Accession Number : ADA562852


Title :   A Comparison of Mental Health Outcomes in Persons Entering U.S. Military Service Before and After September 11, 2001


Descriptive Note : Journal article


Corporate Author : NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA


Personal Author(s) : Wells, Timothy S ; Ryan, Margaret A ; Jones, Kelly A ; Hooper, Tomoko I ; Boyko, Edward J ; Jacobson, Isabel G ; Smith, Tyler C ; Gackstetter, Gary D


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a562852.pdf


Report Date : Feb 2012


Pagination or Media Count : 10


Abstract : Background. After September 11, 2001, the United States entered into extended operations in Iraq and Afghanistan. Individuals joining the military in the post-September 11 era committed to potential prolonged and repeated deployments. It has been hypothesized that those who entered military service in the pre-September 11 era might have expectations incongruent with their subsequent experiences, and this may increase their risk for mental disorders. Methods. A subset of Millennium Cohort members who joined the military during 1995-1999 were compared with a subset of Millennium Cohort members who joined the military in 2002 or later. Outcomes included new-onset posttraumatic stress disorder (PTSD), depression, panic/anxiety disorders, and alcohol-related problems. Multivariable methods were adjusted for differences in demographic and military characteristics. Findings. Those who entered service in the pre-September 11 era had slightly lower odds of new-onset PTSD (odds ratio 0.74, 95% confidence interval 0.59-0.93) compared with the post-September 11 cohort. There were no statistically significant differences in rates of new-onset depression, panic/anxiety disorders, or alcohol-related problems between the groups. Interpretation. The cohort who entered military service in the pre-September 11 era did not experience higher rates of newonset mental disorders when compared with the cohort who entered service after September 11, 2001.


Descriptors :   *HEALTH , *MILITARY FORCES(UNITED STATES) , *POST TRAUMATIC STRESS DISORDER , *STRESS(PSYCHOLOGY) , ALCOHOLISM , COMPARISON , DEPRESSION , MENTAL DISORDERS , MILITARY PERSONNEL , MULTIVARIATE ANALYSIS , TRAUMA , UNITED STATES


Subject Categories : Psychology
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE