satisfaction, and depression.

Forty-four percent of spouses reported sleeping fewer than 6 hours per night, more than half (54%) reported daytime impairment due to sleep problems, and 62% reported experiencing daytime fatigue at least one to two times per week, Dr Troxel reported.

Sleep problems, including poorer sleep quality, shorter sleep duration, and greater daytime dysfunction, were associated with poorer self-rated health, lower marital satisfaction, and greater depressive symptoms. "This was true after we statistically controlled for a host of other variables that are known to correlate with these outcomes," Dr Troxel said.

Spouses of currently or previously deployed service members reported poorer sleep quality and more fatigue than spouses of service members who had never deployed.

Dr Troxel emphasized that sleep problems in military service members and their spouses are not solely attributable to deployment.

"There are other characteristics of military life, including unpredictable work schedules, threatening training environments, high job demands, and frequent residential moves, that can really impact stress levels in the family and sleep. Successfully identifying sleep problems is important as we now have evidence-based behavioral treatments that are now the frontline recommended treatment but remain underutilized," Dr Troxel told Medscape Medical News.

This study is "interesting" because no one has really looked at sleep in spouses of service men, Philip Gehrman, PhD, CBSM, from the Department of Psychiatry, University of Pennsylvania, Philadelphia, and member of the Penn Sleep Center, noted in an interview with Medscape Medical News.

"And the findings make sense. All the normal responsibilities that a lot of women have, the military adds another whole level on top," added Dr Gehrman, who wasn't involved in the study.

He also noted that sleep problems often go unrecognized in the military and in the general population because people don't bring up the topic and primary care physicians don't ask. "A lot of people with sleep problems just keep it to themselves," Dr Gehrman said.

A related study presented at the conference shows that insomnia is common in female veterans, again largely unbeknownst to their physicians.

The researchers, led by Kimberly Babson, PhD, from the Veterans Affairs Palo Alto Health Care System, Menlo Park, California, did a cross-sectional study of 6247 female veterans using Veterans Affairs primary care facilities. Overall, 47.5% reported symptoms of insomnia that led to functional impairment, but less than 1% had a diagnosis of a sleep disorder based on their medical record, Dr Babson reported.

Dr Gehrman said he's "not surprised" that insomnia symptoms fly under the radar, noting that underdiagnosis is a "huge issue."

Sleep disorders are important to recognize, he said, "because we have effective behavioral treatments but a lot of people just aren't getting it." Access to cognitive-behavioral therapies is also an issue. "If you're looking at 10% to 15% rate of insomnia in the general population, you would need probably several hundred people who could provide that treatment in Philadelphia alone," Dr Gehrman commented.

The study was supported by RAND National Defense Research Institute; Office of the Surgeon General, US Army, and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury; and the National Heart, Lung, and Blood Institute.

SLEEP 2016: 30th Anniversary Meeting of the Associated Professional Sleep Societies. Abstracts 1015 and 0776. Presented June 12, 2016.

    
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