Prescription Stimulants and PTSD Among U. S. Military Service Members
| Autor: | Jaime L Horton, Cynthia A. LeardMann, Nancy F. Crum-Cianflone, Richard F. Armenta, Dale W. Russell, Melissa A. Frasco, Christopher J. Phillips, Margaret A. K. Ryan |
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| Rok vydání: | 2015 |
| Předmět: |
Gerontology
medicine.medical_specialty Active duty business.industry medicine.medical_treatment Military service Hazard ratio medicine.disease behavioral disciplines and activities Comorbidity Stimulant Psychiatry and Mental health Clinical Psychology Military personnel Millennium Cohort Study (United States) mental disorders medicine Medical prescription business Psychiatry |
| Zdroj: | Journal of Traumatic Stress. 28:585-589 |
| ISSN: | 0894-9867 |
| DOI: | 10.1002/jts.22052 |
| Popis: | Posttraumatic stress disorder (PTSD) is a prevalent condition among military service members and civilians who have experienced traumatic events. Stimulant use has been postulated to increase the risk of incident PTSD; however, research in this area is lacking. In this study, the association between receipt of prescription stimulants and PTSD was examined in a secondary analysis among active duty U.S. military members (n = 25,971), participating in the Millennium Cohort Study, who completed a baseline (2001-2003) and two follow-up surveys (between 2004-2008). Prescription stimulant data were obtained from the military Pharmacy Data Transaction Service. PTSD was assessed using the PTSD Checklist-Civilian Version and incident PTSD was defined as meeting the criteria at follow-up among those who did not have a history of PTSD at baseline. Overall, 1,215 (4.7%) persons developed new-onset PTSD during follow-up. Receipt of prescription stimulants were significantly associated with incident PTSD, hazard ratio = 5.09, 95% confidence interval [3.05, 8.50], after adjusting for sociodemographic factors, military characteristics, attention-deficit/hyperactivity disorder, baseline mental and physical health status, deployment experiences, and physical/sexual trauma. Findings suggested that prescription stimulants are associated with incident PTSD among military personnel; these data may inform the underlying pathogenesis of and preventive strategies for PTSD. |
| Databáze: | OpenAIRE |
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