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Prevalence and correlates of mental health problems in Canadian Forces personnel who deployed in support of the mission in Afghanistan: findings from postdeployment screenings, 2009-2012.
Can J Psychiatry. 2014 Jun; 59(6):319-26.CJ

Abstract

OBJECTIVE

An important minority of military personnel will experience mental health problems after overseas deployments. Our study sought to describe the prevalence and correlates of postdeployment mental health problems in Canadian Forces personnel.

METHOD

Subjects were 16 193 personnel who completed postdeployment screening after return from deployment in support of the mission in Afghanistan. Screening involved a detailed questionnaire and a 40-minute, semi-structured interview with a mental health clinician. Mental health problems were assessed using the Patient Health Questionnaire and the Posttraumatic Stress Disorder Checklist-Civilian Version. Logistic regression was used to explore independent risk factors for 1 or more of 6 postdeployment mental health problems.

RESULTS

Symptoms of 1 or more of 6 mental health problems were seen in 10.2% of people screened; the most prevalent symptoms were those of major depressive disorder (3.2%), minor depression (3.3%), and posttraumatic stress disorder (2.8%). The strongest risk factors for postdeployment mental health problems were past mental health care (adjusted odds ratio [AOR] 2.89) and heavy combat exposure (AOR 2.57 for third tertile, compared with first tertile). These risk groups might be targeted in prevention and control efforts. In contrast to findings from elsewhere, Reservist status, deployment duration, and number of previous deployments had no relation with mental health problems.

CONCLUSIONS

An important minority of personnel will disclose symptoms of mental health problems during postdeployment screening. Differences in risk factors seen in different nations highlight the need for caution in applying the results of research in one population to another.

Authors+Show Affiliations

Head, Deployment Health Section, Directorate of Mental Health, Department of National Defence, Ottawa, Ontario.Biostatistician, Directorate of Mental Health, Department of National Defence, Ottawa, Ontario.Deployment Health Research and Education, Directorate of Mental Health, Department of National Defence, Ottawa, Ontario.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25007406

Citation

Zamorski, Mark A., et al. "Prevalence and Correlates of Mental Health Problems in Canadian Forces Personnel Who Deployed in Support of the Mission in Afghanistan: Findings From Postdeployment Screenings, 2009-2012." Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, vol. 59, no. 6, 2014, pp. 319-26.
Zamorski MA, Rusu C, Garber BG. Prevalence and correlates of mental health problems in Canadian Forces personnel who deployed in support of the mission in Afghanistan: findings from postdeployment screenings, 2009-2012. Can J Psychiatry. 2014;59(6):319-26.
Zamorski, M. A., Rusu, C., & Garber, B. G. (2014). Prevalence and correlates of mental health problems in Canadian Forces personnel who deployed in support of the mission in Afghanistan: findings from postdeployment screenings, 2009-2012. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 59(6), 319-26.
Zamorski MA, Rusu C, Garber BG. Prevalence and Correlates of Mental Health Problems in Canadian Forces Personnel Who Deployed in Support of the Mission in Afghanistan: Findings From Postdeployment Screenings, 2009-2012. Can J Psychiatry. 2014;59(6):319-26. PubMed PMID: 25007406.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and correlates of mental health problems in Canadian Forces personnel who deployed in support of the mission in Afghanistan: findings from postdeployment screenings, 2009-2012. AU - Zamorski,Mark A, AU - Rusu,Corneliu, AU - Garber,Bryan G, PY - 2013/10/01/received PY - 2014/01/01/accepted PY - 2014/7/10/entrez PY - 2014/7/10/pubmed PY - 2014/9/5/medline SP - 319 EP - 26 JF - Canadian journal of psychiatry. Revue canadienne de psychiatrie JO - Can J Psychiatry VL - 59 IS - 6 N2 - OBJECTIVE: An important minority of military personnel will experience mental health problems after overseas deployments. Our study sought to describe the prevalence and correlates of postdeployment mental health problems in Canadian Forces personnel. METHOD: Subjects were 16 193 personnel who completed postdeployment screening after return from deployment in support of the mission in Afghanistan. Screening involved a detailed questionnaire and a 40-minute, semi-structured interview with a mental health clinician. Mental health problems were assessed using the Patient Health Questionnaire and the Posttraumatic Stress Disorder Checklist-Civilian Version. Logistic regression was used to explore independent risk factors for 1 or more of 6 postdeployment mental health problems. RESULTS: Symptoms of 1 or more of 6 mental health problems were seen in 10.2% of people screened; the most prevalent symptoms were those of major depressive disorder (3.2%), minor depression (3.3%), and posttraumatic stress disorder (2.8%). The strongest risk factors for postdeployment mental health problems were past mental health care (adjusted odds ratio [AOR] 2.89) and heavy combat exposure (AOR 2.57 for third tertile, compared with first tertile). These risk groups might be targeted in prevention and control efforts. In contrast to findings from elsewhere, Reservist status, deployment duration, and number of previous deployments had no relation with mental health problems. CONCLUSIONS: An important minority of personnel will disclose symptoms of mental health problems during postdeployment screening. Differences in risk factors seen in different nations highlight the need for caution in applying the results of research in one population to another. SN - 0706-7437 UR - https://www.unboundmedicine.com/medline/citation/25007406/Prevalence_and_correlates_of_mental_health_problems_in_Canadian_Forces_personnel_who_deployed_in_support_of_the_mission_in_Afghanistan:_findings_from_postdeployment_screenings_2009_2012_ L2 - http://journals.sagepub.com/doi/full/10.1177/070674371405900605?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -