Figure 1.

Conceptual framework adapted from biopsychosocial model of healthy aging ( Seeman & Crimmins, 2001 ). We propose three pathways from military service to cardiometabolic morbidity via sleep disturbance in postmenopausal women veterans: ( A ) traumatic exposure/hyperarousal and associated sleep-disordered breathing (SDB); ( B ) health risk behaviors; and ( C ) circadian sleep–wake rhythm disruption and associated insomnia complaint or aberrant sleep duration. The dashed line represents the hypothesized association of comorbid insomnia and SDB on cardiometabolic morbidity.