Predeployment and In-Theater Diagnoses of American Msilitary Personnel Serving in Iraq

Larson, Gerald E.; Hammer, Paul S.; Conway, Terry L.; Schmied, Emily A.; Galarneau, Michael R.; Konoske, Paula; Webb-Murphy, Jennifer; Schmitz, Kimberly J.; Edwards, Nathan; Johnson, Douglas C.

doi:10.1176/ps.62.1.pss6201_0015

Cited by 25 publications

(6 citation statements)

References 8 publications

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“…However, prior research found that mental health problems are the primary reason military women were evacuated from Iraq and Afghanistan (Armed Forces Health Surveillance Center 2011b), which suggest the need for strategies for early identification of mental health problems in-theater. Considering that a significant proportion of deployed service members receiving in-theater MHT and/or medically evacuated return to full duty (Cohen et al 2010; Larson et al 2011), ensuring continuity of care from pre-deployment to deployment can potentially reduce in-theater military occupational impairment and medical evacuations associated with pre-existing conditions. Given current in-theater systems of care, continuity of care for pre-deployment MHDX could be managed with minimal impact on the deployment mission and have a positive impact on deployment readiness.…”

Section: Discussionmentioning

confidence: 99%

“…Larson et al (2011) found that 29 % of active duty military personnel receiving in-theater MHT had pre-existing MHDX. Among predominantly male Iraq veterans, the most common in-theater MHDX included anxiety, mood and adjustment disorders, with over 50 % being a recurrence of their pre-deployment MHDX (Larson et al 2011). Recent evidence further suggest that pre-deployment MHDX have significant implications for post-deployment psychiatric morbidity.…”

Section: Introductionmentioning

confidence: 99%

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Pre-deployment Year Mental Health Diagnoses and Treatment in Deployed Army Women

Wooten

Adams

Mohr

et al. 2016

Adm Policy Ment Health

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We estimated the prevalence of select mental health diagnoses (MHDX) and mental health treatment (MHT), and identified characteristics associated with MHT during the pre-deployment year (365 days before deployment) in active duty Army women (N = 14,633) who returned from Iraq or Afghanistan deployments in FY2010. Pre-deployment year prevalence estimates were: 26.2 % for any select MHDX and 18.1 % for any MHT. Army women who had physical injuries since FY2002 or any behavioral health treatment between FY2002 and the pre-deployment year had increased odds of pre-deployment year MHT. During the pre-deployment year, a substantial percentage of Army women had MHDX and at least one MHT encounter or stay. Future research should determine if pre-deployment MHDX among Army women reflect vulnerability to future MHDX, or if pre-deployment MHT results in protection from chronic symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pre-deployment Year Mental Health Diagnoses and Treatment in Deployed Army Women

Wooten

Adams

Mohr

et al. 2016

Adm Policy Ment Health

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“…As training periods may be characterized as relatively stable in respect to routine and schedules, these environmental factors are significantly different during deployment as the latter might be characterized as more unpredictable and demanding swift adaptations to ever-changing circumstances. Not surprisingly, soldiers who were previously diagnosed with ADHD showed 57% in-theater relapse rate of ADHD symptoms, which was higher than the relapse rates for previously diagnosed PTSD (55%), anxiety disorders (44%), mood disorders (38%), and adjustment disorders (32%) (Larson et al, 2011). Therefore, as soldiers with ADHD seem to be able to adequately adjust and participate in training exercises and activities (possibly due to the fact that these are highly structured), transitions from training to deployment and combat may be more challenging, may be due to greater unpredictability and the chaotic nature of combat events.…”

Section: Adhd In Military Personnelmentioning

confidence: 96%

“…The high in-theater relapse rate of ADHD symptoms (see above Larson et al, 2011) poses the question as to what types of comorbid mental disorders may affect post-deployment readjustment for veterans. One report by Adler et al (2004) found that veterans with PTSD reported higher levels of childhood ADHD relative to veterans with other anxiety disorder (e.g., panic disorder) and further speculate that ADHD may increase vulnerability for developing PTSD after trauma exposure.…”

Section: Adhd In Military Personnel During Post-deploymentmentioning

confidence: 99%

Optimizing fitness for duty and post-combat clinical services for military personnel and combat veterans with ADHD—a systematic review of the current literature

Ivanov

Yehuda

2014

European Journal of Psychotraumatology

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BackgroundAttention deficit hyper activity disorder (ADHD) is a developmental disorder, most often diagnosed in childhood, and characterized by hyperactivity and inattention that negatively impacts one's ability to function and fulfill social and personal obligations. Individuals with past history of ADHD may enlist in the military under certain conditions, however the full impact of military training and deployment of later in life ADHD symptoms is unclear. It is of particular interest how military experience may affect ADHD in remission and if such individuals might be at elevated risk for relapse of ADHD symptoms.MethodWe performed a systematic review f the available literature including the Department of Defense (DOD) guidelines for both eligibility to enlist and fitness for deployment based on reported history and current symptomatology of ADHD.ResultsThe after care for veterans with ADHD relapse is inconsistent and presents with number of challenges. We evaluate the DOD policies regarding the implications of ADHD for fitness for military service and post-combat mental health.ConclusionThe full extend of the interaction between pre-existing ADHD and post-combat PTSD are not fully understood. The development of comprehensive and clear algorithms for diagnosing and treating ADHD in the military before and after deployment will have a strong positive impact on the quality of care delivered to soldiers and veterans.

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“…9 According to the Pan American Health Organization, half of the new HIV infections arise in children under 24 years of age, with the majority being sexually transmitted. 10,11 According to a recent study in the United States, STIs are on the rise in the United States military, and women are more affected than men by all infections except syphilis. Younger soldiers, aged ≤ 24 years, are affected by most of the diseases at higher rates than of any other age group.…”

Section: Introductionmentioning

confidence: 99%

The Brazilian army and the low prevalence of sexually transmitted infections in women of the military garrison of Campinas between 2017 to 2020: a prospective, cross-sectional epidemiological study

2024

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BACKGROUND: Given the characteristics of military missions, intense interpersonal contact, and wide variation in casual relationships, the military has long been recognized as a high-risk population for sexually transmitted infections (STIs). OBJECTIVE: To assess the prevalence of STIs and socioepidemiological profile of women in the military garrison of Campinas. DESIGN AND SETTING: This prospective, cross-sectional epidemiological study, assisted by the Health Fund in the military garrison of Campinas, assessed the prevalence of human immunodeficiency virus (HIV), hepatitis B and C, syphilis, human papillomavirus (HPV), chlamydia, and gonococcus in military women or companions of soldiers with active or previously active sexual life. METHODS: This study included 647 women based on the non-inclusion criteria. They underwent clinical and laboratory tests for diagnosis of STIs. For statistical analysis, patients were divided into groups according to the presence or absence of STIs and into age groups. RESULTS: Most women were military dependents, and the majority were asymptomatic. The prevalence of STIs, in ascending order, was 0.3% for hepatitis B and C, 0.62% for syphilis, 0.62% for gonorrhea, 1.08% for chlamydia, and 2.63% for HPV. There were no cases of HIV infection. CONCLUSIONS: The Brazilian Army has the most women-like dependents in the military, belonging to the hierarchical circle of the squares. Early onset of sexual activity favored STIs approximately twice, and younger women had approximately seven times more chlamydia infections. In the general population studied, the prevalence of STIs was lower than expected than in the armed forces of other nations.

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Predeployment and In-Theater Diagnoses of American Msilitary Personnel Serving in Iraq

Cited by 25 publications

References 8 publications

Pre-deployment Year Mental Health Diagnoses and Treatment in Deployed Army Women

Pre-deployment Year Mental Health Diagnoses and Treatment in Deployed Army Women

Optimizing fitness for duty and post-combat clinical services for military personnel and combat veterans with ADHD—a systematic review of the current literature

The Brazilian army and the low prevalence of sexually transmitted infections in women of the military garrison of Campinas between 2017 to 2020: a prospective, cross-sectional epidemiological study

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