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https://www.readbyqxmd.com/read/28545424/suicide-attempts-in-u-s-army-combat-arms-special-forces-and-combat-medics
#1
Robert J Ursano, Ronald C Kessler, James A Naifeh, Holly Herberman Mash, Carol S Fullerton, Tsz Hin Hinz Ng, Pablo A Aliaga, Gary H Wynn, Hieu M Dinh, James E McCarroll, Nancy A Sampson, Tzu-Cheg Kao, Michael Schoenbaum, Steven G Heeringa, Murray B Stein
BACKGROUND: The U.S. Army suicide attempt rate increased sharply during the wars in Iraq and Afghanistan. Risk may vary according to occupation, which significantly influences the stressors that soldiers experience. METHODS: Using administrative data from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS), we identified person-month records for all active duty Regular Army enlisted soldiers who had a medically documented suicide attempt from 2004 through 2009 (n = 9650) and an equal-probability sample of control person-months (n = 153,528)...
May 25, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28544024/contribution-of-perceived-cognitive-functioning-to-quality-of-life-in-service-members-and-veterans-with-posttraumatic-stress-disorder
#2
Noah D Silverberg, Magdalena Wojtowicz, Eric Bui, Rebecca Wershba, Ross Zafonte, Lauren M Laifer, Naomi M Simon, Grant L Iverson
Perceived cognitive impairment is a core clinical feature of posttraumatic stress disorder (PTSD) and may be an important determinant of quality of life (QOL) in those who suffer from this disorder. Using a clinical data repository, we evaluated this hypothesis in a cross-sectional sample of U.S. military service members and veterans who served after September 11, 2001, and were seeking mental health treatment at a tertiary outpatient clinic. A consecutive series of 117 patients with a clinical diagnosis of PTSD completed a battery of questionnaires at intake, including the PTSD Checklist (Weathers, Litz, Herman, Huska, & Keane, 1993), a 4-item Cognitive Symptom subscale of the Neurobehavioral Symptom Inventory (Cicerone & Kalmar, 1995), the Depression Anxiety Stress Scale-21 (Lovibond & Lovibond, 1995), and the Quality of Life Enjoyment and Satisfaction Questionnaire (Endicott, Nee, Harrison, & Blumenthal, 1993)...
May 19, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/28521724/hiv-risk-behavior-and-prevention-considerations-among-military-personnel-in-three-caribbean-region-countries-belize-barbados-and-the-dominican-republic
#3
Nakisa Asefnia, Lisa Cowan, Rose Werth
We review research findings and the limitations of recent qualitative and quantitative studies of HIV prevalence and risk behaviors in military populations in three Caribbean countries (Dominican Republic, Belize, and Barbados). This research shows how mental health issues, disordered substance use, and structuring aspects of the occupational field produce and reproduce patterns of risk behaviors. We discuss the use of formative research, the Positive Health, Dignity, and Prevention framework, and the use of implementation science (including research methods that employ alternative methodological assumptions to better elucidate both cultural nuances and unknown components of program impact in different military populations) as a means to tailor individual prevention strategies to military populations...
May 17, 2017: Current HIV Research
https://www.readbyqxmd.com/read/28520659/predictors-of-satisfaction-with-life-in-veterans-after-traumatic-brain-injury-a-va-tbi-model-systems-study
#4
Leah R Gause, Jacob A Finn, Greg J Lamberty, Xinyu Tang, Lillian Flores Stevens, Blessen C Eapen, Risa Nakase-Richardson
OBJECTIVE: To identify predictors of satisfaction with life in Veterans 1 year after traumatic brain injury (TBI). SETTING: The VA TBI Model Systems (TBIMS) project includes 5 Veterans Affairs (VA) Polytrauma Rehabilitation Centers. PARTICIPANTS: Veterans enrolled in the VA TBIMS study who completed the Satisfaction With Life Scale at year 1 follow-up. The sample is largely male (96%) and Caucasian (72%), with a median age of 27 years upon enrollment...
May 17, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28515950/factors-associated-with-poor-self-reported-health-within-the-uk-military-and-comparisons-with-the-general-population-a-cohort-study
#5
Sarah C Jenkins, Sharon Am Stevelink, Nicola T Fear
OBJECTIVE: To investigate the self-rated health of the UK military and explore factors associated with poor self-rated health. Compare self-rated health of the military to the general population. DESIGN: A cohort study. PARTICIPANTS: A total of 7626 serving and ex-serving UK military personnel, aged between 25 and 49; 19,452,300 civilians from England and Wales. SETTING: United Kingdom (military), England and Wales (civilians)...
May 2017: JRSM Open
https://www.readbyqxmd.com/read/28493731/pilot-data-of-a-brief-veteran-peer-intervention-and-its-relationship-to-mental-health-treatment-engagement
#6
Elizabeth M Goetter, Eric Bui, Travis P Weiner, Laura Lakin, Thomas Furlong, Naomi M Simon
Underutilization of mental health care is a significant problem among veterans. Offering peer support may improve mental health care engagement. This observational pilot study was conducted using an institutional review board-approved data repository to preliminarily evaluate the association and potential impact of a clinic-based veteran peer outreach strategy on treatment engagement and dropout. Veteran peer outreach coordinators (VPOCs) provided systematic contact (a) within 1 week after clinical evaluation and (b) 1 month after the patient's first treatment session to patients entering treatment at a specialty mental health clinic that provides military-informed mental health care to post-9/11 veterans and service members...
May 11, 2017: Psychological Services
https://www.readbyqxmd.com/read/28493557/couples-coping-through-deployment-findings-from-a-sample-of-national-guard-families
#7
Adrian J Blow, Ryan P Bowles, Adam Farero, Sailaja Subramaniam, Sara Lappan, Emily Nichols, Lisa Gorman, Michelle Kees, Danielle Guty
OBJECTIVE: Military families face numerous changes and stresses as they negotiate deployments and other life transitions. How they cope with these events is an important part of their overall well-being and resilience. This longitudinal study on coping in a sample of National Guard couples examined the association between the predeployment coping (active vs. avoidant) of each in the relationship, and their own and their significant others' mental health (anxiety, depression, posttraumatic stress disorder [PTSD]) and family well-being (dyadic adjustment and parenting stress) postdeployment...
May 11, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28490190/deployment-related-traumatic-events-and-suicidal-behaviours-in-a-nationally-representative-sample-of-canadian-armed-forces-personnel
#8
Jitender Sareen, Tracie O Afifi, Tamara Taillieu, Kristene Cheung, Sarah Turner, Murray B Stein, Mark A Zamorski
OBJECTIVE: Worldwide, there has been substantial controversy with respect to whether military deployment is a risk factor for suicidal behaviour. The present study examined the relationship between lifetime exposure to deployment and deployment-related traumatic events (DRTEs) and past-year suicidal ideation (SI), suicidal plans (SP), and suicidal attempts (SA). METHOD: Data were analysed from the 2013 Canadian Forces Mental Health Survey (8161 respondents; response rate, 79...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28486955/changes-in-affect-after-completing-a-mailed-survey-about-trauma-two-pre-and-post-test-studies-in-former-disability-applicants-for-posttraumatic-stress-disorder
#9
Maureen Murdoch, Shannon Marie Kehle-Forbes, Melissa Ruth Partin
BACKGROUND: One potential concern with using mailed surveys containing trauma-related content is the possibility of re-traumatizing survivors without a trained mental health professional present. Prior research provides insufficient guidance regarding the prevalence and magnitude of this risk because the psychological harms of trauma-related surveys have typically been estimated using single post-test observations. Post-test observations cannot quantify magnitude of change in participants' emotional states and may over or under estimate associations between participants' characteristics (risk factors) and post-survey upset...
May 10, 2017: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/28486881/diverse-veterans-pre-and-post-intervention-perceptions-of-home-telemental-health-for-posttraumatic-stress-disorder-delivered-via-tablet
#10
Julia M Whealin, L King, P Shore, J L Spira
Objectives Home telemental health services have the potential to overcome many individual and systemic barriers to care facing military veterans with posttraumatic stress disorder. However, little is known about the home telemental health-related attitudes and experiences of highly underserved rural or ethnically, racially diverse veterans. This study evaluated whether ethnically/racially diverse U.S. veterans residing in the rural Pacific Islands would find the delivery of evidence-based treatment for posttraumatic stress disorder via home telemental health tablet devices useful and helpful...
January 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28481609/pathways-into-homelessness-among-post-9-11-era-veterans
#11
Stephen Metraux, Meagan Cusack, Thomas H Byrne, Nora Hunt-Johnson, Gala True
Despite the scale of veteran homelessness and government-community initiatives to end homelessness among veterans, few studies have featured individual veteran accounts of experiencing homelessness. Here we track veterans' trajectories from military service to homelessness through qualitative, semistructured interviews with 17 post-9/11-era veterans. Our objective was to examine how veterans become homeless-including the role of military and postmilitary experiences-and how they negotiate and attempt to resolve episodes of homelessness...
May 2017: Psychological Services
https://www.readbyqxmd.com/read/28463021/identifying-the-demographic-and-mental-health-factors-that-influence-insomnia-treatment-recommendations-within-a-veteran-population
#12
Adam D Bramoweth, Jenna G Renqvist, Barbara H Hanusa, Jon D Walker, Anne Germain, Charles W Atwood
OBJECTIVE/BACKGROUND: Insomnia is a pervasive and costly disorder that is particularly prevalent within the U.S. Veteran population. Although Cognitive Behavioral Therapy for Insomnia (CBT-I) is the recommended first-line treatment for insomnia, high rates of sedative-hypnotic prescribing continue. There is little research investigating the rates and factors impacting insomnia treatment recommendations, both behavioral and pharmacological. PARTICIPANTS: A cohort of 5,254 Veterans referred for either CBT-I or prescribed a sedative-hypnotic medication at a single VA Medical Center composed the group of participants...
May 2, 2017: Behavioral Sleep Medicine
https://www.readbyqxmd.com/read/28459953/early-clinical-predictors-of-5-year-outcome-after-concussive-blast-traumatic-brain-injury
#13
Christine L Mac Donald, Jason Barber, Mary Jordan, Ann M Johnson, Sureyya Dikmen, Jesse R Fann, Nancy Temkin
Importance: The long-term clinical effects of wartime traumatic brain injuries (TBIs), most of which are mild, remain incompletely described. Current medical disability cost estimates from world conflicts continually surpass projections. Additional information regarding long-term functional trajectory is needed to reduce this extensive public health burden. Objectives: To examine 5-year clinical outcomes leveraging existing clinical data collected at 1 year after injury in the same patients and to identify early risk factors for long-term disability...
May 1, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/28439383/the-association-between-quality-of-sleep-and-health-related-quality-of-life-in-military-and-non-military-women-in-tehran-iran
#14
Narges Roustaei, Hajar Jamali, Mohammad Reza Jamali, Pegah Nourshargh, Jamshid Jamali
OBJECTIVES: Quality of sleep (QoS) in individuals is affected by their occupation and is one of the factors affecting the quality of life (QoL). Few studies have evaluated the relationship between QoS and QoL in military women personnel. The aim of this study was to assess QoL and QoS, and compare their relationship among military and non-military women in Tehran. METHODS: This cross-sectional study was carried out on 90 women working in Tehran during 2014, 30 were military forces, 30 were military staff, and 30 were civilian organizations staff...
March 2017: Oman Medical Journal
https://www.readbyqxmd.com/read/28415007/religion-spirituality-and-mental-health-of-u-s-military-veterans-results-from-the-national-health-and-resilience-in-veterans-study
#15
Vanshdeep Sharma, Deborah B Marin, Harold K Koenig, Adriana Feder, Brian M Iacoviello, Steven M Southwick, Robert H Pietrzak
BACKGROUND: In the last three decades, there has been increased interest in studying the association between religion/spirituality (R/S), and mental health and functional outcomes. METHODS: Using data from a contemporary, nationally representative sample of 3151 U.S. military veterans maintained by GfK Knowledge Networks, Inc., we evaluated the relation between R/S and a broad range of mental health, and psychosocial variables. Veterans were grouped into three groups based on scores on the Duke University Religion Index: High R/S (weighted 11...
April 11, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28401406/the-impact-of-militarism-patriarchy-and-culture-on-israeli-women-s-reproductive-health-and-well-being
#16
Leeat Granek, Ora Nakash
PURPOSE: In this paper, we situate and frame Israeli women's reproductive health within the social, historical, political, cultural, and geographical context of Israeli women's lives. METHODS: We used a theoretical review in this paper. RESULTS: Militarism, patriarchy, and cultural values heavily shape and influence Jewish and Arab women's access to and experience of reproductive health when it comes to the imperative to have children, pregnancy, birth, access to contraception and abortion, and other reproductive healthcare services...
April 11, 2017: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28395067/the-health-and-social-isolation-of-american-veterans-denied-veterans-affairs-disability-compensation
#17
Dennis Adrian Fried, Marian Passannante, Drew Helmer, Bart K Holland, William E Halperin
Authors comparatively analyzed health and social isolation between U.S. military veterans denied Veterans Affairs (VA) disability compensation and veterans awarded VA disability compensation. The 2001 National Survey of Veterans was used to create a sample of 4,522 veterans denied or awarded VA disability compensation. Using the Andersen health services utilization model as a conceptual framework, multivariate logistic regression was applied to assess relationships between VA disability compensation award status, three separate domains of health, and correlates of social isolation...
February 1, 2017: Health & Social Work
https://www.readbyqxmd.com/read/28370818/moral-injury-in-u-s-combat-veterans-results-from-the-national-health-and-resilience-in-veterans-study
#18
Blair E Wisco, Brian P Marx, Casey L May, Brenda Martini, John H Krystal, Steven M Southwick, Robert H Pietrzak
BACKGROUND: Combat exposure is associated with increased risk of mental disorders and suicidality. Moral injury, or persistent effects of perpetrating or witnessing acts that violate one's moral code, may contribute to mental health problems following military service. The pervasiveness of potentially morally injurious events (PMIEs) among U.S. combat veterans, and what factors are associated with PMIEs in this population remains unknown. METHODS: Data were analyzed from the National Health and Resilience in Veterans Study (NHRVS), a contemporary and nationally representative survey of a population-based sample of U...
March 29, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28368154/the-double-edged-sword-the-role-of-empathy-in-military-veterans-partners-distress
#19
Rachel Dekel, Alana Siegel, Shimon Fridkin, Vlad Svetlitzky
OBJECTIVE: The existing literature has shown that war veterans' posttraumatic stress symptoms (PTSS) are associated with high levels of distress in their female partners. According to the literature, spouses' empathy for their spouses can be a risk factor for their own mental health. However, this subject has not been examined among veteran couples. The current study therefore investigated both the direct and moderating contribution of females' cognitive and affective empathy to their own PTSS and depression symptoms, above and beyond the preexisting traumatic events of the women's own lives and the veterans' PTSS...
April 3, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28336255/homelessness-following-disability-related-discharges-from-active-duty-military-service-in-afghanistan-and-iraq
#20
Jamison D Fargo, Emily Brignone, Stephen Metraux, Rachel Peterson, Marjorie E Carter, Tyson Barrett, Miland Palmer, Andrew Redd, Matthew H Samore, Adi V Gundlapalli
BACKGROUND: Many dynamics in the relationship among military service-related disabilities, health care benefits, mental health disorders, and post-deployment homelessness among US Veterans are not well understood. OBJECTIVES: Determine whether Veterans with a disability-related discharge from military service are at higher risk for homelessness, whether Veterans Health Administration (VHA) service-connected disability benefits mitigates that risk, and whether risks associated with discharge type, service-connected disability, or the interaction between them vary as a function of mental health disorders...
March 10, 2017: Disability and Health Journal
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