Temporal trends in the epidemiology of disabilities related to posttraumatic stress disorder in the U.S. Army and Marine Corps from 2005-2010.
Temporal trends in the epidemiology of disabilities related to posttraumatic stress disorder in the U.S. Army and Marine Corps from 2005-2010.
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2005 年至 2010 年美国陆军和海军陆战队与创伤后应激障碍相关的残疾流行病学的时间趋势。
DOI：
10.1002/jts.21743
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发表时间：
2012
影响因子：
3.3
通讯作者：
D. Niebuhr
中科院分区：
文献类型：
--
作者：
E. Packnett;Marlene E. Gubata;D. Cowan;D. Niebuhr
自“伊拉克自由行动”和“持久自由行动”开始以来，超过200万美国军人被部署到伊拉克和阿富汗。从战区返回的士兵和海军陆战队队员中创伤后应激障碍（PTSD）的估计患病率在5% - 20%之间；对于因PTSD而不适合服役的个体知之甚少。本报告描述了接受残疾评估的士兵和海军陆战队队员中PTSD的发病率及其相关因素。对2005 - 2010财政年度期间接受残疾评估的军人的数据进行了分析，以了解残疾率、评级、退役以及合并残疾的趋势。PTSD发病率因年龄、性别、种族、军衔、军种和组成部分而异。大多数病例都曾被部署且被认为与战斗有关。在研究期间，PTSD导致的残疾率和严重程度大幅增加。在两个军种中都观察到PTSD发病率、评级和退役导致的残疾显著增加。大多数病例还存在其他疾病，主要是肌肉骨骼和神经系统疾病，这表明许多病例还遭受了致残的身体伤害。需要进一步研究，以便为重新部署的军人准确制定干预措施，将与PTSD残疾相关的合并症降至最低，并促进其继续服役或成功过渡到平民生活。
Since the start of Operation Iraqi Freedom and Operation Enduring Freedom, over 2 million U.S. military members were deployed to Iraq and Afghanistan. The estimated prevalence of posttraumatic stress disorder (PTSD) among soldiers and Marines returning from combat zones varies from 5%-20%; little is known about those individuals whose PTSD renders them unfit for duty. This report describes the rates and correlates of PTSD in soldiers and Marines evaluated for disability. Data for service members who underwent disability evaluation between fiscal years 2005-2010 were analyzed for trends in disability rates, ratings, retirement, and comorbid disability. PTSD rates varied by age, sex, race, rank, branch of service, and component. Most cases were deployed and were considered combat-related. Over the study period, the rate and severity of disability from PTSD increased substantially. Significant increases in disability from PTSD incidence, rating, and retirement were observed in both services. Other medical conditions, largely musculoskeletal and neurological, were present in the majority of cases indicating many cases also experienced disabling physical injuries. Further research is needed to target interventions accurately for redeploying service members to minimize comorbidity associated with disability from PTSD and facilitate continuation in military service or successful transition to civilian life.