軍眷夫妻常有睡眠問題


  【24drs.com】一篇新研究發現,軍眷配偶常有嚴重的睡眠問題,有可能影響整個軍人家庭的健康與心理社會功能。
  
  主要研究者、賓州匹茲堡RAND Corp行為與社會資深科學家Wendy Troxel博士表示,這些結果很重要,因為我們對軍眷睡眠問題的瞭解有限。
  
  Troxel博士指出,對於提升軍人家庭在派任期間的調整,促進睡眠健康是很重要的策略,這是特別有關的,因為在過去14年的長期海外作戰,美國軍人和他們的家庭都付出了前所未有的代價。
  
  她在6月12日於SLEEP 2016: 聯合專業睡眠學會第30屆年會發表研究。
  
  Troxel博士在訪談中指出,我們曾在一篇大型的RAND報告指出,軍人的睡眠障礙比率很高;這是我們首度探討這類夫妻的睡眠障礙,我們認為這很重要,因為睡眠對軍人家庭的整體應變能力以及健康與功能很重要。
  
  「Deployment Life Study」這篇研究之分組的一部分,軍人家庭的1,480名女性配偶完成了有關睡眠、身體健康、婚姻滿意度、憂鬱症的自我報告量表。
  
  Troxel博士報告指出,44%的配偶表示,每晚睡眠少於6小時,超過半數(54%)表示因為睡眠問題而影響白天的功能性,62%表示,每週至少有1-2次發生日間疲勞。
  
  睡眠問題-睡眠品質不良、睡眠時間短、日間失能時間長-都與自我評比健康較差、婚姻滿意度降低、更多憂鬱症狀有關。Troxel博士表示,我們在統計上控制與這些結果有關的其他一些主要變項後,這結果為真。
  
  相較於未曾被派任者的軍眷,目前或以前有被派任的軍人的配偶,睡眠品質比較差且比較疲勞。
  
  Troxel博士強調,軍人和他們的眷屬的睡眠問題,並不僅是因為被派任。
  
  Troxel博士表示,軍人生涯有其他特點,包括不可預測的工作日程、危險的訓練環境、工作要求高、以及經常搬遷住所,這些真的會影響家庭壓力與睡眠。成功地確認睡眠問題是重要的,因為我們現在有實證行為療法可用於第一線治療,不過,仍未被充分利用。
  
  費城賓州大學精神科、賓州睡眠中心成員Philip Gehrman博士在訪談中指出,這篇研究是有趣的,因為未曾有人真正探討軍人配偶的睡眠問題。
  
  並未參與此篇研究的Gehrman 博士指出,這些結果有其道理,因為除了一般婦女的正常職責,軍眷還要承擔更多。
  
  他也指出,不論軍人與一般民眾,睡眠問題經常未被確認,因為人們不會提及這個話題,一線照顧醫師也不會問。許多人有睡眠問題,但是只有自己知道。
  
  研討會中發表的一篇相關研究顯示,失眠在女性退伍軍人很常見,但是,她們的醫師大部份並不知道。
  
  加州Menlo Park退伍軍人事務Palo Alto健康照護體系Kimberly Babson博士等研究者,進行了一篇橫斷面研究,研究對象是於退伍軍人一線照顧機構就診的6,247名女性退伍軍人,Babson博士報告指出,整體而言,47.5%報告指出,失眠症狀導致功能障礙,但是,根據他們的病歷,不到1%有睡眠障礙診斷。
  
  Gehrman博士表示,他對於失眠症狀未受到注意並不驚訝,並指出,未被診斷是一大問題。
  
  他表示,睡眠障礙的確認很重要,因為我們有一些有效的療法,但是許多人並未獲得治療。獲得認知行為治療也是一個議題,Gehrman博士評論指出,如果你發現一般人的失眠發生率為10%至15%,單在費城就需要數百人提供治療。
  
  資料來源: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.

    
相關報導
持續、嚴重的乾眼症與疼痛、非眼部因素有關
2017/1/11 下午 03:56:35
青少年睡眠障礙會使憂鬱症惡化
2016/4/11 上午 09:43:16
針灸緩解更年期相關的睡眠問題
2016/3/8 下午 05:36:52

上一頁
   1   2   3   4   5   6  




回上一頁