Accession Number ADA582591
Title Psychiatric Diagnoses and Punishment for Misconduct: The Effects of PTSD in Combat-deployed Marines.
Publication Date Oct 2010
Media Count 9p
Personal Author C. F. Garland G. E. Larson R. M. Highfill-McRoy S. Booth-Kewley
Abstract Background: Research on Vietnam veterans suggests an association between psychological problems, including posttraumatic stress disorder (PTSD), and misconduct; however, this has rarely been studied in veterans of Operation Iraqi Freedom or Operation Enduring Freedom. The objective of this study was to investigate whether psychological problems were associated with three types of misconduct outcomes (demotions, drug-related discharges, and punitive discharges.) Methods: A population-based study was conducted on all U.S. Marines who entered the military between October 1, 2001, and September 30, 2006, and deployed outside of the United States before the end of the study period, September 30, 2007. Demographic, psychiatric, deployment, and personnel information was collected from military records. Cox proportional hazards regression analysis was conducted to investigate associations between the independent variables and the three types of misconduct in war-deployed (n = 77 998) and non-war-deployed (n = 13 944) Marines. Results: Marines in both the war-deployed and non-war-deployed cohorts with a non-PTSD psychiatric diagnosis had an elevated risk for all three misconduct outcomes (hazard ratios ranged from 3.93 to 5.65). PTSD was a significant predictor of drug-related discharges in both the war-deployed and non-war-deployed cohorts. In the war-deployed cohort only, a specific diagnosis of PTSD was associated with an increased risk for both demotions (hazard ratio, 8.60; 95% confidence interval, 6.95 to 10.64) and punitive discharges (HR, 11.06; 95% CI, 8.06 to 15.16). Conclusions: These results provide evidence of an association between PTSD and behavior problems in Marines deployed to war. Moreover, because misconduct can lead to disqualification for some Veterans Administration benefits, personnel with the most serious manifestations of PTSD may face additional barriers to care.
Keywords Behavior
Deployment
Diagnosis(Medicine)
Enduring freedom operation
Iraq freedom operation
Marine corps operations
Marine corps personnel
Mental disorders
Post traumatic stress disorder
Predictions
Psychiatry
Psychology
Reprints
Stress(Psychology)


 
Source Agency Non Paid ADAS
NTIS Subject Category 92B - Psychology
57T - Psychiatry
70D - Personnel Management, Labor Relations & Manpower Studies
74 - Military Sciences
Corporate Author Naval Health Research Center, San Diego, CA.
Document Type Journal article
Title Note Journal article.
NTIS Issue Number 1401
Contract Number N/A

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