First psychiatric hospitalizations in the US military: the National Collaborative Study of Early Psychosis and Suicide (NCSEPS).
First psychiatric hospitalizations in the US military: the National Collaborative Study of Early Psychosis and Suicide (NCSEPS).
复制标题
美国军队首次精神病住院治疗：早期精神病和自杀国家合作研究 (NCSEPS)。
DOI：
10.1017/s0033291706008348
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发表时间：
2006
影响因子：
6.9
通讯作者：
Wyatt,RichardJ
中科院分区：
文献类型：
--
作者：
Herrell,Richard;Henter,IolineD;Mojtabai,Ramin;Bartko,JohnJ;Venable,Diane;Susser,Ezra;Merikangas,KathleenR;Wyatt,RichardJ
BackgroundMilitary samples provide an excellent context to systematically ascertain hospitalization for severe psychiatric disorders. The National Collaborative Study of Early Psychosis and Suicide (NCSEPS), a collaborative study of psychiatric disorders in the US Armed Forces, estimated rates of first hospitalization in the military for three psychiatric disorders: bipolar disorder (BD), major depressive disorder (MDD) and schizophrenia.MethodFirst hospitalizations for BD, MDD and schizophrenia were ascertained from military records for active duty personnel between 1992 and 1996. Rates were estimated as dynamic incidence (using all military personnel on active duty at the midpoint of each year as the denominator) and cohort incidence (using all military personnel aged 18–25 entering active duty between 1992 and 1996 to estimate person-years at risk).ResultsFor all three disorders, 8723 hospitalizations were observed in 8120136 person-years for a rate of 10·7/10000 [95% confidence interval (CI) 10·5–11·0]. The rate for BD was 2·0 (95% CI 1·9–2·1), for MDD, 7·2 (95% CI 7·0–7·3), and for schizophrenia, 1·6 (95% CI 1·5–1·7). Rates for BD and MDD were greater in females than in males [for BD, rate ratio (RR) 2·0, 95% CI 1·7–2·2; for MDD, RR 2·9, 95% CI 2·7–3·1], but no sex difference was found for schizophrenia. Blacks had lower rates than whites of BD (RR 0·8, 95% CI 0·7–0·9) and MDD (RR 0·8, 95% CI 0·8–0·9), but a higher rate of schizophrenia (RR 1·5, 95% CI 1·3–1·7).ConclusionsThis study underscores the human and financial burden that psychiatric disorders place on the US Armed Forces.
