LIFETIME PREVALENCE OF DSM-IV MENTAL DISORDERS AMONG NEW SOLDIERS IN THE US ARMY: RESULTS FROM THE ARMY STUDY TO ASSESS RISK AND RESILIENCE IN SERVICEMEMBERS (ARMY STARRS)
LIFETIME PREVALENCE OF DSM-IV MENTAL DISORDERS AMONG NEW SOLDIERS IN THE US ARMY: RESULTS FROM THE ARMY STUDY TO ASSESS RISK AND RESILIENCE IN SERVICEMEMBERS (ARMY STARRS)
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DOI：
10.1002/da.22316
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发表时间：
2015-01-01
影响因子：
7.4
通讯作者：
Kessler, Ronald C.
中科院分区：
文献类型：
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作者：
Rosellini, Anthony J.;Heeringa, Steven G.;Kessler, Ronald C.
背景：美国陆军中30天精神障碍的患病率显著高于社会人口统计学匹配的平民。这种差异可能反映了入伍前疾病的高患病率和/或这些疾病的高持久性的背景下，与兵役相关的压力。这些替代品可以在一定程度上区分通过估计终身疾病患病率之间的新的Army increment.MethodsThe新的士兵研究（NSS）在陆军研究，以评估风险和复原力在servicememembers（陆军STARRS）使用完全结构化的措施，估计终身患病率的10 DSM-IV疾病的新士兵在2011-2012年报告的基本战斗训练（n = 38,507）。患病率进行了比较，从一个匹配的平民样本的估计。多变量回归模型研究了社会人口学相关的疾病患病率和持久性之间的新soldiers.ResultsLifetime患病率至少有一个内化，外化，或任何类型的障碍没有显着差异，新士兵和平民，虽然三个特定的疾病（广泛性焦虑，创伤后应激障碍，行为障碍）和多发病率显着更常见的新士兵比平民。虽然有几个社会人口特征显着相关的疾病的患病率和持久性，这些协会是统一weak.ConclusionsNew士兵有所不同，但并不一致，从平民终身入伍前精神障碍。这表明，先前的调查结果较高的患病率目前的疾病与入伍前发病的士兵比平民可能主要是由于一个更持久的过程中早发性疾病的背景下，所经历的特殊压力的军队人员。(C)2014 Wiley Periodicals，Inc.
BackgroundThe prevalence of 30-day mental disorders with retrospectively reported early onsets is significantly higher in the U.S. Army than among socio-demographically matched civilians. This difference could reflect high prevalence of preenlistment disorders and/or high persistence of these disorders in the context of the stresses associated with military service. These alternatives can to some extent be distinguished by estimating lifetime disorder prevalence among new Army recruits.MethodsThe New Soldier Study (NSS) in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) used fully structured measures to estimate lifetime prevalence of 10 DSM-IV disorders in new soldiers reporting for Basic Combat Training in 2011-2012 (n = 38,507). Prevalence was compared to estimates from a matched civilian sample. Multivariate regression models examined socio-demographic correlates of disorder prevalence and persistence among new soldiers.ResultsLifetime prevalence of having at least one internalizing, externalizing, or either type of disorder did not differ significantly between new soldiers and civilians, although three specific disorders (generalized anxiety, posttraumatic stress, and conduct disorders) and multimorbidity were significantly more common among new soldiers than civilians. Although several socio-demographic characteristics were significantly associated with disorder prevalence and persistence, these associations were uniformly weak.ConclusionsNew soldiers differ somewhat, but not consistently, from civilians in lifetime preenlistment mental disorders. This suggests that prior findings of higher prevalence of current disorders with preenlistment onsets among soldiers than civilians are likely due primarily to a more persistent course of early-onset disorders in the context of the special stresses experienced by Army personnel. (C) 2014 Wiley Periodicals, Inc.