Predictors of psychiatric disorders in combat veterans
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- 作者：Stephanie Booth-Kewley (9)
Emily A Schmied (9)
Robyn M Highfill-McRoy (9)
Gerald E Larson (9)
Cedric F Garland (10) (9)
Lauretta A Ziajko (11) - 关键词：Psychiatric disorders ; Military populations ; Marines ; Iraq/Afghanistan wars ; Veterans ; Combat
- 刊名：BMC Psychiatry
- 出版年：2013
- 出版时间：December 2013
- 年：2013
- 卷：13
- 期：1
- 全文大小：228KB
- 参考文献：1. Hoge CW, Castro CA, Messer SC, McGurk DM, Cotting DI, Koffman RL: Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. / N Engl J Med 2004,351(1):13-2. CrossRef
2. Koenen KC, Stellman JM, Stellman SD, Sommer JF: Risk factors for course of posttraumatic stress disorder among Vietnam veterans: a 14-year follow-up of American Legionnaires. / J Consult Clin Psychol 2003,71(6):980-86. CrossRef
3. Carlson KF, Nelson D, Orazem RJ, Nugent S, Cifu DX, Sayer NA: Psychiatric diagnoses among Iraq and Afghanistan war veterans screened for deployment-related traumatic brain injury. / J Trauma Stress 2010,23(1):17-4.
4. Castro CA, McGurk D: The intensity of combat and behavioral health status. / Traumatology 2007,13(4):6-3. CrossRef
5. Engelhard IM, van den Hout MA: Preexisting neuroticism, subjective stressor severity, and posttraumatic stress in soldiers deployed to Iraq. / Can J Psychiatry 2007,52(8):505-09.
6. Iversen AC, Fear NT, Ehlers A, Hughes JH, Hull L, Earnshaw M, Greenberg N, Rona R, Wessely S, Hotopf M: Risk factors for post-traumatic stress disorder among UK Armed Forces personnel. / Psychol Med 2008,38(4):511-22. CrossRef
7. Litz BT, King LA, King DQ, Orsillo SM, Friedman MJ: Warriors as peacekeepers: features of the Somalia experiences and PTSD. / J Consult Clin Psychol 1997,65(6):1001-010. CrossRef
8. Riddle JR, Smith TC, Smith BS, Corbeil TE, Engel CC, Wells TS, Hoge CW, Adkins J, Zamorski M, Blazer D, Millennium Cohort Study Team: Millennium cohort: the 2001-003 baseline prevalence of mental disorders in the U.S. military. / J Clin Epidemiol 2007,60(2):192-01. CrossRef
9. Rundell JR: Demographics of and diagnoses in Operation Enduring Freedom and Operation Iraqi Freedom personnel who were psychiatrically evacuated from the theater of operations. / Gen Hosp Psychiatry 2006,28(4):352-56. CrossRef
10. Dohrenwend BP, Turner JB, Turse NA, Adams BG, Koenen KC, Marshall R: Continuing controversy over the psychological risks of Vietnam for U.S. veterans. / J Trauma Stress 2007,20(4):449-65. CrossRef
11. Fontana A, Rosenheck R: A model of war zone stressors and posttraumatic stress disorder. / J Trauma Stress 1999,12(1):111-26. CrossRef
12. Adler AB, Vaitkus MA, Martin JA: Combat exposure and posttraumatic stress symptomatology among U.S. soldiers deployed to the Gulf War. / Mil Psychol 1996,8(1):1-4. CrossRef
13. Southwick SM, Morgan CA, Darnell A, Bremner D, Nicolaou AL, Nagy LM, Charney DS: Trauma-related symptoms in veterans of Operation Desert Storm: a 2-year follow-up. / Am J Psychiatry 1995,152(8):1150-155.
14. Wolfe J, Brown P, Kelly JM: Reassessing war stress: exposure and the Persian Gulf War. / J Soc Issues 1993,49(4):15-1. CrossRef
15. Smith TC, Ryan MAK, Wingard DL, Slymen DJ, Sallis JF, Kritz-Silverstein D: New onset and persistent symptoms of post-traumatic stress disorder self reported after deployment and combat exposures: prospective population based U.S. military cohort study. / BMJ 2008,336(7640):366-76. CrossRef
16. Bartone PT, Vaitkus MA, Adler AB: Dimensions of psychological stress in peacekeeping operations. / Mil Med 1998,163(9):587-93.
17. King DW, King LA, Gudanowski DM, Vreven DL: Alternative representations of war zone stressors: relationships to posttraumatic stress disorder in male and female Vietnam veterans. / J Abnorm Psychol 1995,104(1):184-95. CrossRef
18. Vogt DS, Pless AP, King LA, King DW: Deployment stressors, gender, and mental health outcomes among Gulf War I veterans. / J Trauma Stress 2005,18(3):115-27. CrossRef
19. Hoge CW, McGurk D, Thomas JL, Cox AL, Engel CC, Castro CA: Mild traumatic brain injury in U.S. soldiers returning from Iraq. / N Engl J Med 2008,385(5):453-27. CrossRef
20. Schneiderman A, Braver ER, Kang HK: Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: persistent postconcussive symptoms and posttraumatic stress disorder. / Am J Epidemiol 2008,167(12):1446-452. CrossRef
21. Vasterling JJ, Constans JI, Hanna-Pladdy B: Head injury as a predictor of psychological outcome in combat veterans. / J Trauma Stress 2000,13(3):441-51. CrossRef
22. Griffith J: Measurement of group cohesion in U.S. Army units. / Basic Appl Soc Psych 1988,9(2):149-71. CrossRef
23. Mental Health Advisory Team (MHAT): / Mental Health Advisory Team (MHAT) VI: Operation Iraqi Freedom (07-9). 2009. [http://www.armymedicine.army.mil/reports/mhat/mhat_vi/mhat-vi.cfm]
24. Britt TW, Davison J, Bliese PD, Castro CA: How leaders can influence the impact that stressors have on soldiers. / Mil Med 2004, 169:541-45.
25. Helmus HT, Glenn R: / Steeling the mind: combat stress reactions and their implications for urban welfare. Santa Monica: RAND Corporation; 2005.
26. Oliver LW, Harman J, Hoover E, Hayes SM, Pandhi NA: A quantitative integration of the military cohesion literature. / Mil Psychol 1999,11(1):57-3. CrossRef
27. Brailey K, Vasterling JJ, Proctor SP, Constans JI, Friedman MJ: PTSD symptoms, life events, and unit cohesion in U.S. soldiers: baseline findings from the Neurocognition Deployment Health Study. / J Trauma Stress 2007,20(4):495-03. CrossRef
28. Rona RJ, Hooper R, Jones M, Iversen A, Hull L, Murphy D, Hotopf M, Wessely S: The contribution of prior psychological symptoms and combat exposure to post Iraq deployment mental health in the UK military. / J Trauma Stress 2009,22(1):11-9. CrossRef
29. Allen NJ: Organizational commitment in the military: a discussion of research and practice. / Mil Psychol 2003,15(3):237-53. CrossRef
30. Gade PA, Tiggle RB, Schumm WR: The measurement and consequences of military organizational commitment in soldiers and spouses. / Mil Psychol 2003,15(3):191-07. CrossRef
31. Maguen S, Litz BT: Predictors of morale in U.S. peacekeepers. / J Appl Soc Psychol 2006,36(4):820-36. CrossRef
32. Fredrickson BL: The role of positive emotions in positive psychology: the broaden-and-build theory of positive emotions. / Am Psychol 2001,56(3):218-26. CrossRef
33. Lyubormirsky S, King L, Diener E: The benefits of frequent positive affect: Does happiness lead to success? / Psychol Bull 2005,131(6):803-55. CrossRef
34. Rona RJ, Fear NT, Hull L, Wessely S: Women in novel occupational roles: Mental health trends in the UK armed forces. / Int J Epidemiology 2007,36(2):319-26. CrossRef
35. Turner JB, Turse NA, Dohrenwend BP: Circumstances of service and gender differences in war-related PTSD: Findings from the National Vietnam Veteran Readjustment Study. / J Trauma Stress 2007,20(4):643-49. CrossRef
36. Street A, Vogt D, Dutra L: A new generation of women veterans: stressors faced by women deployed to Iraq and Afghanistan. / Clinical Psychology Review 2009,29(8):685-94. CrossRef
37. Booth-Kewley S, Larson GE, Highfill-McRoy RM, Garland CF, Gaskin TA: Correlates of posttraumatic stress disorder symptoms in Marines back from war. / J Trauma Stress 2010,23(1):69-7.
38. Bartone PT, Johnsen BH, Eid J, Brun W, Laberg JC: Factors influencing small-unit cohesion in Norwegian Navy officer cadets. / Mil Psychol 2002,14(1):1-2. CrossRef
39. Allen NJ, Meyer JP: The measurement and antecedents of affective, continuance and normative commitment to the organization. / J Occup Psychol 1990,63(1):1-8. CrossRef
40. Gunderson EK, Garland CF, Miller MR, Gorham ED: Career History Archival Medical and Personnel System. / Mil Med 2005,170(2):172-75.
41. Goodman GP, DeZee KJ, Burks R, Waterman BR, Belmont PJ: Epidemiology of psychiatric disorders sustained by a U.S. Army brigade team during the Iraq war. / Gen Hosp Psychiatry 2011,33(1):51-7. CrossRef
42. Hoge CW, Auchterlonie JL, Milliken CS: Mental health problems, use of mental health services and attrition from military service after returning from deployment to Iraq or Afghanistan. / JAMA 2006,295(9):1023-032. CrossRef
43. Kehle SM, Reddy MK, Ferrier-Auerbach AG, Erbes CR, Arbisi PA, Polusny MA: Psychiatric diagnoses, comorbidity, and functioning in National Guard troops deployed to Iraq. / J Psychiatr Res 2011,45(1):126-32. CrossRef
44. Cwikel J, Zilber N, Feinson M, Lerner Y: Prevalence and risk factors of threshold and sub-threshold psychiatric disorders in primary care. / Soc Psychiatry Psychiatr Epidemiol 2008,43(3):184-91. CrossRef
45. Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, Wittchen HU, Kendler KS: Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey. / Arch Gen Psychiatry 1994,51(1):8-9. CrossRef
46. Zinzow HM, Grubaugh AL, Frueh BC, Magruder KM: Sexual assault, mental health, and service use among male and female veterans seen in Veterans Affairs primary care clinics: a multi-site study. / Psychiatry Research 2008,159(1-):26-36.
47. Seal KH, Metzler TJ, Gima KS, Bertenthal D, Maguen S, Marmar CR: Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002-008. / Am J Public Health 2009,99(9):1651-658. CrossRef
48. Silver JM, Kramer R, Greenwald S, Weissman M: The association between head injuries and psychiatric disorders: findings from the New Haven Epidemiologic Catchment Area Study. / Brain Inj 2001,15(11):935-45. CrossRef
49. Jordan BK, Marmar CR, Fairbank JA, Schlenger WE, Kulka RA, Hough RL, Weiss DS: Problems in families of male Vietnam veterans with posttraumatic stress disorder. / J Consult Clin Psychol 1992,60(6):916-26. CrossRef
50. Lapierre CB, Schwegler AF, LaBauve BJ: Posttraumatic stress and depression symptoms in soldiers returning from combat operations in Iraq and Afghanistan. / J Trauma Stress 2007,20(6):933-43. CrossRef
51. Maguen S, Ren L, Bosch JO, Marmar CR, Seal KH: Gender differences in mental health diagnoses among Iraq and Afghanistan veterans enrolled in veterans affairs health care. / Am J Public Health 2010,100(12):2450-456. CrossRef
52. Richardson JD, Naifeh JA, Elhai JD: Posttraumatic stress disorder and associated risk factors in Canadian peacekeeping veterans with health-related disabilities. / Can J Psychiatry 2007,52(8):510-18.
53. Booth-Kewley S, Larson GE: Predictors of psychiatric hospitalization in the Navy. / Mil Med 2005,170(1):87-3.
54. Macklin ML, Metzger LJ, Litz BT, McNally RJ, Lasko NB, Orr SP, Pitman RK: Lower precombat intelligence is a risk factor for posttraumatic stress disorder. / J Consult Clin Psychol 1998,66(2):323-26. CrossRef
55. Kessler RC, Foster CL, Saunders WB, Stang PE: The social consequences of psychiatric disorders. I: Educational attainment. / Am J Psychiatry 1995,152(7):1026-032.
56. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-244X/13/130/prepub - 作者单位：Stephanie Booth-Kewley (9)
Emily A Schmied (9)
Robyn M Highfill-McRoy (9)
Gerald E Larson (9)
Cedric F Garland (10) (9)
Lauretta A Ziajko (11)
9. Behavioral Science and Epidemiology Department, Naval Health Research Center, 140 Sylvester Road, San Diego, CA, 92106-3521, USA
10. Department of Family and Preventive Medicine and Moores UCSD Cancer Center, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093-0631, USA
11. Naval Medical Center, San Diego, 34800 Bob Wilson Dr, San Diego, CA, 92134, USA
文摘
Background Most previous research that has examined mental health among Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) combatants has relied on self-report measures to assess mental health outcomes; few studies have examined predictors of actual mental health diagnoses. The objective of this longitudinal investigation was to identify predictors of psychiatric disorders among Marines who deployed to combat in Iraq and Afghanistan. Methods The study sample consisted of 1113 Marines who had deployed to Iraq or Afghanistan. Demographic and psychosocial predictor variables from a survey that all Marines in the sample had completed were studied in relation to subsequent psychiatric diagnoses. Univariate and multivariate logistic regression were used to determine the influence of the predictors on the occurrence of psychiatric disorders. Results In a sample of Marines with no previous psychiatric disorder diagnoses, 18% were diagnosed with a new-onset psychiatric disorder. Adjusting for other variables, the strongest predictors of overall psychiatric disorders were female gender, mild traumatic brain injury symptoms, and satisfaction with leadership. Service members who expressed greater satisfaction with leadership were about half as likely to develop a mental disorder as those who were not satisfied. Unique predictors of specific types of mental disorders were also identified. Conclusions Overall, the study’s most relevant result was that two potentially modifiable factors, low satisfaction with leadership and low organizational commitment, predicted mental disorder diagnoses in a military sample. Additional research should aim to clarify the nature and impact of these factors on combatant mental health.