1/28/2024 0 Comments Severe insomniaThe evidence-based management pathways outlined in the Department of Veterans Affairs and Department of Defense Clinical Practice Guideline should be promoted to mitigate the negative consequences of chronic insomnia. Insufficient sleep from chronic insomnia poses a direct threat to operational readiness due to impaired cognitive performance and increased musculoskeletal injury. What is the impact on readiness and force health protection? Among those diagnosed, 53.7% received behavioral therapy, the first line recommended insomnia treatment, and 72.7% received pharmacotherapy. What are the new findings?įrom 2012 through 2021, the crude incidence rate of chronic insomnia among active component service members was 116.1 cases per 10,000 person-years, and the annual rate remained stable throughout the 10-year period. Clinician education about the VA/DOD CPG may improve utilization of these evidence-based management pathways for SMs with chronic insomnia. Co-existing mental health conditions increased the likelihood of receiving therapy for insomnia cases. As case ages increased, the proportion who received therapy decreased. A sub-analysis of SMs with chronic insomnia diagnosed during 2019-2020 found that 53.9% received behavioral therapy and 72.7% received pharmacotherapy. During this period, 148,441 incident cases of chronic insomnia occurred, with an overall rate of 116.1 per 10,000 person-years (p-yrs). This retrospective cohort study estimated the incidence of chronic insomnia in active component military members from 2012 through 2021 and the percentage of SMs receiving VA/DOD CPG-recommended insomnia treatments. The Department of Veterans Affairs and Department of Defense Clinical Practice Guideline (VA/DOD CPG) provides evidence-based management pathways to mitigate the negative consequences of common sleep disorders among service members (SMs). Health Readiness & Combat Support | Public Health | Medical Surveillance Monthly Report ABSTRACT
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