Predeployment and In-Theater Diagnoses of American Msilitary Personnel Serving in Iraq
Objective:This purpose of this study was to determine the incidence and types of preexisting mental disorders among military personnel who received mental health services in an Iraqi war zone. Methods:The study examined psychiatric histories of 1,078 American military personnel (Marines, 65%; Army,...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2011-01, Vol.62 (1), p.15-21 |
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| container_title | Psychiatric services (Washington, D.C.) |
| container_volume | 62 |
| creator | Larson, Gerald E Hammer, Paul S Conway, Terry L Schmied, Emily A Galarneau, Michael R Konoske, Paula Webb-Murphy, Jennifer A Schmitz, Kimberly J Edwards, Nathan Johnson, Douglas C |
| description | Objective:This purpose of this study was to determine the incidence and types of preexisting mental disorders among military personnel who received mental health services in an Iraqi war zone.
Methods:The study examined psychiatric histories of 1,078 American military personnel (Marines, 65%; Army, 23%; Navy, 11%; and Air Force, |
| doi_str_mv | 10.1176/ps.62.1.pss6201_0015 |
| format | Article |
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Methods:The study examined psychiatric histories of 1,078 American military personnel (Marines, 65%; Army, 23%; Navy, 11%; and Air Force, <1%) deployed to Iraq and seen by in-theater mental health providers between January 2006 and February 2007.
Results:Among the 1,078 patients, the most frequent in-theater diagnoses were anxiety (24%), adjustment (23%), and mood (19%) disorders. Twenty-nine percent of the sample (N=308) had a psychiatric diagnosis in their medical records before their first encounter with mental health services in Iraq (Navy patients, 42%; Army patients, 39%; and Marine Corps patients, 23%). The mean time between last predeployment diagnosis and first in-theater mental health encounter was 21 months. For patients with a prior diagnosis, the highest rate of relapse (receipt of the same diagnosis in theater) was for attention-deficit hyperactivity disorder (57%), followed by anxiety disorders (44%)—especially posttraumatic stress disorder (PTSD) (55%)—mood disorders (38%), and adjustment disorders (32%).
Conclusions:A significant proportion of military personnel who experienced mental health problems in a combat zone had preexisting psychiatric conditions. Because more than half of predeployment diagnoses were received in the nine months before the in-theater mental health encounter, further study may be advisable to determine whether a time-based algorithm for deployability is needed, particularly for PTSD, for which a high rate of repeat diagnosis in theater was found. (Psychiatric Services 62:15–21, 2011)</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/ps.62.1.pss6201_0015</identifier><language>eng</language><publisher>Arlington: American Psychiatric Association</publisher><subject>Health services ; Iraq War-2003 ; Mental disorders ; Mental health care ; Military personnel</subject><ispartof>Psychiatric services (Washington, D.C.), 2011-01, Vol.62 (1), p.15-21</ispartof><rights>Copyright © 2011 by the American Psychiatric Association. 2011</rights><rights>Copyright © 2011 by the American Psychiatric Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a1657-56a6dfe05464c278a236594efc71eac945765f6468011912f0304ad34954bd823</citedby><cites>FETCH-LOGICAL-a1657-56a6dfe05464c278a236594efc71eac945765f6468011912f0304ad34954bd823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ps.62.1.pss6201_0015$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ps.62.1.pss6201_0015$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,776,780,2841,21606,21607,21608,27903,27904,77540,77545</link.rule.ids></links><search><creatorcontrib>Larson, Gerald E</creatorcontrib><creatorcontrib>Hammer, Paul S</creatorcontrib><creatorcontrib>Conway, Terry L</creatorcontrib><creatorcontrib>Schmied, Emily A</creatorcontrib><creatorcontrib>Galarneau, Michael R</creatorcontrib><creatorcontrib>Konoske, Paula</creatorcontrib><creatorcontrib>Webb-Murphy, Jennifer A</creatorcontrib><creatorcontrib>Schmitz, Kimberly J</creatorcontrib><creatorcontrib>Edwards, Nathan</creatorcontrib><creatorcontrib>Johnson, Douglas C</creatorcontrib><title>Predeployment and In-Theater Diagnoses of American Msilitary Personnel Serving in Iraq</title><title>Psychiatric services (Washington, D.C.)</title><description>Objective:This purpose of this study was to determine the incidence and types of preexisting mental disorders among military personnel who received mental health services in an Iraqi war zone.
Methods:The study examined psychiatric histories of 1,078 American military personnel (Marines, 65%; Army, 23%; Navy, 11%; and Air Force, <1%) deployed to Iraq and seen by in-theater mental health providers between January 2006 and February 2007.
Results:Among the 1,078 patients, the most frequent in-theater diagnoses were anxiety (24%), adjustment (23%), and mood (19%) disorders. Twenty-nine percent of the sample (N=308) had a psychiatric diagnosis in their medical records before their first encounter with mental health services in Iraq (Navy patients, 42%; Army patients, 39%; and Marine Corps patients, 23%). The mean time between last predeployment diagnosis and first in-theater mental health encounter was 21 months. For patients with a prior diagnosis, the highest rate of relapse (receipt of the same diagnosis in theater) was for attention-deficit hyperactivity disorder (57%), followed by anxiety disorders (44%)—especially posttraumatic stress disorder (PTSD) (55%)—mood disorders (38%), and adjustment disorders (32%).
Conclusions:A significant proportion of military personnel who experienced mental health problems in a combat zone had preexisting psychiatric conditions. Because more than half of predeployment diagnoses were received in the nine months before the in-theater mental health encounter, further study may be advisable to determine whether a time-based algorithm for deployability is needed, particularly for PTSD, for which a high rate of repeat diagnosis in theater was found. (Psychiatric Services 62:15–21, 2011)</description><subject>Health services</subject><subject>Iraq War-2003</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Military personnel</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp9kEtPwzAQhC0EEqXwDzhY3BO8jh_JsSqvSiAqUbhaJtkUV63j2ilS_z1BRYITp53DN7OjIeQSWA6g1XVIueI55CElxRkYxkAekRFIqbNKM3Y8aKZlxnXBTslZSis2IBrUiLzNIzYY1t1-g76n1jd05rPFB9oeI71xdum7hIl2LZ1sMLraevqU3Nr1Nu7pHGPqvMc1fcH46fySOk9n0W7PyUlr1wkvfu6YvN7dLqYP2ePz_Ww6ecwsqKGcVFY1LTIplKi5Li0vlKwEtrUGtHUlpFayVUKVDKAC3rKCCdsUopLivSl5MSZXh9wQu-0OU29W3S764aUpFQMuONMDJA5QHbuUIrYmRLcZ-htg5ntAE5JR3ID5O-Bgg4PNhuB-c__1fAEUM3QJ</recordid><startdate>201101</startdate><enddate>201101</enddate><creator>Larson, Gerald E</creator><creator>Hammer, Paul S</creator><creator>Conway, Terry L</creator><creator>Schmied, Emily A</creator><creator>Galarneau, Michael R</creator><creator>Konoske, Paula</creator><creator>Webb-Murphy, Jennifer A</creator><creator>Schmitz, Kimberly J</creator><creator>Edwards, Nathan</creator><creator>Johnson, Douglas C</creator><general>American Psychiatric Association</general><general>American Psychiatric Publishing, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>201101</creationdate><title>Predeployment and In-Theater Diagnoses of American Msilitary Personnel Serving in Iraq</title><author>Larson, Gerald E ; Hammer, Paul S ; Conway, Terry L ; Schmied, Emily A ; Galarneau, Michael R ; Konoske, Paula ; Webb-Murphy, Jennifer A ; Schmitz, Kimberly J ; Edwards, Nathan ; Johnson, Douglas C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a1657-56a6dfe05464c278a236594efc71eac945765f6468011912f0304ad34954bd823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Health services</topic><topic>Iraq War-2003</topic><topic>Mental disorders</topic><topic>Mental health care</topic><topic>Military personnel</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Larson, Gerald E</creatorcontrib><creatorcontrib>Hammer, Paul S</creatorcontrib><creatorcontrib>Conway, Terry L</creatorcontrib><creatorcontrib>Schmied, Emily A</creatorcontrib><creatorcontrib>Galarneau, Michael R</creatorcontrib><creatorcontrib>Konoske, Paula</creatorcontrib><creatorcontrib>Webb-Murphy, Jennifer A</creatorcontrib><creatorcontrib>Schmitz, Kimberly J</creatorcontrib><creatorcontrib>Edwards, Nathan</creatorcontrib><creatorcontrib>Johnson, Douglas C</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Larson, Gerald E</au><au>Hammer, Paul S</au><au>Conway, Terry L</au><au>Schmied, Emily A</au><au>Galarneau, Michael R</au><au>Konoske, Paula</au><au>Webb-Murphy, Jennifer A</au><au>Schmitz, Kimberly J</au><au>Edwards, Nathan</au><au>Johnson, Douglas C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predeployment and In-Theater Diagnoses of American Msilitary Personnel Serving in Iraq</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><date>2011-01</date><risdate>2011</risdate><volume>62</volume><issue>1</issue><spage>15</spage><epage>21</epage><pages>15-21</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>Objective:This purpose of this study was to determine the incidence and types of preexisting mental disorders among military personnel who received mental health services in an Iraqi war zone.
Methods:The study examined psychiatric histories of 1,078 American military personnel (Marines, 65%; Army, 23%; Navy, 11%; and Air Force, <1%) deployed to Iraq and seen by in-theater mental health providers between January 2006 and February 2007.
Results:Among the 1,078 patients, the most frequent in-theater diagnoses were anxiety (24%), adjustment (23%), and mood (19%) disorders. Twenty-nine percent of the sample (N=308) had a psychiatric diagnosis in their medical records before their first encounter with mental health services in Iraq (Navy patients, 42%; Army patients, 39%; and Marine Corps patients, 23%). The mean time between last predeployment diagnosis and first in-theater mental health encounter was 21 months. For patients with a prior diagnosis, the highest rate of relapse (receipt of the same diagnosis in theater) was for attention-deficit hyperactivity disorder (57%), followed by anxiety disorders (44%)—especially posttraumatic stress disorder (PTSD) (55%)—mood disorders (38%), and adjustment disorders (32%).
Conclusions:A significant proportion of military personnel who experienced mental health problems in a combat zone had preexisting psychiatric conditions. Because more than half of predeployment diagnoses were received in the nine months before the in-theater mental health encounter, further study may be advisable to determine whether a time-based algorithm for deployability is needed, particularly for PTSD, for which a high rate of repeat diagnosis in theater was found. (Psychiatric Services 62:15–21, 2011)</abstract><cop>Arlington</cop><pub>American Psychiatric Association</pub><doi>10.1176/ps.62.1.pss6201_0015</doi><tpages>7</tpages></addata></record> |
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| ispartof | Psychiatric services (Washington, D.C.), 2011-01, Vol.62 (1), p.15-21 |
| issn | 1075-2730 1557-9700 |
| language | eng |
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| source | American Psychiatric Publishing Journals (1997-Present); EZB-FREE-00999 freely available EZB journals |
| subjects | Health services Iraq War-2003 Mental disorders Mental health care Military personnel |
| title | Predeployment and In-Theater Diagnoses of American Msilitary Personnel Serving in Iraq |
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