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Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research 4/2017

01.07.2016 | Original Article

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

verfasst von: Nikki R. Wooten, Rachel Sayko Adams, Beth A. Mohr, Diana D. Jeffery, Wendy Funk, Thomas V. Williams, Mary Jo Larson

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2017

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Abstract

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.
Literatur
Zurück zum Zitat Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1–10.CrossRefPubMed Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1–10.CrossRefPubMed
Zurück zum Zitat Armed Forces Health Surveillance Center. (2010). Mental disorders and mental health Problems, active component, U.S. Armed Forces, January 2000–December 2009. Medical Surveillence Monthly Report, 17, 6–13. Armed Forces Health Surveillance Center. (2010). Mental disorders and mental health Problems, active component, U.S. Armed Forces, January 2000–December 2009. Medical Surveillence Monthly Report, 17, 6–13.
Zurück zum Zitat Armed Forces Health Surveillance Center. (2011a). Associations between repeated deployments to Iraq (OIF/OND) and Afghanistan (OEF) and post-deployment illnesses and injuries, active component, U.S. Armed Forces, 2003-2010. Part II. Mental disorders, by gender, age group, military occupation, and “dwell times” prior to repeat (second through fifth) deployments. Medical Surveillance Monthly Report, 18, 2–11. Armed Forces Health Surveillance Center. (2011a). Associations between repeated deployments to Iraq (OIF/OND) and Afghanistan (OEF) and post-deployment illnesses and injuries, active component, U.S. Armed Forces, 2003-2010. Part II. Mental disorders, by gender, age group, military occupation, and “dwell times” prior to repeat (second through fifth) deployments. Medical Surveillance Monthly Report, 18, 2–11.
Zurück zum Zitat Armed Forces Health Surveillance Center. (2011b). Causes of medical evacuations from Operations Iraqi Freedom (OIF), New Dawn (OND) and Enduring Freedom (OEF), active and reserve components, US Armed Forces, October 2001–2010. Medical Surveillance Monthly Report, 18, 2–7. Armed Forces Health Surveillance Center. (2011b). Causes of medical evacuations from Operations Iraqi Freedom (OIF), New Dawn (OND) and Enduring Freedom (OEF), active and reserve components, US Armed Forces, October 2001–2010. Medical Surveillance Monthly Report, 18, 2–7.
Zurück zum Zitat Armed Forces Health Surveillance Center. (2011c). Numbers and characteristics of women in the active component, US Armed Forces 2011. Medical Surveillance Monthly Report, 18, 18–19. Armed Forces Health Surveillance Center. (2011c). Numbers and characteristics of women in the active component, US Armed Forces 2011. Medical Surveillance Monthly Report, 18, 18–19.
Zurück zum Zitat Armed Forces Health Surveillance Center. (2012). Health of women after wartime deployments: Correlates of risk for selected medical conditions among females after initial and repeat deployments to Afghanistan and Iraq, active component, U.S. Armed Forces. Medical Surveillance Monthly Report, 19, 2–10. Armed Forces Health Surveillance Center. (2012). Health of women after wartime deployments: Correlates of risk for selected medical conditions among females after initial and repeat deployments to Afghanistan and Iraq, active component, U.S. Armed Forces. Medical Surveillance Monthly Report, 19, 2–10.
Zurück zum Zitat Armed Forces Health Surveillance Center. (2014). Numbers and proportions of U.S. Military members in treatment for mental disorders over time, active component, January 2000–September 2013. Medical Surveillance Monthly Report, 21(5), 2–7. Armed Forces Health Surveillance Center. (2014). Numbers and proportions of U.S. Military members in treatment for mental disorders over time, active component, January 2000–September 2013. Medical Surveillance Monthly Report, 21(5), 2–7.
Zurück zum Zitat Biehn, T., Contractor, A., Elhai, J., Tamburrino, M., Fine, T., Prescott, M., & Liberzon, I. (2013). Relations between the underlying dimensions of PTSD and major depression using an epidemiological survey of deployed Ohio National Guard soldiers. Journal of Affective Disorders, 144(1), 106–111.CrossRefPubMed Biehn, T., Contractor, A., Elhai, J., Tamburrino, M., Fine, T., Prescott, M., & Liberzon, I. (2013). Relations between the underlying dimensions of PTSD and major depression using an epidemiological survey of deployed Ohio National Guard soldiers. Journal of Affective Disorders, 144(1), 106–111.CrossRefPubMed
Zurück zum Zitat Cohen, S. P., Brown, C., Kurihara, C., Plunkett, A., Nguyen, C., & Strassels, S. A. (2010). Diagnoses and factors associated with medical evacuation and return to duty for service members participating in Operation Iraqi Freedom or Operation Enduring Freedom: A prospective cohort study. The Lancet, 375(9711), 301–309.CrossRef Cohen, S. P., Brown, C., Kurihara, C., Plunkett, A., Nguyen, C., & Strassels, S. A. (2010). Diagnoses and factors associated with medical evacuation and return to duty for service members participating in Operation Iraqi Freedom or Operation Enduring Freedom: A prospective cohort study. The Lancet, 375(9711), 301–309.CrossRef
Zurück zum Zitat Contractor, A., Durham, T., Brennan, J., Armour, C., Wutrick, H., Frueh, B., & Elhai, J. (2014). DSM-5 PTSD’s symptom dimensions and relations with major depression’s symptom dimensions in a primary care sample. Psychiatry Research, 215(1), 146–153.CrossRefPubMed Contractor, A., Durham, T., Brennan, J., Armour, C., Wutrick, H., Frueh, B., & Elhai, J. (2014). DSM-5 PTSD’s symptom dimensions and relations with major depression’s symptom dimensions in a primary care sample. Psychiatry Research, 215(1), 146–153.CrossRefPubMed
Zurück zum Zitat Foynes, M., Shipherd, J., & Harrington, E. (2013). Race and gender discrimination in the Marines. Cultural Diversity and Ethnic Minority Psychology, 19(1), 111–119. doi:10.1037/a0030567.CrossRefPubMed Foynes, M., Shipherd, J., & Harrington, E. (2013). Race and gender discrimination in the Marines. Cultural Diversity and Ethnic Minority Psychology, 19(1), 111–119. doi:10.​1037/​a0030567.CrossRefPubMed
Zurück zum Zitat Funk, W. (2012). III, Injured, and Wounded (IIW) cohort file for the Military Health System Data Reposity (MDR). Falls Church, VA: Kennell & Associates Inc. Funk, W. (2012). III, Injured, and Wounded (IIW) cohort file for the Military Health System Data Reposity (MDR). Falls Church, VA: Kennell & Associates Inc.
Zurück zum Zitat Gehrman, P., Seelig, A. D., Jacobson, I. G., Boyko, E. J., Hooper, T. I., Gackstetter, G. D.,… Smith, T. C. (2013). Predeployment sleep duration and insomnia symptoms as risk factors for new-onset mental health disorders following military deployment. SLEEP, 36(7), 1009–1018. Gehrman, P., Seelig, A. D., Jacobson, I. G., Boyko, E. J., Hooper, T. I., Gackstetter, G. D.,… Smith, T. C. (2013). Predeployment sleep duration and insomnia symptoms as risk factors for new-onset mental health disorders following military deployment. SLEEP, 36(7), 1009–1018.
Zurück zum Zitat Gelberg, L., Andersen, R., & Leake, B. D. (2000). The behavioral model for vulnerable populations: Application to medical care use and outcomes for homeless people. Health Services Research, 34, 1273–1302.PubMedPubMedCentral Gelberg, L., Andersen, R., & Leake, B. D. (2000). The behavioral model for vulnerable populations: Application to medical care use and outcomes for homeless people. Health Services Research, 34, 1273–1302.PubMedPubMedCentral
Zurück zum Zitat Haskell, S. G., Gordon, K. S., Mattocks, K., Duggal, M., Erdos, J., Justice, A., & Brandt, C. A. (2010). Gender differences in rates of depression, PTSD, pain, obesity, and military sexual trauma among Connecticut war veterans of Iraq and Afghanistan. Journal of Women’s Health, 19(2), 267–271.CrossRefPubMedPubMedCentral Haskell, S. G., Gordon, K. S., Mattocks, K., Duggal, M., Erdos, J., Justice, A., & Brandt, C. A. (2010). Gender differences in rates of depression, PTSD, pain, obesity, and military sexual trauma among Connecticut war veterans of Iraq and Afghanistan. Journal of Women’s Health, 19(2), 267–271.CrossRefPubMedPubMedCentral
Zurück zum Zitat Kamarck, K. (2015). Women in combat: Issues for Congress (R42075). Washington, DC: Congressional Research Service. Kamarck, K. (2015). Women in combat: Issues for Congress (R42075). Washington, DC: Congressional Research Service.
Zurück zum Zitat Kelton, M., LeardMann, C., Smith, B., Boyko, E., Hooper, T., Gackstetter, G., & Smith, T. (2010). Exploratory factor analysis of self-reported symptoms in a large, population-based military cohort. BMC Medical Research Methodology, 10(94), 1. doi:10.1186/1471-2288-10-94. Kelton, M., LeardMann, C., Smith, B., Boyko, E., Hooper, T., Gackstetter, G., & Smith, T. (2010). Exploratory factor analysis of self-reported symptoms in a large, population-based military cohort. BMC Medical Research Methodology, 10(94), 1. doi:10.​1186/​1471-2288-10-94.
Zurück zum Zitat Klabunde, C. N., Warren, J. L., & Legler, J. M. (2002). Assessing comorbidity using claims data: An overview. Medical Care, 40(8), IV-26–IV-35. Klabunde, C. N., Warren, J. L., & Legler, J. M. (2002). Assessing comorbidity using claims data: An overview. Medical Care, 40(8), IV-26–IV-35.
Zurück zum Zitat Kline, A., Ciccone, D., Weiner, M., Inerian, A., St. Hill, L., Falca-Dodson, M., & Losonczy, M. (2013). Gender differences in the risk and protective factors associated with PTSD: A prospective study of National Guard troops deployed to Iraq. Psychiatriy, 76(3), 256–272.CrossRef Kline, A., Ciccone, D., Weiner, M., Inerian, A., St. Hill, L., Falca-Dodson, M., & Losonczy, M. (2013). Gender differences in the risk and protective factors associated with PTSD: A prospective study of National Guard troops deployed to Iraq. Psychiatriy, 76(3), 256–272.CrossRef
Zurück zum Zitat Larson, M. J., Adams, R. S., Mohr, B. A., Harris, A. H., Merrick, E. L., Funk, W., et al. (2013). Rationale and methods of the Substance Use and Psychological Injury Combat Study (SUPIC): A longitudinal study of army service members returning from deployment in FY2008–2011. Substance Use & Misuse, 48(10), 863–879. doi:10.3109/10826084.2013.794840.CrossRef Larson, M. J., Adams, R. S., Mohr, B. A., Harris, A. H., Merrick, E. L., Funk, W., et al. (2013). Rationale and methods of the Substance Use and Psychological Injury Combat Study (SUPIC): A longitudinal study of army service members returning from deployment in FY2008–2011. Substance Use & Misuse, 48(10), 863–879. doi:10.​3109/​10826084.​2013.​794840.CrossRef
Zurück zum Zitat Larson, M. J., Funk, W., Mohr, B. A., Adams, R. S., Merrick, E. L., Harris, A. H., & Wooten, N. R. (2012). Pre-deployment behavioral health history and post-deployment mental health referrals of Army service members. Substance Abuse, 33(2), 211–212. Larson, M. J., Funk, W., Mohr, B. A., Adams, R. S., Merrick, E. L., Harris, A. H., & Wooten, N. R. (2012). Pre-deployment behavioral health history and post-deployment mental health referrals of Army service members. Substance Abuse, 33(2), 211–212.
Zurück zum Zitat Larson, G., Hammer, P. S., Conway, T. L., Schmied, E. A., Galarneau, M. R., Konoske, P., & Johnson, D. C. (2011). Predeployment and in-theater diagnoses of American military personnel serving in Iraq. Psychiatric Services, 62(1), 15–21.CrossRefPubMed Larson, G., Hammer, P. S., Conway, T. L., Schmied, E. A., Galarneau, M. R., Konoske, P., & Johnson, D. C. (2011). Predeployment and in-theater diagnoses of American military personnel serving in Iraq. Psychiatric Services, 62(1), 15–21.CrossRefPubMed
Zurück zum Zitat MacDonald, H. Z., Proctor, S. P., Heeren, T., & Vasterling, J. J. (2013). Associations of postdeployment PTSD symptoms with predeployment symptoms in Iraq-deployed Army soldiers. Psychological Trauma: Theory, Research, Practice, and Policy, 5(5), 470–476. doi:10.1037/a0029010.CrossRef MacDonald, H. Z., Proctor, S. P., Heeren, T., & Vasterling, J. J. (2013). Associations of postdeployment PTSD symptoms with predeployment symptoms in Iraq-deployed Army soldiers. Psychological Trauma: Theory, Research, Practice, and Policy, 5(5), 470–476. doi:10.​1037/​a0029010.CrossRef
Zurück zum Zitat Maguen, S., Luxton, D. D., Skopp, N. A., & Madden, E. (2011). Gender differences in traumatic experiences and mental health in active duty soldiers redeployed from Iraq and Afghanistan. Journal of Psychiatric Research, 46(3), 311–316.CrossRefPubMed Maguen, S., Luxton, D. D., Skopp, N. A., & Madden, E. (2011). Gender differences in traumatic experiences and mental health in active duty soldiers redeployed from Iraq and Afghanistan. Journal of Psychiatric Research, 46(3), 311–316.CrossRefPubMed
Zurück zum Zitat Maguen, S., Ren, L., Bosch, J. O., Marmar, C. R., & Seal, K. H. (2010). Gender differences in mental health diagnoses among Iraq and Afghanistan veterans enrolled in Veterans Affairs health care. American Journal of Public Health, 100(12), 2450.CrossRefPubMedPubMedCentral Maguen, S., Ren, L., Bosch, J. O., Marmar, C. R., & Seal, K. H. (2010). Gender differences in mental health diagnoses among Iraq and Afghanistan veterans enrolled in Veterans Affairs health care. American Journal of Public Health, 100(12), 2450.CrossRefPubMedPubMedCentral
Zurück zum Zitat Milliken, C. S., Auchterlonie, J. L., & Hoge, C. W. (2007). Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. Journal of the American Medical Association, 298(18), 2141–2148. doi:10.1001/jama.298.18.2141.CrossRefPubMed Milliken, C. S., Auchterlonie, J. L., & Hoge, C. W. (2007). Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. Journal of the American Medical Association, 298(18), 2141–2148. doi:10.​1001/​jama.​298.​18.​2141.CrossRefPubMed
Zurück zum Zitat Nevin, R. (2009). Low validity of self-report in identifying recent mental health diagnosis among US service members completing Pre-Deployment Health Assessment (PreDHA) and deployed to Afghanistan, 2007: A retrospective cohort study. BMC Public Health, 9(1), 376.CrossRefPubMedPubMedCentral Nevin, R. (2009). Low validity of self-report in identifying recent mental health diagnosis among US service members completing Pre-Deployment Health Assessment (PreDHA) and deployed to Afghanistan, 2007: A retrospective cohort study. BMC Public Health, 9(1), 376.CrossRefPubMedPubMedCentral
Zurück zum Zitat Office of the Secretary of Defense for Health Affairs. (2012). Guide to DoD researchers on using MHS data. Falls Church, VA: Department of Defense. Office of the Secretary of Defense for Health Affairs. (2012). Guide to DoD researchers on using MHS data. Falls Church, VA: Department of Defense.
Zurück zum Zitat Polusny, M. A., Kumpula, M. J., Meis, L. A., Erbes, C. R., Arbisi, P. A., Murdoch, M.,… Johnson, A. K. (2014). Gender differences in the effects of deployment-related stressors and pre-deployment risk factors on the development of PTSD symptoms in National Guard Soldiers deployed to Iraq and Afghanistan. Journal of Psychiatric Research, 49, 1–9. Polusny, M. A., Kumpula, M. J., Meis, L. A., Erbes, C. R., Arbisi, P. A., Murdoch, M.,… Johnson, A. K. (2014). Gender differences in the effects of deployment-related stressors and pre-deployment risk factors on the development of PTSD symptoms in National Guard Soldiers deployed to Iraq and Afghanistan. Journal of Psychiatric Research, 49, 1–9.
Zurück zum Zitat Riddle, J., Smith, T., Smith, B., Corbeil, T., Engel, C., Wells, T., & Blazer, D. (2007). Millennium Cohort: The 2001–2003 baseline prevalence of mental disorders in the US military. Journal of Clinical Epidemiology, 60(2), 192–201.CrossRefPubMed Riddle, J., Smith, T., Smith, B., Corbeil, T., Engel, C., Wells, T., & Blazer, D. (2007). Millennium Cohort: The 2001–2003 baseline prevalence of mental disorders in the US military. Journal of Clinical Epidemiology, 60(2), 192–201.CrossRefPubMed
Zurück zum Zitat SAS Institute Incorporated. (2008). SAS for Windows 9.2. Cary, NC: SAS Institute Inc. SAS Institute Incorporated. (2008). SAS for Windows 9.2. Cary, NC: SAS Institute Inc.
Zurück zum Zitat Schaefer, A. G., Wenger, J. W., Kavanagh, J., Wong, J. P., Oak, G. S., Trail, T. E., & Nichols, T. (2015). Implications of integrating women into the Marine Corps infantry (RR-1103-USMC). Retrieved from Santa Monica, CA Schaefer, A. G., Wenger, J. W., Kavanagh, J., Wong, J. P., Oak, G. S., Trail, T. E., & Nichols, T. (2015). Implications of integrating women into the Marine Corps infantry (RR-1103-USMC). Retrieved from Santa Monica, CA
Zurück zum Zitat Schneeweiss, S., & Avorn, J. (2005). A review of uses of health care utilization databases for epidemiologic research on therapeutics. Journal of Clinical Epidemiology, 58(4), 323–337.CrossRefPubMed Schneeweiss, S., & Avorn, J. (2005). A review of uses of health care utilization databases for epidemiologic research on therapeutics. Journal of Clinical Epidemiology, 58(4), 323–337.CrossRefPubMed
Zurück zum Zitat Seelig, A. D., Jacobson, I. G., Smith, B., Hooper, T. I., Gackstetter, G. D., Ryan, M. A., & Smith, T. C. (2012). Prospective evaluation of mental health and deployment experience among women in the US military. American Journal of Epidemiology, 176(2), 135–145.CrossRefPubMed Seelig, A. D., Jacobson, I. G., Smith, B., Hooper, T. I., Gackstetter, G. D., Ryan, M. A., & Smith, T. C. (2012). Prospective evaluation of mental health and deployment experience among women in the US military. American Journal of Epidemiology, 176(2), 135–145.CrossRefPubMed
Zurück zum Zitat StataCorp. (2015). Stata statistical software: Release 14. College Station, TX: StataCorp LP. StataCorp. (2015). Stata statistical software: Release 14. College Station, TX: StataCorp LP.
Zurück zum Zitat Stecker, T., Shiner, B., Watts, B. V., Jones, M., & Conner, K. R. (2013). Treatment-seeking barriers for veterans of the Iraq and Afghanistan conflicts who screen positive for PTSD. Psychiatric Services, 64(3), 280–283.CrossRefPubMed Stecker, T., Shiner, B., Watts, B. V., Jones, M., & Conner, K. R. (2013). Treatment-seeking barriers for veterans of the Iraq and Afghanistan conflicts who screen positive for PTSD. Psychiatric Services, 64(3), 280–283.CrossRefPubMed
Zurück zum Zitat Stoltenborgh, M., van IJzendoorn, M. H., Euser, E. M., & Bakermans-Kranenburg, M. J. (2011). A global perspective on child sexual abuse: Meta-analysis of prevalence around the world. Child Maltreatment, 16(2), 79–101.CrossRefPubMed Stoltenborgh, M., van IJzendoorn, M. H., Euser, E. M., & Bakermans-Kranenburg, M. J. (2011). A global perspective on child sexual abuse: Meta-analysis of prevalence around the world. Child Maltreatment, 16(2), 79–101.CrossRefPubMed
Zurück zum Zitat Street, A. E., Gradus, J. L., Giasson, H. L., Vogt, D., & Resick, P. A. (2013). Gender differences among veterans deployed in support of the wars in Afghanistan and Iraq. Journal of General Internal Medicine, 28(2), 556–562.CrossRefPubMedCentral Street, A. E., Gradus, J. L., Giasson, H. L., Vogt, D., & Resick, P. A. (2013). Gender differences among veterans deployed in support of the wars in Afghanistan and Iraq. Journal of General Internal Medicine, 28(2), 556–562.CrossRefPubMedCentral
Zurück zum Zitat Street, A. E., Vogt, D., & Dutra, L. (2009). A new generation of women veterans: Stressors faced by women deployed to Iraq and Afghanistan. Clinical Psychology Review, 29(8), 685–694. Street, A. E., Vogt, D., & Dutra, L. (2009). A new generation of women veterans: Stressors faced by women deployed to Iraq and Afghanistan. Clinical Psychology Review, 29(8), 685–694.
Zurück zum Zitat Substance Abuse and Mental Health Services Administration. (2010). Results from the 2009 National Survey on Drug Use and Health: Mental health findings Rockville, MD: Center for Behavioral Health Statistics and Quality. Substance Abuse and Mental Health Services Administration. (2010). Results from the 2009 National Survey on Drug Use and Health: Mental health findings Rockville, MD: Center for Behavioral Health Statistics and Quality.
Zurück zum Zitat Tjaden, P. G., & Thoennes, N. (2000). Extent, nature, and consequences of intimate partner violence. Washington, DC: US Department of Justice, Office of Justice Programs, National Institute of Justice. Tjaden, P. G., & Thoennes, N. (2000). Extent, nature, and consequences of intimate partner violence. Washington, DC: US Department of Justice, Office of Justice Programs, National Institute of Justice.
Zurück zum Zitat U. S. Department of Defense. (1997). Implementation and application of Joint Medical Surveillance for deployments. (DoDI 6490.3). Washington, DC: U. S. Department of Defense. U. S. Department of Defense. (1997). Implementation and application of Joint Medical Surveillance for deployments. (DoDI 6490.3). Washington, DC: U. S. Department of Defense.
Zurück zum Zitat U. S. Department of Defense. (2011). Deployment health. (DOD Instruction 6490.03). Washington, DC: U. S. Government Printing Office. U. S. Department of Defense. (2011). Deployment health. (DOD Instruction 6490.03). Washington, DC: U. S. Government Printing Office.
Zurück zum Zitat U. S. Department of Defense. (2013b). Mental health assessments for service members deployed in connection with a contingency operation. (DoD Instruction 6490.12). Washington, DC: U. S. Department of Defense. U. S. Department of Defense. (2013b). Mental health assessments for service members deployed in connection with a contingency operation. (DoD Instruction 6490.12). Washington, DC: U. S. Department of Defense.
Zurück zum Zitat U. S. Department of the Army. (2011). Medical services: Standards of medical fitness. (AR 40-501). Washington, DC: Headquarters, Department of the Army. U. S. Department of the Army. (2011). Medical services: Standards of medical fitness. (AR 40-501). Washington, DC: Headquarters, Department of the Army.
Zurück zum Zitat Vogt, D., Pless, A., King, L., & King, D. (2005). Deployment stressors, gender, and mental health outcomes among Gulf War I veterans. Journal of Traumatic Stress, 18, 272–284.CrossRefPubMed Vogt, D., Pless, A., King, L., & King, D. (2005). Deployment stressors, gender, and mental health outcomes among Gulf War I veterans. Journal of Traumatic Stress, 18, 272–284.CrossRefPubMed
Zurück zum Zitat Warner, C. H., Appenzeller, G. N., Parker, J. R., Warner, C. M., & Hoge, C. W. (2011). Effectiveness of mental health screening and coordination of in-theater care prior to deployment to Iraq: A cohort study. American Journal of Psychiatry, 168(4), 378–385.CrossRefPubMed Warner, C. H., Appenzeller, G. N., Parker, J. R., Warner, C. M., & Hoge, C. W. (2011). Effectiveness of mental health screening and coordination of in-theater care prior to deployment to Iraq: A cohort study. American Journal of Psychiatry, 168(4), 378–385.CrossRefPubMed
Zurück zum Zitat Wells, T. S., LeardMann, C. A., Fortuna, S. O., Smith, B., Smith, T. C., Ryan, M. A., & Blazer, D. (2010). A prospective study of depression following combat deployment in support of the wars in Iraq and Afghanistan. American Journal of Public Health, 100(1), 90–99.CrossRefPubMedPubMedCentral Wells, T. S., LeardMann, C. A., Fortuna, S. O., Smith, B., Smith, T. C., Ryan, M. A., & Blazer, D. (2010). A prospective study of depression following combat deployment in support of the wars in Iraq and Afghanistan. American Journal of Public Health, 100(1), 90–99.CrossRefPubMedPubMedCentral
Zurück zum Zitat Wooten, N. R., Mohr, B. A., Lundgren, L. M., Adams, R. S., Merrick, E. L., Williams, T. V., & Larson, M. J. (2013). Gender differences in substance use treatment utilization the year prior to deployment in Army service members. Journal of Substance Abuse Treatment, 45, 257–265. doi:10.1016/j.jsat.2013.04.001.CrossRefPubMedPubMedCentral Wooten, N. R., Mohr, B. A., Lundgren, L. M., Adams, R. S., Merrick, E. L., Williams, T. V., & Larson, M. J. (2013). Gender differences in substance use treatment utilization the year prior to deployment in Army service members. Journal of Substance Abuse Treatment, 45, 257–265. doi:10.​1016/​j.​jsat.​2013.​04.​001.CrossRefPubMedPubMedCentral
Zurück zum Zitat Wright, K. M., Cabrera, O. A., Eckford, R. D., Adler, A. B., & Bliese, P. D. (2012). The impact of predeployment functional impairment on mental health after combat. Psychological Trauma: Theory, Research, Practice, and Policy, 4(3), 260–269. doi:10.1037/a0024373.CrossRef Wright, K. M., Cabrera, O. A., Eckford, R. D., Adler, A. B., & Bliese, P. D. (2012). The impact of predeployment functional impairment on mental health after combat. Psychological Trauma: Theory, Research, Practice, and Policy, 4(3), 260–269. doi:10.​1037/​a0024373.CrossRef
Zurück zum Zitat Zinzow, H., Britt, T., McFadden, A., Burnette, C., & Gillispie, S. (2012). Connecting active duty and returning veterans to mental health treatment: Interventions and treatment adaptations that may reduce barriers to care. Clinical Psychology Review, 32(8), 741–753. doi:10.1016/j.cpr.2012.09.002.CrossRefPubMed Zinzow, H., Britt, T., McFadden, A., Burnette, C., & Gillispie, S. (2012). Connecting active duty and returning veterans to mental health treatment: Interventions and treatment adaptations that may reduce barriers to care. Clinical Psychology Review, 32(8), 741–753. doi:10.​1016/​j.​cpr.​2012.​09.​002.CrossRefPubMed
Metadaten
Titel
Pre-deployment Year Mental Health Diagnoses and Treatment in Deployed Army Women
verfasst von
Nikki R. Wooten
Rachel Sayko Adams
Beth A. Mohr
Diana D. Jeffery
Wendy Funk
Thomas V. Williams
Mary Jo Larson
Publikationsdatum
01.07.2016
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2017
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-016-0744-3

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