Prospective Examination of Early Associations of Iraq War Zone Deployment, Combat Severity, and Posttraumatic Stress Disorder with New Incident Medical Diagnoses

Autor:	Avron Spiro, Jennifer J. Vasterling, Mary Alice Mills, Susan P. Proctor, Erin W. Ulloa, Karen H. Seal, Brian P. Marx, Kevin Brailey
Rok vydání:	2018
Předmět:	Adult Male Iraq war medicine.medical_specialty Severity of Illness Index Stress Disorders Post-Traumatic Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires mental disorders Humans Medicine Musculoskeletal Diseases Prospective Studies 030212 general & internal medicine Medical diagnosis Prospective cohort study Psychiatry Iraq War 2003-2011 Psychiatric Status Rating Scales War Exposure business.industry Odds ratio United States humanities Psychiatry and Mental health Clinical Psychology Posttraumatic stress Military Personnel Software deployment Case-Control Studies Ambulatory Diagnosis code Nervous System Diseases business 030217 neurology & neurosurgery
Zdroj:	Journal of Traumatic Stress. 31:102-113
ISSN:	1573-6598 0894-9867
DOI:	10.1002/jts.22264
Popis:	War zone deployment and posttraumatic stress disorder (PTSD) have been associated with morbidity and mortality decades later. Less is known about the associations between these variables and the early emergence of medical disorders in war zone veterans. This prospective study of 862 U.S. Army soldiers (n = 569 deployed; n = 293 nondeployed) examined: (a) associations between Iraq War deployment status (deployed vs. nondeployed) and new medical diagnoses that emerged within six months after return from Iraq among all participants; and (b) associations between combat severity and PTSD symptoms, and new postdeployment medical diagnoses that emerged within 12 months after return from Iraq within deployed participants. New medical diagnoses were abstracted from diagnostic codes associated with clinical outpatient visits recorded within the Department of Defense Standard Ambulatory Data Record database. Combat severity was measured with the Combat Experiences module of the Deployment Risk and Resilience Inventory, and postdeployment posttraumatic stress disorder symptom severity was measured using the PTSD Checklist-Civilian. Neither deployment nor combat severity was associated with new medical diagnoses. However, among deployed soldiers, more severe PTSD symptoms were associated with increased risk for a new medical disorder diagnosis; every 10-point increase in PTSD symptoms increased odds of a new diagnosis by nearly 20% (odds ratio = 1.20). Results suggest that PTSD symptoms are associated with early morbidity in Iraq War veterans.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e038729fbf1ff67d09065d2879ef784e https://doi.org/10.1002/jts.22264 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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