| Autor: |
Boscarino JA; Department of Epidemiology and Health Services Research, Geisinger Clinic, Danville, PA., Adams RE; Department of Sociology, Kent State University, Kent, OH., Urosevich TG; Ophthalmology Service, Geisinger Clinic, Mount Pocono., Hoffman SN; Department of Sleep Medicine, and., Kirchner HL; Biomedical & Translational Informatics, Geisinger Clinic, Danville, PA., Boscarino JJ; Clinical Psychology Department, William James College, Newton, MA., Withey CA; Department of Epidemiology and Health Services Research, Geisinger Clinic, Danville, PA., Dugan RJ; Department of Epidemiology and Health Services Research, Geisinger Clinic, Danville, PA., Figley CR; School of Social Work, Tulane University, New Orleans, LA. |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of nervous and mental disease [J Nerv Ment Dis] 2018 Oct; Vol. 206 (10), pp. 757-764. |
| DOI: |
10.1097/NMD.0000000000000879 |
| Abstrakt: |
We examined the effects of homecoming support on current mental health among 1730 deployed veterans from Vietnam, Iraq/Afghanistan, Persian Gulf, and other conflicts. The prevalence of current posttraumatic stress disorder (PTSD) was 5.4%, current depression was 8.3%, and 5.4% had suicidal thoughts in the past month. Overall, 26% of veterans had low homecoming support, which was more prevalent among Vietnam veterans (44.3%, p < 0.001). In multivariable logistic regressions, controlling for demographics, combat exposure, number of deployments, trauma history, and operational theater, low postdeployment support was associated with PTSD (odds ratio, 2.13; p = 0.032) and suicidality (odds ratio, 1.91; p < 0.030), but not depression. For suicidality, an interaction was detected for homecoming by theater status, whereby Iraq/Afghanistan veterans with lower homecoming support had a higher probability of suicidal thoughts (p = 0.002). Thus, years after deployment, lower homecoming support was associated with current PTSD and suicidality, regardless of theater and warzone exposures. For suicidality, lower support had a greater impact on Iraq/Afghanistan veterans. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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