Predictors of psychiatric disorders in combat veterans.
Predictors of psychiatric disorders in combat veterans.
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DOI：
10.1186/1471-244x-13-130
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发表时间：
2013-05-07
期刊：
影响因子：
4.4
通讯作者：
Ziajko LA
中科院分区：
文献类型：
--
作者：
Booth-Kewley S;Schmied EA;Highfill-McRoy RM;Larson GE;Garland CF;Ziajko LA
大多数以前的研究已经检查了持久自由行动和伊拉克自由行动（OEF/OIF）战斗人员的心理健康依赖于自我报告的措施来评估心理健康的结果;很少有研究检查实际心理健康诊断的预测因素。这项纵向调查的目的是确定在伊拉克和阿富汗作战的海军陆战队员中精神疾病的预测因素。研究样本包括1113名部署到伊拉克或阿富汗的海军陆战队员。从一项调查中，所有的海军陆战队员在样本中完成了人口统计学和心理社会预测变量进行了研究，与随后的精神病诊断。单因素和多因素Logistic回归分析用于确定预测因素对精神疾病发生的影响。在一个以前没有精神疾病诊断的海军陆战队样本中，18%被诊断患有新发精神疾病。调整其他变量后，总体精神障碍的最强预测因子是女性性别，轻度创伤性脑损伤症状和对领导的满意度。那些对领导力表现出更高满意度的服役人员患精神疾病的可能性大约是那些不满意的人的一半。还确定了特定类型精神障碍的独特预测因素。总的来说，这项研究最相关的结果是，两个潜在的可修改的因素，对领导的低满意度和低组织承诺，预测在军事样本中的精神障碍诊断。进一步的研究应旨在澄清这些因素对战斗人员心理健康的性质和影响。
Most previous research that has examined mental health among Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) combatants has relied on self-report measures to assess mental health outcomes; few studies have examined predictors of actual mental health diagnoses. The objective of this longitudinal investigation was to identify predictors of psychiatric disorders among Marines who deployed to combat in Iraq and Afghanistan. The study sample consisted of 1113 Marines who had deployed to Iraq or Afghanistan. Demographic and psychosocial predictor variables from a survey that all Marines in the sample had completed were studied in relation to subsequent psychiatric diagnoses. Univariate and multivariate logistic regression were used to determine the influence of the predictors on the occurrence of psychiatric disorders. In a sample of Marines with no previous psychiatric disorder diagnoses, 18% were diagnosed with a new-onset psychiatric disorder. Adjusting for other variables, the strongest predictors of overall psychiatric disorders were female gender, mild traumatic brain injury symptoms, and satisfaction with leadership. Service members who expressed greater satisfaction with leadership were about half as likely to develop a mental disorder as those who were not satisfied. Unique predictors of specific types of mental disorders were also identified. Overall, the study’s most relevant result was that two potentially modifiable factors, low satisfaction with leadership and low organizational commitment, predicted mental disorder diagnoses in a military sample. Additional research should aim to clarify the nature and impact of these factors on combatant mental health.