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https://www.readbyqxmd.com/read/28333532/characterizing-spouse-partner-depression-and-alcohol-problems-over-the-course-of-military-deployment
#1
Christopher R Erbes, Mark Kramer, Paul A Arbisi, David DeGarmo, Melissa A Polusny
OBJECTIVE: Spouse/partners of military personnel demonstrate elevated levels of distress during military deployments, yet there is insufficient information about courses of adjustment over time. The current study identified trajectories of depression and alcohol use problems and predictors of those trajectories across the deployment cycle. METHOD: National Guard soldiers (N = 1973) and spouses/intimate partners (N = 1020) completed assessments of risk/protective factors and baseline measures of mental health functioning 2 to 5 months prior to soldiers' 1-year deployments (Time 1) to Kuwait/Iraq in support of Operation New Dawn or Afghanistan in support of Operation Enduring Freedom...
April 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28323466/sexual-assault-victimization-and-mental-health-treatment-suicide-attempts-and-career-outcomes-among-women-in-the-us-army
#2
Anthony J Rosellini, Amy E Street, Robert J Ursano, Wai Tat Chiu, Steven G Heeringa, John Monahan, James A Naifeh, Maria V Petukhova, Ben Y Reis, Nancy A Sampson, Paul D Bliese, Murray B Stein, Alan M Zaslavsky, Ronald C Kessler
OBJECTIVES: To examine associations of administratively recorded sexual assault victimization during military service with subsequent mental health and negative career outcomes among US Army women controlling for nonrandom victimization exposure. METHODS: We used data from the Army Study to Assess Risk and Resilience in Servicemembers to apply propensity score methods to match all 4238 female Regular Army soldiers with administratively recorded sexual assault victimization during 2004 to 2009 to 5 controls per case with similar composite victimization risk...
March 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28318462/the-epidemiology-of-operation-stress-during-continuing-promise-2011-a-humanitarian-response-and-disaster-relief-mission-aboard-a-us-navy-hospital-ship
#3
William T Scouten, Melissa L Mehalick, Elizabeth Yoder, Andrea McCoy, Tracy Brannock, Mark S Riddle
Introduction Operational stress describes individual behavior in response to the occupational demands and tempo of a mission. The stress response of military personnel involved in combat and peace-keeping missions has been well-described. The spectrum of effect on medical professionals and support staff providing humanitarian assistance, however, is less well delineated. Research to date concentrates mainly on shore-based humanitarian missions. Problem The goal of the current study was to document the pattern of operational stress, describe factors responsible for it, and the extent to which these factors impact job performance in military and civilian participants of Continuing Promise 2011 (CP11), a ship-based humanitarian medical mission...
March 20, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28293767/gambling-in-a-national-u-s-veteran-population-prevalence-socio-demographics-and-psychiatric-comorbidities
#4
Elina A Stefanovics, Marc N Potenza, Robert H Pietrzak
This study aimed to examine associations between gambling level and clinically relevant measures, including psychiatric disorders and suicidality, in a nationally representative sample of U.S. veterans. Data on 3157 U.S. veterans were analyzed from the National Health and Resilience in Veterans Study. Chi square tests and analyses of variance were used to assess associations between gambling level, and demographic, military, and personality characteristics. Multinomial logistic regressions using stepwise selection were used to identify independent correlates of recreational gambling and at-risk/problem gambling (ARPG)...
March 14, 2017: Journal of Gambling Studies
https://www.readbyqxmd.com/read/28291483/risk-factors-for-incident-postdeployment-mental-health-conditions-among-u-s-air-force-medical-service-personnel
#5
Genny M Maupin, Anthony P Tvaryanas, Edward D White, Heather J Lysfjord
The prevalence of postdeployment mental health (PDMH) conditions in military health care personnel appears to be on par with that of other military personnel. However, there is no comprehensive analysis of incident PDMH conditions within the overall population of U.S. Air Force Medical Service personnel. This study explored the epidemiology of incident PDMH conditions among Air Force Medical Service personnel returning from deployment. A cohort survival analysis was conducted of 24,409 subjects without preexisting mental health conditions and at least one deployment during 2003-2013...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28291482/understanding-post-deployment-reintegration-concerns-among-en-route-care-nurses-a-mixed-methods-approach
#6
Felecia M Rivers, Susan Dukes, Jennifer Hatzfeld, Linda H Yoder, Sandra Gordon, Angela Simmons
The objective of this study was to better understand the post-deployment behavior health symptoms and readjustment/reintegration experienced by military nurses who provided en route care while serving in Operation Enduring Freedom/Operation Iraqi Freedom. Employing an exploratory, concurrent, mixed-methods design with an electronic survey consisting of several valid instruments and single, face-to-face interviews; data were gathered from 119 surveys and 22 interviews. Four qualitative themes aligned with the Post-Deployment Readjustment Inventory items...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28291465/long-term-outcomes-and-needs-of-military-service-members-after-noncombat-related-traumatic-brain-injury
#7
Kelly J Miller, Jan E Kennedy, Karen A Schwab
OBJECTIVES: Assess the prevalence of self-identified unmet service needs in a military sample an average of 5 years following noncombat traumatic brain injury (TBI). Examine relationships between unmet needs and background, injury-related and outcome variables. METHODS: The study sample consisted of 89 veterans and service members who sustained non-combat TBI between 1999 and 2003, selected from enrollees in the Defense and Veterans Brain Injury Center TBI registry...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28290944/self-reported-lifetime-depression-and-current-mental-distress-among-veterans-across-service-eras
#8
Eric Adjei Boakye, Paula Buchanan, Jing Wang, Lisa Stringer, Christian Geneus, Jeffrey F Scherrer
INTRODUCTION: Limited research exists comparing the prevalence of lifetime depression and current mental distress between veterans and nonveterans by military service era. We compared the prevalence of self-reported lifetime depression and current mental distress between veterans and nonveterans of the World War II, Korea, Vietnam, and Gulf War eras. METHODS: Data from the 2012 Behavior Risk Factor Surveillance System were analyzed for 243,561 survey participants aged 18 years and older...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28290942/increased-postdeployment-use-of-medication-for-common-mental-disorders-in-danish-gulf-war-veterans
#9
Lars Ravnborg Nissen, Christian Stoltenberg, Mia Sadowa Vedtofte, Anni Brit Sternhagen Nielsen, Jacob Louis Marott, Finn Gyntelberg, Bernadette Guldager
BACKGROUND: Gulf War veterans (GWVs) have an elevated risk of reporting symptoms of mental disorders as compared with nondeployed military controls. A difficulty in the Gulf War health research is that most health outcomes are self-reported; therefore, it is highly relevant to study objective outcomes in this line of research. The Danish National Prescription Registry provides an opportunity to use the prescription of drugs as an objective evaluation of the impact of mental health disorders at the individual level...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28290940/effects-of-combat-deployment-on-anthropometrics-and-physiological-status-of-u-s-army-special-operations-forces-soldiers
#10
Emily K Farina, Jonathan C Taylor, Gary E Means, Kelly W Williams, Nancy E Murphy, Lee M Margolis, Stefan M Pasiakos, Harris R Lieberman, James P McClung
INTRODUCTION: U.S. Army Special Operations Forces (SOF) soldiers deploy frequently and conduct military operations through special warfare and surgical strike capabilities. Tasks required to execute these capabilities may induce physical and mental stress and have the potential to degrade soldier physiological status. No investigations have longitudinally characterized whether combat deployment alters anthropometrics or biochemical markers of physiological status in a SOF population of frequent deployers...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28290935/screening-for-anger-and-sleep-difficulties
#11
Nicole M Steele, Gerard J Fogarty
INTRODUCTION: Mental health screens are designed to detect individuals at risk of psychological disorders. In the military setting of this study, these disorders were post-traumatic stress disorder (PTSD) and alcohol use. This study extends the literature on deployment-related mental health screening by including measures of sleep difficulties and anger as predictors of postdeployment PTSD and alcohol abuse. Evidence that measures of anger and sleep difficulties contribute incremental validity to the prediction of postdeployment mental health problems, including substance abuse, would be helpful in designing interventions to assist the rehabilitation of returning personnel...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28290934/health-related-coping-behaviors-and-mental-health-in-military-personnel
#12
Jessica Kelley Morgan, Laurel Hourani, Stephen Tueller
BACKGROUND: Our previous research has highlighted the important link between coping behaviors and mental health symptoms in military personnel. This study seeks to extend these findings by examining each coping behavior and mental health issue individually. This study has four specific aims: (1) test cross-sectional relationships between coping and mental health at baseline and follow-up, (2) examine stability of each variable over time, (3) determine the predictive nature of baseline mental health and coping on subsequent mental health and coping, (4) assess the magnitude of each effect to evaluate the differential predictive value of coping behaviors and mental health symptoms...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28290932/primary-care-of-men-who-have-sex-with-men-in-the-u-s-military-in-the-post-don-t-ask-don-t-tell-era-a-review-of-recent-progress-health-needs-and-challenges
#13
Wesley R Campbell, Mojgan Jahan, Mary F Bavaro, Robert J Carpenter
BACKGROUND: With repeal of "Don't Ask, Don't Tell" (DADT) in 2011 and the Supreme Court decision regarding Section 3 of the Defense of Marriage Act (DOMA) in 2013, military providers are now able to openly address unique health needs of lesbian, gay, and bisexual (LGB) service members and their same-sex spouse beneficiaries. These federal laws created health care barriers, either real or perceived, between providers and patients and often limited medical research involving LGB patients in the Military Health System (MHS)...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28290927/understanding-primary-care-behavioral-health-across-military-settings-a-preliminary-comparison-between-deployed-and-in-garrison-care
#14
Ryan R Landoll, Matthew K Nielsen, Kathryn K Waggoner
BACKGROUND: Integrated primary care behavioral health (PCBH) is a growing trend in health care delivery, particularly in the Department of Defense and the Department of Veterans Affairs. This consultative model has been applied within the U.S. Air Force for over 15 years and has demonstrated positive health impacts and patient satisfaction. With extended conflicts and engagements, including Operation Enduring Freedom and Operation Iraqi Freedom, deployment behavioral health care has expanded and positively received, but there is less empirical support of particular models of care in a deployed environment...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28287932/mental-disorder-prevalence-among-u-s-department-of-veterans-affairs-outpatients-with-spinal-cord-injuries
#15
Scott D McDonald, Melody N Mickens, Lisa D Goldberg-Looney, Brian J Mutchler, Michael S Ellwood, Teodoro A Castillo
OBJECTIVES: Depression and other mental disorders are more prevalent among individuals living with spinal cord injury (SCI) than in the community at large, and have a strong association with quality of life. Yet little is known about the prevalence and predictors of mental disorders among U.S. military Veterans living with SCI. The primary aim of this study was to present an estimate of mental disorder point prevalence in this population. The secondary aim was to examine the relationship of mental disorders to demographics, injury characteristics, and other clinically relevant features such as impairment from mental health problems and life satisfaction...
March 13, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28245701/mental-illness-related-stigma-in-canadian-military-and-civilian-populations-a-comparison-using-population-health-survey-data
#16
Murray Weeks, Mark A Zamorski, Corneliu Rusu, Ian Colman
OBJECTIVE: This study sought to compare the prevalence and impacts of mental illness-related stigma among Canadian Armed Forces personnel and Canadian civilians. METHODS: Data were from two highly comparable, population-based, cross-sectional surveys of Canadian military personnel and Canadian civilians: the 2013 Canadian Forces Mental Health Survey (N=6,696) and the 2012 Canadian Community Health Survey-Mental Health (N=25,113), respectively. Perceived stigma was assessed among those who reported care seeking for a mental health problem in the past 12 months...
March 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28239485/protocol-for-the-evaluation-of-a-digital-storytelling-approach-to-address-stigma-and-improve-readiness-to-seek-services-among-veterans
#17
Brian E Bunnell, Tatiana M Davidson, Jessica L Hamblen, Danna L Cook, Anouk L Grubaugh, Brian E Lozano, Peter W Tuerk, Kenneth J Ruggiero
BACKGROUND: Research suggests that at least 10% of veterans returning from Iraq and Afghanistan meet criteria for posttraumatic stress disorder (PTSD) related to their military experiences. National dissemination initiatives have increased veterans' access to best-practice interventions. However, treatment-seeking remains low among veterans with PTSD, often due to perceived stigma and other associated barriers. The National Center for PTSD recently developed and launched AboutFace, a digital storytelling (DST) resource designed to help veterans recognize PTSD and motivate them to seek evidence-based treatment...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/28238090/general-health-status-in-army-personnel-relations-with-health-behaviors-and-psychosocial-variables
#18
Samuel Golenbock, Josh B Kazman, Stephen Krauss, Patricia A Deuster
PURPOSE: Poor self-rated health (SRH) is linked to an increased risk of injury, future healthcare services utilization, and morbidity and mortality. This study aimed to identify correlates of a single-item measure of health in 8070 US Army personnel. METHODS: Responses were collected from the Army's global assessment tool (GAT) 2.0, an online questionnaire that assesses physical and psychosocial health. SRH was measured by the item, "How do you consider your health?" (four response categories: "poor," "fair," "good," and "excellent")...
February 25, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28218929/enhancing-resilience-in-active-duty-military-personnel
#19
Sonya Crabtree-Nelson, Lcdr Peter DeYoung
A systematic, evidence-based training program to support active duty military personnel through building unit-level resiliency in preparation for anticipated individual times of crisis is needed. Mental health nurses and social workers in the military possess critical training and expertise in identifying and supporting individual and community resilience factors. Their knowledge of the protective aspects of resilience can and should be used to educate all active duty military personnel, ensure military leaders are knowledgeable in how best to support their units, and provide research on the effectiveness of pre-combat resilience training...
February 1, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/28215661/post-deployment-screening-for-mental-disorders-and-tailored-advice-about-help-seeking-in-the-uk-military-a-cluster-randomised-controlled-trial
#20
Roberto J Rona, Howard Burdett, Mizanur Khondoker, Melanie Chesnokov, Kevin Green, David Pernet, Norman Jones, Neil Greenberg, Simon Wessely, Nicola T Fear
BACKGROUND: The effectiveness of post-deployment screening for mental disorders has not been assessed in a randomised controlled trial. We aimed to assess whether post-deployment screening for post-traumatic stress disorder (PTSD), depression, anxiety, or alcohol misuse was effective. We defined screening as the presumptive identification of a previously unrecognised disorder using tests to distinguish those who probably had the disorder from those who probably did not so that those people with a probable disorder could be referred appropriately, and assessed effectiveness and consequences for help-seeking by the odds ratio at follow-up between those receiving tailored help-seeking advice and those who received general mental health advice...
February 16, 2017: Lancet
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