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The Role of Sleep in Mental Illness in Veterans and Active Service Members

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Military and Veteran Mental Health

Abstract

Active duty service members as well as retired veterans are at greater risk for insomnia and/or sleep-disordered breathing (SDB) than the general population. Difficulties such as these may facilitate the development of or exacerbate psychiatric symptoms, as well as difficulties with cognition, and are a hallmark feature of mental health problems in this population. Cognitive behavioral therapy for insomnia (CBT-I) is an effective psychotherapeutic intervention for insomnia, while continuous positive airway pressure (CPAP) is effective in treating sleep-disordered breathing. While CBT-I is successful in ameliorating psychiatric symptoms in addition to sleep, less is known about its efficacy in individuals with psychosis, particularly in the veteran population. Regular screening is important among veterans with psychiatric disorders, but is not regularly assessed in clinics. Similarly, older adults are particularly susceptible to SDB, and early identification of the presence of sleep-disordered breathing may improve cognitive functioning and prevent rapid cognitive decline. The Veterans Health Administration is diligently working to improve access to sleep services, which will ultimately enhance the quality of life for many veterans.

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Authors and Affiliations

  1. Stanford University School of Medicine, Palo Alto, CA, USA

    Lisa Talbot & Michelle Primeau

  2. Department of Psychiatry, U.S. Department of Veterans Affairs Capitol Healthcare Network (VISN 5) Mental Illness Research, Education, and Clinical Center (MIRECC), University of Maryland School of Medicine, Baltimore, MD, USA

    Elizabeth Klingaman

  3. Palo Alto Medical Foundation, Sunnyvale, CA, USA

    Michelle Primeau

  4. Stanford University School of Medicine, VA Palo Alto Health Care System, Palo Alto, CA, USA

    Makoto Kawai, Sophia Pirog, Joshua Jordan & Ruth O’Hara

  5. California School of Professional Psychology at Alliant International University, San Francisco, CA, USA

    Joshua Jordan

  6. Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA

    Ruth O’Hara

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  1. Lisa Talbot
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  2. Elizabeth Klingaman
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  3. Michelle Primeau
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  4. Makoto Kawai
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  5. Sophia Pirog
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  6. Joshua Jordan
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  7. Ruth O’Hara
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Correspondence to Ruth O’Hara .

Editor information

Editors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California, USA

    Laura Weiss Roberts

  2. US Army Medical Department Active Duty, Fort Stewart, Georgia, USA

    Christopher H. Warner

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Talbot, L. et al. (2018). The Role of Sleep in Mental Illness in Veterans and Active Service Members. In: Roberts, L., Warner, C. (eds) Military and Veteran Mental Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-7438-2_25

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  • DOI: https://doi.org/10.1007/978-1-4939-7438-2_25

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