Evidence map›Paper›PMID 33682675›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021

The Military Service Sleep Assessment: an instrument to assess factors precipitating sleep disturbances in U.S. military personnel.

Vincent Mysliwiec, Kristi E Pruiksma, Matthew S Brock, Casey Straud, Daniel J Taylor, Shana Hansen, Shannon N Foster, Kelsi Gerwell, Brian A Moore, F Alex Carrizales and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Sleep Quality and its Predictors in Brazilian Marines.Sleep science (Sao Paulo, Brazil) · 2025
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 1 country.

Vincent MysliwiecDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Kristi E PruiksmaDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Matthew S BrockWilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, Texas.
Casey StraudDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Daniel J TaylorDepartment of Psychology, University of Arizona, Tucson, Arizona.
Shana HansenWilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, Texas.
Shannon N FosterWilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, Texas.
Kelsi GerwellDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Brian A MooreDepartment of Psychological Science, Kennesaw State University, Kennesaw, Georgia.
F Alex CarrizalesDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Stacey Young-McCaughanDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Robert VanecekWilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, Texas.
Jim MintzDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Alan L PetersonDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
STRONG STAR Consortium
The University of Texas Health Science Center at San Antonio · USWilford Hall Medical Center · USKennesaw State University · USThe University of Texas at San Antonio · USUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesMilitary personnel frequently experience sleep difficulties, but little is known regarding which military or life events most impact their sleep. The Military Service Sleep Assessment (MSSA) was developed to assess the impact of initial military training, first duty assignment, permanent change of station, deployments, redeployments, and stressful life events on sleep. This study presents an initial psychometric evaluation of the MSSA and descriptive data in a cohort of service members.

methodsThe MSSA was administered to 194 service members in a military sleep disorders clinic as part of a larger study.

resultsAverage sleep quality on the MSSA was 2.14 (on a Likert scale, with 1 indicating low and 5 indicating high sleep quality), and 72.7% (n = 140) of participants rated their sleep quality as low to low average. The events most reported to negatively impact sleep were stressful life events (41.8%), followed by deployments (40.6%). Military leadership position (24.7%) and birth/adoption of a child (9.7%) were the most frequently reported stressful life events to negatively impact sleep. There were no significant differences in current sleep quality among service members with a history of deployment compared with service members who had not deployed.

conclusionsThe MSSA is the first military-specific sleep questionnaire. This instrument provides insights into the events during a service member's career, beyond deployments, which precipitate and perpetuate sleep disturbances and likely chronic sleep disorders. Further evaluation of the MSSA in nontreatment-seeking military populations and veterans is required.

Indexed as

Military PersonnelSleep Initiation and Maintenance DisordersSleep Wake DisordersStress Disorders, Post-TraumaticVeteransChildHumansSleepmilitaryquestionnairesleep disturbancessleep qualityveterans

Identifiers

PMID33682675
PMCPMC8314632
OpenAlexW3135290992

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.