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Accession Number ADA562376
Title Postcombat Outcomes Among Marines with Preexisting Mental Diagnoses.
Publication Date Dec 2011
Media Count 11p
Personal Author E. A. Schmied G. E. Larson J. A. Crain R. M. Highfill-McRoy
Abstract Preexisting mental disorders are not always considered in mental health studies with military populations, even though prior diagnoses may be a risk factor for additional psychiatric harm stemming from combat exposure, as well as postdeployment behavioral problems. The objectives of this study were to investigate postcombat psychiatric and career outcomes among Marines with preexisting mental disorder diagnoses who deployed to combat in Iraq, Afghanistan, or Kuwait from 2002 to 2008. Marines with a preexisting diagnosis were 3.6 times (p < .001) more likely to have at least 1 postdeployment mental health disorder within 6 months postdeployment compared with Marines with no prior psychiatric diagnoses. Marines with a preexisting diagnosis were also 1.8 (p < .001) times more likely to receive a new-onset psychiatric diagnosis within 6 months postdeployment, indicating that postdeployment mental health concerns in this cohort extend beyond continuation of earlier disorders. Additionally, demotions and separation were significantly associated with having any preexisting mental health diagnoses yielding odds ratios of 2.34 and 2.00, p < .001, respectively. Based on the current findings, it may be advisable to mandate a full medical and psychiatric record review during deployment health screening as part of new initiatives to address whether combat exposure has worsened preexisting conditions or compounded them with new-onset concerns.
Keywords Afghanistan conflict
Afqt score(Armed forces qualification test score)
Age at deployment
Combat deployments
Combat exposure
Combat forces
Enlisted personnel
Iraqi war
Marine corps personnel
Mental disorders
Mental health
Military demotions
Military separation
Postdeployment career outcomes
Postdeployment mental disorders
Postdeployment psychiatric diagnosis
Predeployment mental disorders
Predeployment psychiatric diagnosis
Preexisting mental disorders
Preexisting psychiatric diagnosis
Preexisting psychiatric disorders
Risk factors

Source Agency Non Paid ADAS
NTIS Subject Category 92B - Psychology
57T - Psychiatry
88D - Personnel
92A - Job Training & Career Development
57E - Clinical Medicine
74G - Military Operations, Strategy, & Tactics
92C - Social Concerns
Corporate Author Naval Health Research Center, San Diego, CA.
Document Type Journal article
Title Note Journal article.
NTIS Issue Number 1225
Contract Number D10-I-AR-J5-452

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