Prospective risk factors for new-onset post-traumatic stress disorder in National Guard soldiers deployed to Iraq

Polusny, Melissa A.; Erbes, Christopher R.; Murdoch, Maureen; Arbisi, Paul A.; Thuras, Paul; Rath, Michael

doi:10.1017/s0033291710002047

Cited by 175 publications

(173 citation statements)

References 42 publications

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“…Consistent with other reports, this cohort of National Guard soldiers reported high levels of combat exposure. 1,50 Despite this, the prevalence of concussion/MTBI in theater was 9.2%, a rate lower than previously documented among military personnel returning from OEF/OIF. 3,7 It is possible this Brigade Combat Team may have been exposed to less combat than regular Army or Marines and may not be representative of all deployed military personnel.…”

Section: Impact Of Concussion/mtbi and Ptsd On Postdeployment Psychosmentioning

confidence: 75%

Longitudinal Effects of Mild Traumatic Brain Injury and Posttraumatic Stress Disorder Comorbidity on Postdeployment Outcomes in National Guard Soldiers Deployed to Iraq

Polusny¹,

Kehle²,

Nelson³

et al. 2011

Arch Gen Psychiatry

288

214

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Although combat-related PTSD was strongly associated with postconcussive symptoms and psychosocial outcomes 1 year after soldiers returned from Iraq, there was little evidence of a long-term negative impact of concussion/MTBI history on these outcomes after accounting for PTSD. These findings and the 2-fold increase in reports of deployment-related concussion/MTBI history have important implications for screening and treatment.

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Section: Impact Of Concussion/mtbi and Ptsd On Postdeployment Psychosmentioning

confidence: 75%

Longitudinal Effects of Mild Traumatic Brain Injury and Posttraumatic Stress Disorder Comorbidity on Postdeployment Outcomes in National Guard Soldiers Deployed to Iraq

Polusny¹,

Kehle²,

Nelson³

et al. 2011

Arch Gen Psychiatry

288

214

View full text Add to dashboard Cite

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“…We gathered data for this report as part of the Readiness and Resilience in National Guard Soldiers (RINGS) Cohort Study, a prospective, longitudinal study of risk and protective factors associated with postdeployment functioning (see Polusny et al [16] …”

Section: Participantsmentioning

confidence: 99%

Mental health diagnosis and occupational functioning in National Guard/Reserve veterans returning from Iraq

Erbes

Kaler²,

Schult

et al. 2011

JRRD

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Abstract-Occupational functioning represents both an important outcome for military servicemembers returning from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom and a predictor for long-term mental health functioning. We investigated the role of mental health diagnoses, determined by structured clinical interviews, on occupational functioning in a group of 262 National Guard/Reserve servicemembers within 1 year of returning from a 16-month OIF combat deployment. We assessed occupational functioning at the time of diagnostic interviews and 1 year later. We hypothesized that servicemembers with diagnoses of posttraumatic stress disorder (PTSD), depression, and/or alcohol abuse or dependence would exhibit lower rates of employment at both time points and lower rates of reported work and/or school role functioning. Servicemembers with a diagnosis of PTSD (5%, n = 13), subthreshold PTSD (6%, n = 15), a major depressive disorder (11%, n = 29), or alcohol abuse or dependence (11%, n = 28) did not differ on employment status from servicemembers without a diagnosis at either time point. However, those with a diagnosis of PTSD, depression, and/or alcohol abuse or dependence reported lower levels of work role functioning. In addition, servicemembers with a diagnosis of PTSD reported greater rates of deterioration in work role functioning over time.

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“…In our analysis, there was no significant difference between men (12%) and women (12%). Research of men and women deployed to Iraq and Afghanistan shows mixed results, and some studies Note: Weights are from random effects analysis Iraq Adler et al 51 Bliese et al 87 Cabrera et al 56 Castro et al 23 (Army) Castro et al 23 (Marines) Engelhard et al 59 Fear et al 10 (Iraq) Ferrier-Auerbach et al 61 Hoge et al 5 Hoge et al 22 (Iraq) Hoge et al 63 Kim et al 65 Lapierre et al 67 (Iraq) Luxton et al 68 Maguen et al 24 or 31 Martin et al 70 Milliken et al 45 Mulligan et al 71 Peterson et al 73 Polusny et al 75 Polusney et al 76 Riviere et al 77 Rona et al 78 Shen et al 79 (Iraq) Thomas et al 42 Vasterling et al 82 Warner et al 83 Warner et al 84 Wood et al 85 Wright et al 86 Subtotal (I 2 = 99.6%, P < 0.001)…”

Section: Discussionmentioning

confidence: 99%

“…Engelhard et al 59 (SFIR 4) Engelhard et al 59 ( SFIR 5) Engelhard et al 60 Ferrier-Auerbach et al 61 Hoge et al 5 (Afghanistan) Hoge et al 5 (Iraq) Hoge et al 63 Kim et al 65 Kline et al 66 Lapierre et al 67 (Afghanistan) Lapierre et al 67 (Iraq) Luxton et al 68 Maguen et al 24 or 31 Maguen et al 30 Marshall et al 69 Martin et al 70 Milliken et al 45 Polusny et al 75 Polusny et al 76 Riviere et al 77 Shen et al 80 Thomas et al 42 Vasterling et al 82 Warner et al 83 Warner et al 84 Wood et al 85 Wright et al 86 van Zuiden et al 81 Subtotal (I 2 = 99.8%, P < 0.001)…”

mentioning

confidence: 99%

Posttraumatic Stress Disorder Post Iraq and Afghanistan: Prevalence among Military Subgroups

et al. 2014

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A large body of research has been produced in recent years investigating posttraumatic stress disorder (PTSD) among military personnel following deployment to Iraq and Afghanistan, resulting in apparent differences in PTSD prevalence. We compare prevalence estimates for current PTSD between military subgroups, providing insight into how groups may be differentially affected by deployment. Systematic literature searches using the terms PTSD, stress disorder, and acute stress, combined with terms relating to military personnel, identified 49 relevant papers. Studies with a sample size of less than 100 and studies based on data for treatment seeking or injured populations were excluded. Studies were categorized according to theatre of deployment (Iraq or Afghanistan), combat and noncombat deployed samples, sex, enlistment type (regular or reserve and [or] National Guard), and service branch (for example, army, navy, and air force). Meta-analysis was used to assess PTSD prevalence across subgroups. There was large variability in PTSD prevalence between studies, but, regardless of heterogeneity, prevalence rates of PTSD were higher among studies of Iraqdeployed personnel (12.9%; 95% CI 11.3% to 14.4%), compared with personnel deployed to Afghanistan (7.1%; 95% CI 4.6% to 9.6%), combat deployed personnel, and personnel serving in the Canadian, US, or UK army or the navy or marines (12.4%; 95% CI 10.9% to 13.4%), compared with the other services (4.9%; 95% CI 1.4% to 8.4%). Contrary to findings from within-study comparisons, we did not find a difference in PTSD prevalence for regular active-duty and reserve or National Guard personnel. Categorizing studies according to deployment location and branch of service identified differences among subgroups that provide further support for factors underlying the development of PTSD. W W W Le trouble de stress post-traumatique après l'Irak et l'Afghanistan : la prévalence dans les sous-groupes militairesUn vaste ensemble d'études ont été produites ces dernières années sur le trouble de stress post-traumatique (TSPT) au sein du personnel militaire suite au déploiement en Irak et en Afghanistan, et il en a résulté des différences apparentes de prévalence du TSPT. Nous comparons les estimations de prévalence du TSPT actuel entre les sous-groupes militaires, en tentant d'expliquer comment les groupes peuvent être affectés différemment par le déploiement. Des recherches systématiques de la littérature à l'aide des termes TSPT, trouble de stress, et stress aigu combinés à des termes relatifs au personnel militaire ont relevé 49 articles pertinents. Les études dont la taille d'échantillon était de moins de 100 ou qui étaient basées sur des données de recherche de traitement ou de populations blessées ont été exclues. Les études ont été catégorisées selon le théâtre du déploiement (Irak ou Afghanistan), les échantillons déployés de combat ou de non-combat, le sexe, le type d'enrôlement (régulier ou réserve, et [ou] Garde nationale) et branche de service (par exemple, armée, marine, et f...

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Prospective risk factors for new-onset post-traumatic stress disorder in National Guard soldiers deployed to Iraq

Abstract: Combat exposure may be unavoidable in military service members, but other vulnerability and protective factors also predict PTSD and could be targets for prevention strategies.

Cited by 175 publications

References 42 publications

Longitudinal Effects of Mild Traumatic Brain Injury and Posttraumatic Stress Disorder Comorbidity on Postdeployment Outcomes in National Guard Soldiers Deployed to Iraq

Longitudinal Effects of Mild Traumatic Brain Injury and Posttraumatic Stress Disorder Comorbidity on Postdeployment Outcomes in National Guard Soldiers Deployed to Iraq

Mental health diagnosis and occupational functioning in National Guard/Reserve veterans returning from Iraq

Posttraumatic Stress Disorder Post Iraq and Afghanistan: Prevalence among Military Subgroups

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