Sleep in the Military Promoting Healthy Sleep among U S Servicemembers 1st Edition by Wendy Troxel ISBN 978-0833088512 0833088513
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Product details:
ISBN 10: 0833088513
ISBN 13: 978-0833088512
Author: Wendy M. Troxel
Given the unprecedented demands on the U.S. military since 2001 and the risks posed by stress and trauma, there has been growing concern about the prevalence and consequences of sleep problems. This first-ever comprehensive review of military sleep-related policies and programs, evidence-based interventions, and barriers to achieving healthy sleep offers a detailed set of actionable recommendations for improving sleep across the force.
Table of contents:
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..
Symptoms of Sleep Problems
Risk 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
Deployment Life Study Overview
Sleep 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
CHAPTER FOUR
Review of Sleep Policies and Programs
Approach
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.
Department of the Air Force Training Policies/Programs
Department 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
Pharmacotherapy to Treat Sleep Disturbances
Pharmacologic Interventions to Treat Insomnia
Pharmacologic Interventions to Treat Nightmares
Summary and Limitations of Pharmacologic Interventions
Evidence-Based Behavioral Treatments for Sleep Disorders Among Servicemembers…
Cognitive-Behavioral Therapy for Insomnia
Imagery Rehearsal Therapy for Nightmares.
Complementary and Alternative Medicine
Combined Treatment Modalities
Technological Developments in Treatment Delivery
Discussion
CHAPTER SIX
Barriers to Achieving Healthy Sleep Among Servicemembers
Approach
Participants
Qualitative Data Analysis
Cultural Barriers to Sleep Health
Sleep May Be Viewed as a Luxury Rather Than a Biological Need.
Cultural Attitudes Toward Sleep Appear to Vary Across Occupational Specialties and Settings
Operational Barriers to Sleep Health
Manpower Limitations
Balancing Sleep Policies with Operational Demands
Environmental Barriers
Knowledge Barriers to Sleep Health
Lack of Servicemember and Unit Leader Knowledge About Sleep Health
Lack of a Centralized Resource on Sleep Health.
Lack of Knowledge About the Risks of Sleep Medication Use.
Medical and Treatment Systems Barriers to Promoting Sleep Health.
Resistance to Treatment Seeking
Lack of Emphasis on Sleep Screening
Continuity of Care Challenges
Sleep Clinic and Provider Shortages
Discussion
CHAPTER SEVEN
Conclusions and Recommendations
Conclusions
What Are the Correlates and Consequences of Sleep Problems Among Servicemembers in the Post-Deployment Period?
What Are the Current Policies and Programs Related to Sleep in the Military?.
What Are the Evidence-Based Interventions to Treat Sleep Disorders Among
Servicemembers?
What Are the Barriers to Achieving Healthy Sleep for Servicemembers?
Recommendations
Recommendations to Prevent Sleep Problems
Recommendations to Increase the Identification and Diagnosis of Sleep Problems.
Recommendations for Clinical Management of Sleep Disorders and Promotion of Sleep Health
Recommendations to Improve Sleep in Training and Operational Contexts
Final Words
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Tags: Wendy Troxel, Sleep in the Military, Promoting Healthy