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Deployment-related psychiatric and behavioral conditions and their association with functional disability in OEF/OIF/OND veterans.
- Source :
-
Journal of traumatic stress [J Trauma Stress] 2015 Feb; Vol. 28 (1), pp. 25-33. - Publication Year :
- 2015
-
Abstract
- Understanding the factors that influence veterans' functional outcome after deployment is critical to provide appropriately targeted care. Mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) have been related to disability, but other psychiatric and behavioral conditions are not as well examined. We investigated the impact of deployment-related psychiatric and behavioral conditions on disability among 255 OEF/OIF/OND service members and veterans. Structured clinical interviews assessed TBI and the psychiatric conditions of depression, PTSD, anxiety, and substance use. Self-report questionnaires assessed disability and the behavioral conditions of sleep disturbance and pain. Over 90% of participants had a psychiatric and/or behavioral condition, with approximately half presenting with ≥ 3 conditions. Exploratory factor analysis revealed 4 clinically relevant psychiatric and behavioral factors which accounted for 76.9% of the variance: (a) depression, PTSD, and military mTBI (deployment trauma factor); (b) pain and sleep (somatic factor); (c) anxiety disorders, other than PTSD (anxiety factor); and (d) substance abuse or dependence (substance use factor). Individuals with the conditions comprising the deployment trauma factor were more likely to be substantially disabled than individuals with depression and PTSD, but no military mTBI, OR = 3.52; 95% CI [1.09, 11.37]. Depression, PTSD, and a history of military mTBI may comprise an especially harmful combination associated with high risk for substantial disability.<br /> (Published 2015. This article is a US Government work and is in the public domain in the USA.)
- Subjects :
- Adult
Afghan Campaign 2001-
Anxiety Disorders epidemiology
Anxiety Disorders psychology
Brain Injuries psychology
Chronic Pain epidemiology
Chronic Pain psychology
Comorbidity
Depression epidemiology
Depression psychology
Factor Analysis, Statistical
Female
Humans
Iraq War, 2003-2011
Male
Prevalence
Psychiatric Status Rating Scales
Self Report
Sleep Wake Disorders epidemiology
Sleep Wake Disorders psychology
Stress Disorders, Post-Traumatic epidemiology
Stress Disorders, Post-Traumatic psychology
Substance-Related Disorders epidemiology
Substance-Related Disorders psychology
United States
War-Related Injuries psychology
Young Adult
Brain Injuries epidemiology
Disability Evaluation
Mental Disorders epidemiology
Mental Disorders psychology
Veterans psychology
War-Related Injuries epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1573-6598
- Volume :
- 28
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of traumatic stress
- Publication Type :
- Academic Journal
- Accession number :
- 25703936
- Full Text :
- https://doi.org/10.1002/jts.21979