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|a Troxel, Wendy M.
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|a Sleep in the military :
|b promoting healthy sleep among U.S. servicemembers /
|c Wendy M. Troxel, Regina A. Shih, Eric Pedersen, Lily Geyer, Michael P. Fisher, Beth Ann Griffin, Ann C. Haas, Jeremy R. Kurz, Paul S. Steinberg.
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|a Sleep disturbances are a common reaction to stress and are linked to a host of physical and mental health problems. Given the unprecedented demands placed on U.S. military forces since 2001, there has been growing concern about the prevalence and consequences of sleep problems for servicemembers. Sleep problems often follow a chronic course, persisting long after servicemembers return home from combat deployments, with consequences for their reintegration and the readiness and resiliency of the force. Therefore, it is critical to understand the role of sleep problems in servicemembers' health and functioning and the policies and programs available to promote healthy sleep. This report provides the first comprehensive review of sleep-related policies and programs across the U.S. Department of Defense (DoD), along with a set of actionable recommendations for DoD, commanders, researchers, and medical professionals who treat U.S. servicemembers. This multimethod study also examined the rates and correlates of sleep problems among post-deployed servicemembers, finding negative effects on mental health, daytime impairment, and perceived operational readiness. The research reviewed evidence-based interventions to treat sleep disturbances among servicemembers and veterans and exposed several individual- and system-level barriers to achieving healthy sleep. Implementing evidence-based treatments is just one step toward improving sleep across the force; as the research recommendations highlight, it is equally important that policies and programs also focus on preventing sleep problems and their consequences.
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|a Cover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; CHAPTER ONE: Introduction; Background; Research Objective; Methods; Literature Review; Primary Data Collection and Sleep Survey Analysis; Policy Review; Key Informant Discussions; Expert Working Group; Organization of This Report; CHAPTER TWO: Epidemiology of Sleep Problems in the Military; Literature Review Approach; A Conceptual Model of Post-Deployment Sleep Problems; Prevalence and Types of Specific Sleep Problems in the Post-Deployment Period; Diagnosed Sleep Disorders
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|a Symptoms of Sleep ProblemsRisk Factors for Sleep Problems in the Post-Deployment Period; Stable Demographic Factors; Operational and Military Support Factors; Correlates and Consequences of Sleep Problems in the Post-Deployment Period; Mental Health Problems; Physical Health Problems; Operational Readiness; Discussion; Unaddressed Gaps in the Literature; Future Directions for Military Sleep Studies; CHAPTER THREE: Assessing Sleep Disturbances and Consequences Among Post-Deployed Servicemembers; Sleep Survey Development and Administration to Servicemembers in the Deployment Life Study
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|a Deployment Life Study OverviewSleep Survey Added to the Deployment Life Study; Outcomes and Covariates; Analytic Plan for the Sleep Survey; Prevalence of Sleep Symptoms and Sleep-Related Behaviors Overall and by Subgroup; Associations Between Sleep Symptoms and Sleep-Related Behaviors and Outcomes Among Previously Deployed Servicemembers; Sample Characteristics; Prevalence of Sleep Problems in Full Sample; Prevalence of Sleep Problems, by Subgroup; Associations Between Sleep Measures and Outcomes Among Previously Deployed Servicemembers; Discussion; Strengths and Limitations
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|a CHAPTER FOUR: Review of Sleep Policies and ProgramsApproach; Sleep-Related Prevention Policies/Programs; DoD Prevention Policies/Programs; Service-Specific Prevention Policies/Programs; Sleep-Related Medical Policies/Programs; U.S. Department of Defense Medical Policies/Programs; U.S. Department of Veterans Affairs Medical Policies/Programs; Department of the Air Force Medical Policies/Programs; Department of the Army Medical Policies/Programs; Department of the Navy/Marine Corps Medical Policies/Programs; Sleep-Related Policies/Programs in Training Environments
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|a Department of the Air Force Training Policies/ProgramsDepartment of the Army Training Policies/Programs; Department of the Navy/Marine Corps Training Policies/Programs; Sleep-Related Policies/Programs in Operational Environments; U.S. Department of Defense Operational Policies/Programs; Department of the Air Force Operational Policies/Programs; Department of the Army Operational Policies/Programs; Department of the Navy/Marine Corps Operational Policies/Programs; Discussion; CHAPTER FIVE: Evidence-Based Interventions to Treat Sleep Disturbances Among Servicemembers; Approach
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|i Print version:
|t Sleep in the military : promoting healthy sleep among U.S. servicemembers.
|d Santa Monica, California : RAND Corporation, ©2015
|h xxix, 251 pages
|z 9780833088512
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