Predictors of Posttraumatic Stress Disorder, Anxiety Disorders, Depressive Disorders, and Any Mental Health Condition Among U.S. Soldiers and Marines, 2001-2011

Journal of Traumatic Stress
Alison Levin-RectorPamela K Lattimore

Abstract

Understanding mental health disorder diagnosis and treatment seeking among active-duty military personnel is a topic with both clinical and policy implications. It has been well documented in military populations that individual-level military experience, including deployment history and combat exposure, influences mental health outcomes, but the impact of unit-level factors is less well understood. In the current study, we used administrative longitudinal data to examine a comprehensive set of unit- and individual-level predictors of posttraumatic stress disorder (PTSD), non-PTSD anxiety disorders, depressive disorders, and overall mental health diagnoses among Army and Marines Corps personnel. Using Cox survival models for time-dependent variables, we analyzed time from military accession (between January 1, 2001 and December 31, 2011) until first mental health diagnosis for 773,359 soldiers and 332,093 Marines. Prior diagnosis of a substance abuse disorder during one's military career, hazard ratios (HRs) = 1.68-3.10, and cumulative time spent deployed, HRs = 1.11-2.04, were the most predictive risk factors for all outcomes. Male sex, HRs = 0.35-0.57, and officer rank, HRs = 0.13-0.23, were the most protective factors. Unit-...Continue Reading

References

Dec 1, 1996·Journal of Clinical Epidemiology·P PeduzziA R Feinstein
Apr 1, 1997·Archives of General Psychiatry·H C KraemerD J Kupfer
Jul 2, 2004·The New England Journal of Medicine·Charles W HogeRobert L Koffman
Apr 14, 2005·Journal of Occupational Health Psychology·Amy B AdlerCarl Andrew Castro
Mar 2, 2006·JAMA : the Journal of the American Medical Association·Charles W HogeCharles S Milliken
Nov 15, 2007·JAMA : the Journal of the American Medical Association·Charles S MillikenCharles W Hoge
Feb 23, 2008·Addiction Science & Clinical Practice·Jack D BlaineDace Svikis
Jan 16, 2010·The Australian and New Zealand Journal of Psychiatry·Lisa K RichardsonRonald Acierno
Jan 28, 2010·Journal of Traumatic Stress·Stephanie Booth-KewleyThomas A Gaskin
Mar 6, 2010·Annals of the New York Academy of Sciences·Ana V Diez Roux, Christina Mair
Jul 17, 2012·Psychiatry Research·Richard A Van DornMarvin S Swartz
Jan 2, 2013·Psychology of Addictive Behaviors : Journal of the Society of Psychologists in Addictive Behaviors·Sarah L DesmaraisMarvin S Swartz
May 9, 2013·BMC Psychiatry·Stephanie Booth-KewleyLauretta A Ziajko
Jun 12, 2013·Psychiatric Rehabilitation Journal·Dinesh MittalGreer Sullivan
Jul 31, 2013·Journal of Traumatic Stress·Molly R FranzJennifer J Vasterling
Mar 25, 2016·Journal of Affective Disorders·Joshua BreslauChristine A Vaughan
Jun 1, 2016·Military Medicine·Nancy F Crum-CianfloneEdward J Boyko

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Citations

Jul 12, 2019·The Mental Health Clinician·Benjamin Chavez, Emily Kosirog
Sep 19, 2019·Journal of Athletic Training·Joel S BrennerAndrea Stracciolini
Aug 19, 2020·Journal of Traumatic Stress·Christer Lunde GjerstadJune Ullevoldsaeter Lystad
Jan 26, 2021·Military Medicine·Toby D EllimanAmy B Adler
Dec 18, 2020·International Journal of Environmental Research and Public Health·Gabriela Petereit-HaackAndreas Seidler

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