PURPOSE/OBJECTIVE To determine the rate of insomnia among active-duty soldiers with and without a history of traumatic brain injury (TBI). Research Method and Design: Data were extracted from the All Army Study (AAS), a cross-sectional, self-report survey completed by a representative sample of 21,499 U.S. Army soldiers from 2011 to 2013 as part of the Army Study to Assess Risk and Resilience in Servicemembers. History and severity of TBI were determined by participants' responses to questions regarding postinjury symptomology (i.e., loss of consciousness [LOC], amnesia, etc.). Insomnia symptoms were defined using DSM-5 criteria as measured by the Brief Insomnia Questionnaire. RESULTS Approximately 63% of respondents reported lifetime history of mild TBI (mTBI), with ∼7% endorsing a history of moderate to severe TBI. Insomnia symptom prevalence rate increased with brain injury severity and number of TBIs with LOC, with ∼51% of those with mTBI and ∼55% of those with moderate to severe TBI demonstrating clinically elevated insomnia symptoms, compared to ∼37% insomnia prevalence rate among servicemembers without TBI. CONCLUSION/IMPLICATIONS Results suggest high (> 50%) prevalence rates of insomnia symptoms among servicemembers with a lifetime history of brain injury, underscoring the need for behavioral sleep medicine interventions among active-duty personnel. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

---

有 TBI 病史的美国陆军士兵失眠流行。


目的/目的 确定有或没有创伤性脑损伤 (TBI) 病史的现役士兵的失眠率。研究方法和设计：数据取自全军研究 (AAS)，这是一项横断面自我报告调查，由 2011 年至 2013 年 21,499 名美国陆军士兵的代表性样本完成，是评估风险和风险的陆军研究的一部分。军人的韧性。 TBI 的病史和严重程度取决于参与者对伤后症状学问题（即意识丧失 [LOC]、健忘症等）的反应。失眠症状是使用 DSM-5 标准定义的，并通过简短失眠问卷进行测量。结果 大约 63% 的受访者报告一生有轻度 TBI (mTBI) 病史，约 7% 的受访者表示有中度至重度 TBI 病史。失眠症状的患病率随着脑损伤的严重程度和发生 LOC 的 TBI 的数量而增加，约 51% 的 mTBI 患者和约 55% 的中重度 TBI 患者表现出临床上加重的失眠症状，相比之下，约 37% 的失眠患病率没有 TBI 的军人。结论/意义 结果表明，在终生有脑损伤史的军人中，失眠症状的患病率很高（> 50%），这强调了现役人员中进行行为睡眠医学干预的必要性。 （PsycINFO 数据库记录 (c) 2019 APA，保留所有权利）。