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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