{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:30:38Z","timestamp":1787009438618,"version":"build-2736575974"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T00:00:00Z","timestamp":1697760000000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sleep disturbance in UK Armed Forces personnel appears to be frequent due to factors such as hostile sleeping environments and can persist even once they have transitioned into civilian life. Despite this, there is currently very limited literature surrounding the prevalence and associated factors of insomnia disorder among UK veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to expand knowledge of the prevalence and associated demographic, military, health and functional outcomes with probable insomnia disorder within a clinical sample of veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Treatment-seeking veterans from a national UK mental health charity were invited to complete a questionnaire including socio-demographic, military, health and well-being questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the sample, 489 (43%) completed the questionnaire. Seventy per cent of the sample reported having probable insomnia disorder. Having probable insomnia disorder was significantly associated with being younger and having physical health problems. Moreover, unadjusted models found associations between probable insomnia disorder and common mental health difficulties, obsessive\u2013compulsive disorder and complex post-traumatic stress disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results suggest that many UK veterans with physical and mental health difficulties experience co-morbid insomnia disorder. Therefore, it is important that clinical services are aware of this prevalence and use targeted interventions to reduce the frequency of insomnia disorder in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/occmed\/kqad094","type":"journal-article","created":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T11:26:07Z","timestamp":1692703567000},"page":"439-445","source":"Crossref","is-referenced-by-count":3,"title":["Associations between sleep difficulties and health outcomes in treatment-seeking veterans"],"prefix":"10.1093","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5667-9575","authenticated-orcid":false,"given":"N","family":"Molloy","sequence":"first","affiliation":[{"name":"King\u2019s Centre for Military Health Research (KCMHR), King\u2019s College London , London SE5 9RJ , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Murphy","sequence":"additional","affiliation":[{"name":"Combat Stress, Tyrwhitt House , Leatherhead KT22 0BX , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,10,20]]},"reference":[{"key":"2023102016390955300_CIT0001","doi-asserted-by":"crossref","first-page":"519","DOI":"10.5664\/jcsm.26918","article-title":"Behavioral and physiological consequences of sleep restriction","volume":"3","author":"Banks","year":"2007","journal-title":"J Clin Sleep Med"},{"key":"2023102016390955300_CIT0002","volume-title":"UK Armed Forces Mental Health: Annual Summary & Trends Over Time, 2007\/08\u20132019\/20","author":"Ministry of Defence","year":"2020"},{"key":"2023102016390955300_CIT0003","volume-title":"ICD-11 for Mortality and Morbidity Statistics (Version: 01\/2023)","author":"WHO","year":"2019\/2023"},{"key":"2023102016390955300_CIT0004","doi-asserted-by":"crossref","first-page":"1399","DOI":"10.5665\/sleep.5972","article-title":"The national veteran sleep disorder study: descriptive epidemiology and secular trends, 2000\u20132010","volume":"39","author":"Alexander","year":"2016","journal-title":"Sleep"},{"key":"2023102016390955300_CIT0005","doi-asserted-by":"crossref","first-page":"377","DOI":"10.5665\/sleep.1700","article-title":"Increased prevalence of insomnia and changes in hypnotics use in England over 15 years: analysis of the 1993, 2000, and 2007 National Psychiatric Morbidity Surveys","volume":"35","author":"Calem","year":"2012","journal-title":"Sleep"},{"key":"2023102016390955300_CIT0006","first-page":"274","article-title":"Epidemiology of insomnia: a longitudinal study in a UK population","volume":"30","author":"Morphy","year":"2007","journal-title":"Sleep"},{"key":"2023102016390955300_CIT0007","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1177\/0269881119855343","article-title":"British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders: an update","volume":"33","author":"Wilson","year":"2019","journal-title":"J Psychopharmacol"},{"key":"2023102016390955300_CIT0008","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1037\/a0034958","article-title":"Sleep disturbance is common among service members and veterans of Operations Enduring Freedom and Iraqi Freedom","volume":"11","author":"Plumb","year":"2014","journal-title":"Psychol Serv"},{"key":"2023102016390955300_CIT0009","first-page":"101","article-title":"Barriers to achieving healthy sleep among service members","volume-title":"Sleep in the Military. 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