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Sleep deprivation and hazardous unintended sleep in US army drill sergeants

  • Toby D. Elliman
    Correspondence
    Corresponding author. Research Transition Office, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, 503 Robert Grant Ave., Silver Spring, MD 20910, USA.
    Affiliations
    Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, 503 Robert Grant Ave., Silver Spring, MD 20910, USA
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  • Molly E. Schwalb
    Affiliations
    Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, 503 Robert Grant Ave., Silver Spring, MD 20910, USA
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  • Amy B. Adler
    Affiliations
    Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, 503 Robert Grant Ave., Silver Spring, MD 20910, USA
    Search for articles by this author

      Abstract

      Objectives

      Sleep deprivation is an occupational hazard for members of the armed forces, and has potential consequences not only for the sleep-deprived individuals, but also for the people around them. Perhaps the most consistently sleep-deprived population in the US Army are drill sergeants, who lead intense cycles of initial training for new soldiers. In the first systematic assessment of drill sergeants, the current study examined sleep deprivation and its relationship to falling asleep in two hazardous contexts: while driving, and while co-supervising recruit trainings.

      Design

      In total 856 drill sergeants across all Army basic training sites completed surveys. Sleep-related items measured sleep quantity, sleep problems, exhaustion, and stress due to lack of sleep.

      Results

      Drill sergeants reported working long hours (M = 14.74 hours, SD = 2.53), and being at work 6.42 (SD = 0.6) days per week, while obtaining low levels of sleep (75% reported five hours or less per night). Many (27%) met criteria for moderate or severe clinical insomnia. A substantial proportion (42%) reported having fallen asleep at the wheel at least once during their time as a drill sergeant. Further, the likelihood of this occurring was associated with obtaining low amounts of sleep and with meeting criteria for clinical insomnia. Similar rates of occurrence and associations with sleep issues were observed for falling asleep during recruit trainings.

      Conclusions

      Results highlight the importance of ensuring drill sergeants acquire adequate sleep in order to reduce the risk of accidents involving this population and those in their care.

      Keywords

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      References

        • Knutsson A.
        Health disorders of shift workers.
        Occup Med. 2003; 53: 103-108
        • Owens J.
        • Group ASW, Adolescence Co
        Insufficient sleep in adolescents and young adults: an update on causes and consequences.
        Am Acad Pediatrics. 2014; 134: e921-e932
        • Scott A.J.
        Shift work and health.
        Occup Environ Med. 2000; 27: 1057-1078
        • Bougard C.
        • Davenne D.
        • Espie S.
        • Moussay S.
        • Leger D.
        Sleepiness, attention and risk of accidents in powered two-wheelers.
        Sleep Med Rev. 2016; 25: 40-51
        • LoPresti M.L.
        • Anderson J.A.
        • Saboe K.N.
        • McGurk D.L.
        • Balkin T.J.
        • Sipos M.L.
        The impact of insufficient sleep on combat mission performance.
        Mil Behav Health. 2016; 4: 356-363
        • Quera Salva M.A.
        • Barbot F.
        • Hartley S.
        • et al.
        Sleep disorders, sleepiness, and near-miss accidents among long-distance highway drivers in the summertime.
        Sleep Med. 2014; 15: 23-26
        • Sipos M.L.
        • Lopez A.A.
        • Nyland J.
        • et al.
        U.S. soldiers and foreign language school: stressors and health.
        Mil Med. 2019; 184: e344-e352
        • Milley M.A.
        • Miller K.S.
        Army Regulation 614-200: Enlisted Assignments and Utilization Management.
        Army Dot, Washington, DC2019
      1. Lamothe D. With Student debt on emphasis, the Army meets a more modest recruiting goal in 2019. Washington Post. September 17, 2019. Accessed September 24, 2019. https://www.washingtonpost.com/

        • Institute of Medicine (US) Committee on the Initial Assessment of Readjustment Needs of Military Personnel V, and Their Families
        Returning home from Iraq and Afghanistan: Preliminary Assessment of Readjustment Needs of Veterans, Service Members, and Their Families, Washington, DC2010
        • Horne J.A.
        • Reyner L.A.
        Sleep related vehicle accidents.
        BMJ. 1995; 310: 565-567
        • Radun I.
        • Summala H.
        Sleep-related fatal vehicle accidents: characteristics of decisions made by multidisciplinary investigation teams.
        Sleep. 2004; 27: 224-227
        • Pack A.I.
        • Pack A.M.
        • Rodgman E.
        • Cucchiara A.
        • Dinges D.F.
        • Schwab C.W.
        Characteristics of crashes attributed to the driver having fallen asleep.
        Accid Anal Prev. 1995; 27: 769-775
      2. Myers M. Army drill sergeant who ran over trainees had been having problems at home, according to report. Army Times. October 31, 2018. Accessed June 12, 2019. https://www.armytimes.com/

        • Bastien C.H.
        • Vallieres A.
        • Morin C.M.
        Validation of the Insomnia Severity Index as an outcome measure for insomnia research.
        Sleep Med. 2001; 2: 297-307
        • Gagnon C.
        • Belanger L.
        • Ivers H.
        • Morin C.M.
        Validation of the Insomnia Severity Index in primary care.
        J Am Board Fam Med. 2013; 26: 701-710
        • Morin C.M.
        Treatment Manuals for Practitioners. Insomnia: Psychological Assessment and Management.
        Guilford Press, New York, NY, US1993
        • Raedeke T.D.
        • Smith A.L.
        Development and preliminary validation of a measure of athlete burnout.
        J Sport Exerc Psychol. 2001; 27: 224-227
        • Maas C.J.M.
        • Hox J.J.
        Sufficient sample sizes for multilevel modeling.
        Methodology. 2005; 1: 86-92
        • Watson N.F.
        • Badr M.S.
        • Belenky G.
        • et al.
        Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society.
        Sleep. 2015; 38: 843-844
        • Kalsi J.
        • Tervo T.
        • Bachour A.
        • Partinen M.
        Sleep versus non-sleep-related fatal road accidents.
        Sleep Med. 2018; 51: 148-152
        • Liu Y.
        • Wheaton A.G.
        • Chapman D.P.
        • Cunningham T.J.
        • Lu H.
        • Croft J.B.
        Prevalence of healthy sleep duration among adults - United States, 2014.
        MMWR Morb Mortal Wkly Rep. 2016; 65: 137-141
      3. Royal D. National Survey of Distracted and Drowsy Driving Attitudes and Behaviors: 2002. In: Administration NHTS, ed. Accessed December 13, 2019. https://www.nhtsa.gov/sites/nhtsa.dot.gov/files/hs809566v1.pdf

      4. 2008 Sleep in America Poll Summary of Findings. Accessed October 15, 2019. https://www.sleepfoundation.org/sites/default/files/2018-11/2008_POLL_SOF.pdf2008.

        • Rajaratnam S.M.W.
        • Barger L.K.
        • Lockley S.W.
        • et al.
        Sleep disorders, health, and safety in police officers.
        JAMA. 2011; 306: 2567-2578
        • Perttula P.
        • Ojala T.
        • Kuosma E.
        Factors in the fatigue of heavy vehicle drivers.
        Psychol Rep. 2011; 108: 507-514
        • Williamson A.M.
        • Feyer A.M.
        Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication.
        Occup Environ Med. 2000; 57: 649-655
        • Rupp T.L.
        • Wesensten N.J.
        • Bliese P.D.
        • Balkin T.J.
        Banking sleep: realization of benefits during subsequent sleep restriction and recovery.
        Sleep. 2009; 32: 311-321
      5. Myers M. Milley: we're going to cut instructor-trainee ratios at Army basic training in half. Army Times. October 8, 2018. Accessed June 13, 2019. https://www.armytimes.com/

      6. Myers M. Lieutenants, appearing soon at an Army basic training platoon near you. Army Times. March 8, 2019. Accessed June 13, 2019. https://www.armytimes.com/

        • Rogers A.E.
        • Stahlman S.
        • Hunt D.J.
        • Oh G.T.
        • Clark L.L.
        Obstructive aleep apnea and associated attrition, active component, U.S. Armed Forces, January 2004–May 2016.
        Med Surveill Mon Rep. 2016; 10: 2-11
        • Segal M.W.
        • Lane M.D.
        Conceptual model of military women's life events and well-being.
        Mil Med. 2016; 181: 12-19