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Gender differences in sleep disorders in the US military

机译：美军睡眠障碍的性别差异

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Objectives: The purpose of this study is to compare sleep disorders between male and female military personnel. Comorbid behavioral health disorders and chronic pain were also studied in relation to sleep disorders. Design: We conducted a retrospective review of military personnel who underwent a sleep medicine evaluation and an in-laboratory attended polysomnography. Initial sleep questionnaires, demographics, polysomnographic variables, and comorbid disorders of interest were reviewed and compared for each sex. Setting: All patients were referred to the Wilford Hall Ambulatory Surgical Center Sleep Disorders Center for evaluation of sleep disturbance. Participants: Our cohort consisted of 209 military personnel with 51.7% men. The cohort was relatively young with a mean age of 34.3 years. Men had a significantly higher body mass index at 29.4 vs 27.3 in women. Results: Insomnia was diagnosed in 72 women and 41 men (P < .001), whereas obstructive sleep apnea (OSA) was diagnosed in 92 men and 50 women (P < .001). Depression and anxiety were more common in women. Women had an average of 1.76 ± 1.36 comorbid conditions compared with 1.08 ± 1.19 in men. In patients diagnosed with both insomnia and OSA, women were more likely to have post-traumatic stress disorder, depression, and anxiety. Neither the Epworth Sleepiness Scale (12.8 ± 4.88) nor the Insomnia Severity Index (16.9 ± 5.33) differed between sexes. Conclusions: Gender-related differences in sleep disorders are present in active-duty personnel. Behavioral health disorders were frequent comorbid disorders, and women diagnosed with both insomnia and OSA manifested greater psychiatric comorbidity. The frequent association between sleep and behavioral health disorders in military personnel requires further study.
机译：目标：本研究的目的是比较男性和女性军事人员之间的睡眠障碍。还研究了与睡眠障碍有关的合并行为健康障碍和慢性疼痛。设计：我们对接受睡眠医学评估的军事人员进行了回顾性审查，并进行了实验室的聚会学。审查并比较了每种性别的最初睡眠问卷，人口统计学，多渗透学变量和感兴趣的合并症。环境：所有患者都被转诊至威尔福德大厅门诊手术中心睡眠障碍中心，以评估睡眠障碍。参与者：我们的队列由209名军人组成，有51.7％的男子。该队列相对年轻，平均年龄为34.3岁。男性的体重指数明显更高，女性为29.4 vs 27.3。结果：在72名女性和41名男性（p <.001）中诊断出失眠症，而阻塞性睡眠呼吸暂停（OSA）在92名男性和50名女性中被诊断出（p <.001）。抑郁和焦虑在女性中更为普遍。妇女的合并症平均为1.76±1.36，而男性为1.08±1.19。在被诊断出患有失眠和OSA的患者中，女性更有可能患有创伤后应激障碍，抑郁和焦虑。性别之间的Epworth嗜睡量表（12.8±4.88）和失眠严重程度指数（16.9±5.33）均未有所不同。结论：现役人员中存在与性别相关的睡眠障碍差异。行为健康障碍经常患有合并症，被诊断出失眠和OSA的妇女表现出更大的精神病合并症。军事人员中的睡眠与行为健康障碍之间的频繁关联需要进一步研究。

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