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2015 ; 32
(1
): 13-24
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English Wikipedia
Lifetime prevalence of DSM-IV mental disorders among new soldiers in the U S
Army: results from the Army Study to Assess Risk and Resilience in Servicemembers
(Army STARRS)
#MMPMID25338841
Rosellini AJ
; Heeringa SG
; Stein MB
; Ursano RJ
; Chiu WT
; Colpe LJ
; Fullerton CS
; Gilman SE
; Hwang I
; Naifeh JA
; Nock MK
; Petukhova M
; Sampson NA
; Schoenbaum M
; Zaslavsky AM
; Kessler RC
Depress Anxiety
2015[Jan]; 32
(1
): 13-24
PMID25338841
show ga
BACKGROUND: The 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. METHODS: The 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. RESULTS: Lifetime 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.
CONCLUSIONS: New 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.
|*Diagnostic and Statistical Manual of Mental Disorders
[MESH]