TY - JOUR PY - 2009// TI - Trauma exposure, branch of service, and physical injury in relation to mental health among U.S. veterans returning from Iraq and Afghanistan JO - Military medicine A1 - Baker, Dewleen G. A1 - Heppner, Pia A1 - Afari, Niloofar A1 - Nunnink, Sarah A1 - Kilmer, Michael A1 - Simmons, Alan A1 - Harder, Laura A1 - Bosse, Brandon SP - 773 EP - 778 VL - 174 IS - 8 N2 - Significant mental health symptoms are reported in troops deployed to Iraq and Afghanistan (OEF/OIF). Symptomatic troops are more likely to be discharged and become eligible for Department of Veterans Affairs (DVA) care. Prevalence and predictors of mental health symptoms were assessed in 339 OEF/OIF veterans and reservists registering at the San Diego DVA. Participants completed self-report questionnaires assessing combat exposure, posttraumatic stress disorder (PTSD) symptom frequency and severity, depression, and substance and alcohol abuse. A minority of participants (36%) did not screen positive for mental health symptoms; the remainder met threshold for caseness of PTSD, depression, or substance and alcohol abuse. Using a hierarchical logistic regression model, gender, age, race, and rank were not significantly related to PTSD caseness, whereas most recent branch of service and report of injury during combat were. Follow-up analyses revealed that trauma history and combat exposure varied by branch of service. Knowledge of base rates and vulnerability factors can aid in rapid detection of "at risk" individuals.

Language: en

LA - en SN - 0026-4075 UR - http://dx.doi.org/ ID - ref1 ER -