Prevalence of psychiatric morbidity in United States military spouses: The Millennium Cohort Family Study

Steenkamp, Maria M.; Corry, Nida H.; Qian, Meng; Li, Meng; McMaster, Hope Seib; Fairbank, John A.; Stander, Valerie A.; Hollahan, Laura; Marmar, Charles R.

doi:10.1002/da.22768

Cited by 31 publications

(30 citation statements)

References 52 publications

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“…The purpose of this study was to investigate whether supplementation with omega-3 HUFAs from a krill oil concentrate (PL), with its possible advantages in bioavailability and high amount of PC, will improve emotional status and related cognitive performance under stress among IBOLC students (Phase I) and subsequent RC (Phase II). More broadly, approximately 35% of military spouses report stress related psychiatric illnesses [ 54 ]. A potential impact of this study would be information that would support the role for krill oil concentrate containing omega-3 HUFAs in contributing to improving mood, emotional status and cognitive performance among the US population in general [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Design and methods for the Ranger Resilience and Improved Performance on Phospholipid bound Omega-3's (RRIPP-3 study)

Marriott

Turner

Hibbeln

et al. 2019

Contemporary Clinical Trials Communications

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Intake of nutrients fundamental for optimal neuronal function is of increasing interest. The potential importance of omega-3 highly unsaturated fatty acids (HUFAs) for optimizing emotional states, cognitive function, and mental health has been demonstrated in observational studies and randomized controlled trials. Omega-3 (HUFAs), specifically EPA (eicosapentaenoic acid) and docosahexaenoic acid (DHA), are concentrated in neural tissues and are essential for neural function, normative neurodevelopment, neurotransmitter, and neural immune functions. Omega-3 HUFAs must be obtained from the diet, predominantly from marine sources such as fish and other seafood. HUFAs also can be found in a variety of dietary supplements (omega-3 fatty acid esters, fish oil and krill oil). As dietary supplements, omega-3 HUFAs (fatty acid esters, fish and krill oils) differ substantially in their physicochemical properties and nutrient content. Here we present the design and methods for the Ranger Resilience and Improved Performance on Phospholipid bound Omega-3's (RRIPP-3) study. RRIPP-3 was a double blind, randomized, controlled trial among individuals in the United States (US) Army Infantry Basic Officer Leaders Course (IBOLC) and following US Ranger School training (RC) at Fort Benning, GA of omega-3 HUFA on krill oil versus placebo supplementation. The RRIPP-3 study sought to determine if krill oil supplementation with omega-3 HUFAs supports aspects of cognitive functioning critical to battlefield success when measured immediately after an intense combat simulation. Sub-analyses addressed basic improvements in IBOLC performance. We also describe additional outcome measures critical for interpretation of the study results, such as diet and other dietary supplement use.

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Section: Discussionmentioning

confidence: 99%

Design and methods for the Ranger Resilience and Improved Performance on Phospholipid bound Omega-3's (RRIPP-3 study)

Marriott

Turner

Hibbeln

et al. 2019

Contemporary Clinical Trials Communications

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“…At the early stages of the wars in Iraq and Afghanistan, the prevalence of mental health concerns among the spouses of active duty service members who deployed mirrored those of service members (Eaton et al, 2008). More recently, Steenkamp et al (2018) found that over one‐third of the spouses of a large probability‐sampled cohort study of U.S. junior military personnel met criteria for at least one mental disorder. Mental disorders in their sample were especially prevalent among the spouses of combat deployed, as compared with noncombat deployed and nondeployed, service members.…”

Section: Introductionmentioning

confidence: 99%

“…Third, research in this area has typically relied on assessment of psychopathology solely with written questionnaires, which are often more vulnerable to reporting biases than structured interviews (McDonald & Calhoun, 2010). Finally, the literature has relied primarily on small convenience or clinical samples, although exceptions exist (e.g., Steenkamp et al, 2018; Tanielian, Karney, Chandra, & Meadows, 2014). Steenkamp et al (2018), for example, examined diagnostic concordance, including depression, within dyads in a large, population‐based sample of service members and spouses.…”

Section: Introductionmentioning

confidence: 99%

“…Finally, the literature has relied primarily on small convenience or clinical samples, although exceptions exist (e.g., Steenkamp et al, 2018; Tanielian, Karney, Chandra, & Meadows, 2014). Steenkamp et al (2018), for example, examined diagnostic concordance, including depression, within dyads in a large, population‐based sample of service members and spouses. More work, however, is needed in other contemporary nationally dispersed nonclinically recruited samples to examine the effects of WZV depression on a broad range of partner mental disorders.…”

Section: Introductionmentioning

confidence: 99%

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Associations of warzone veteran mental health with partner mental health and family functioning: Family Foundations Study

et al. 2020

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Introduction Warzone participation is associated with increased risk of stress‐related psychopathology, including posttraumatic stress disorder (PTSD) and depression. Prior research suggests that the mental health of spouses of warzone veterans (WZVs) is linked to that of their partners. Additionally, PTSD among WZVs has been associated with marital dysfunction. Less is known about the effects of depression among WZVs on partner mental health and family relationships. We sought in this study to examine associations between WZV PTSD and depression and partner mental health and relationship outcomes. Methods Using a nationally dispersed sample of Iraq and Afghanistan veterans and their married and unmarried intimate partners, 245 dyads completed structured psychiatric interviews and psychometric surveys assessing family functioning and relationship aggression. Results Adjusted regression analyses indicated that depression among WZVs was associated with partner depression and anxiety disorders. WZV PTSD and depression were also associated with partner‐reported relationship dysfunction, dissatisfaction, and communication issues, and higher rates of intimate partner aggression victimization and perpetration. Conclusions Mental health consequences of war extend beyond WZVs to the mental health of their intimate partners and their relationships with intimate partners.

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“…For one, the stress experienced by active duty spouses can sometimes be severe, as when their spouse participates in active conflict or when spouses are otherwise separated for long periods of time as part of a deployment (Eaton et al, 2008;Steenkamp et al, 2018). The military has long been acknowledged as a "greedy" institution, demanding extraordinary commitment, sacrifice, and patience for those who serve in it (Segal, 1986).…”

Section: Introductionmentioning

confidence: 99%

Health Spillovers among Military Spouses: Evidence from Active Duty, Veteran, and Surviving Spouses

Schnittker¹

2019

JVS

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Using three subsamples from the 2010 National Survey of Veterans (Westat 2010), this study explores health spillovers-the effects of the experience of one person on the health of another-from service personnel to their spouses. Regression models point to broad and substantial spillovers, occurring over multiple stages of a military career. The spouses of active duty personnel report worse health relative to those living with a veteran, and this difference in health is comparable to the wellestablished effect of widowhood on health. In addition, the health of military spouses declines when their spouses suffer from service-connected disabilities. There is no evidence that the widowhood effect is larger when the death is service-connected, nor is there evidence that caring for a disabled spouse is more detrimental when it happens at younger ages, a common situation among military spouses. Nonetheless, the health of military spouses is impacted by an assortment of spillovers related indirectly and directly to military service, and occurring both among those married to active personnel and those married to veterans.

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Prevalence of psychiatric morbidity in United States military spouses: The Millennium Cohort Family Study

Abstract: One third of junior military spouses screened positive for one or more psychiatric conditions, underscoring the need for high-quality prevention and treatment services.

Cited by 31 publications

References 52 publications

Design and methods for the Ranger Resilience and Improved Performance on Phospholipid bound Omega-3's (RRIPP-3 study)

Design and methods for the Ranger Resilience and Improved Performance on Phospholipid bound Omega-3's (RRIPP-3 study)

Associations of warzone veteran mental health with partner mental health and family functioning: Family Foundations Study

Health Spillovers among Military Spouses: Evidence from Active Duty, Veteran, and Surviving Spouses

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