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. 2015 Jan;32(1):13-24.
doi: 10.1002/da.22316. Epub 2014 Oct 22.

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)

Anthony J Rosellini  1 , Steven G Heeringa, Murray B Stein, Robert J Ursano, Wai Tat Chiu, Lisa J Colpe, Carol S Fullerton, Stephen E Gilman, Irving Hwang, James A Naifeh, Matthew K Nock, Maria Petukhova, Nancy A Sampson, Michael Schoenbaum, Alan M Zaslavsky, Ronald C Kessler
Affiliations

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)

Anthony J Rosellini et al. Depress Anxiety. 2015 Jan.

Abstract

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.

Keywords: demographics; epidemiology; mental disorders; military personnel; prevalence.

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References

    1. Army Medical Surveillance Activity. Relative burdens of selected illinesses and injuries, US Armed Forces, 2001. MSMR. 2002;8:24–28.
    1. Hoerster KD, Lehavot K, Simpson T, McFall M, Reiber G, Nelson KM. Health and health behavior differences: U.S. Military, veteran, and civilian men. Am J Prev Med. 2012;43:483–489. - PubMed
    1. Kessler RC, Colpe LJ, Fullerton CS, Gebler N, Naifeh JA, Nock MK, Sampson NA, Schoenbaum M, Zaslavsky AM, Stein MB, et al. Design of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) Int J Methods Psychiatr Res. 2013;22:267–275. - PMC - PubMed
    1. Ursano RJ, Colpe LJ, Heeringa SG, Kessler RC, Schoenbaum M, Stein MB. The Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) Psychiatry. 2014;77:107–119. - PMC - PubMed
    1. Kessler RC, Heeringa SG, Stein MB, Colpe LJ, Fullerton CS, Hwang I, Naifeh JA, Nock MK, Petukhova M, Sampson NA, et al. Thirty-day prevalence of DSM-IV mental disorders among nondeployed soldiers in the US Army: results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) JAMA Psychiatry. 2014;71:504–513. - PMC - PubMed

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