Depression among military spouses: Demographic, military, and service member psychological health risk factors

Donoho, Carrie J.; LeardMann, Cynthia A.; O'Malley, Christopher A.; Walter, Kristen H.; Riviere, Lyndon A.; Curry, John F.; Adler, Amy B.

doi:10.1002/da.22820

Cited by 31 publications

(34 citation statements)

References 39 publications

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“…Rather than two trajectories (chronicity and recovery) describing individuals with high symptoms, the current study identified four different trajectories of change among individuals with probable comorbid PTSD/MDD. Additionally, even for trajectories that are similar to those found previously (i.e., chronic and gradual recovery trajectories), the level of symptoms reported in the current study was higher than in prior studies [19–21]. This suggests poorer prognoses of individuals with probable comorbid PTSD/MDD.…”

Section: Discussionsupporting

confidence: 49%

“…Resilience is the most common trajectory, particularly among military members. Previous studies have found fewer than 20% of service members categorized in all other trajectories combined [19–21]. Results from these previous studies, which include such a large proportion of resilient individuals, may mask important heterogeneity among individuals with high symptomatology.…”

Section: Introductionmentioning

confidence: 98%

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Longitudinal trajectories of comorbid PTSD and depression symptoms among U.S. service members and veterans

et al. 2019

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BackgroundPosttraumatic stress disorder (PTSD) often co-occurs with other psychiatric disorders, particularly major depressive disorder (MDD). The current study examined longitudinal trajectories of PTSD and MDD symptoms among service members and veterans with comorbid PTSD/MDD.MethodsEligible participants (n = 1704) for the Millennium Cohort Study included those who screened positive at baseline for both PTSD (PTSD Checklist–Civilian Version) and MDD (Patient Health Questionnaire). Between 2001 and 2016, participants completed a baseline assessment and up to 4 follow-up assessments approximately every 3 years. Mixture modeling simultaneously determined trajectories of comorbid PTSD and MDD symptoms. Multinomial regression determined factors associated with latent class membership.ResultsFour distinct classes (chronic, relapse, gradual recovery, and rapid recovery) described symptom trajectories of PTSD/MDD. Membership in the chronic class was associated with older age, service branch, deployment with combat, anxiety, physical assault, disabling injury/illness, bodily pain, high levels of somatic symptoms, and less social support.ConclusionsComorbid PTSD/MDD symptoms tend to move in tandem, and, although the largest class remitted symptoms, almost 25% of participants reported chronic comorbid symptoms across all time points. Results highlight the need to assess comorbid conditions in the context of PTSD. Future research should further evaluate the chronicity of comorbid symptoms over time.

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Section: Discussionsupporting

confidence: 49%

Section: Introductionmentioning

confidence: 98%

Longitudinal trajectories of comorbid PTSD and depression symptoms among U.S. service members and veterans

et al. 2019

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“…Our finding that WZV depression increased risk of mental disorders among partners aligns with research demonstrating associations between partner and WZV anxious/depressive disorders (e.g., Toomey et al, 2019). In contrast, PTSD experienced by the WZV was not associated with partner mental health, which differs from research indicating significant associations between PTSD and a range of negative partner mental health outcomes (e.g., Donoho et al, 2018; Manguno‐Mire et al, 2007). Though most research examining WZV mental health has focused on the burden of PTSD, as opposed to depression, on partner mental health, prior work suggests that PTSD symptoms overlapping with dysphoria may explain the greatest variance in negative relationship outcomes (e.g., Erbes, Meis, Polusny, & Compton, 2011).…”

Section: Discussioncontrasting

confidence: 99%

Associations of warzone veteran mental health with partner mental health and family functioning: Family Foundations Study

et al. 2020

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Introduction Warzone participation is associated with increased risk of stress‐related psychopathology, including posttraumatic stress disorder (PTSD) and depression. Prior research suggests that the mental health of spouses of warzone veterans (WZVs) is linked to that of their partners. Additionally, PTSD among WZVs has been associated with marital dysfunction. Less is known about the effects of depression among WZVs on partner mental health and family relationships. We sought in this study to examine associations between WZV PTSD and depression and partner mental health and relationship outcomes. Methods Using a nationally dispersed sample of Iraq and Afghanistan veterans and their married and unmarried intimate partners, 245 dyads completed structured psychiatric interviews and psychometric surveys assessing family functioning and relationship aggression. Results Adjusted regression analyses indicated that depression among WZVs was associated with partner depression and anxiety disorders. WZV PTSD and depression were also associated with partner‐reported relationship dysfunction, dissatisfaction, and communication issues, and higher rates of intimate partner aggression victimization and perpetration. Conclusions Mental health consequences of war extend beyond WZVs to the mental health of their intimate partners and their relationships with intimate partners.

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“…However, our study population consists of military service members and their dependents, which may differ from the general population. This population is associated with higher rates of mental disorders, including posttraumatic stress disorder, major depressive disorder, bipolar disorder, memory impairment, and generalized anxiety disorder [31][32][33]. This setting may have allowed us to identify differences between the cohorts that would otherwise have remained undetected.…”

Section: Discussionmentioning

confidence: 99%

Risk of Dementia and Depression in Young and Middle-aged Men Presenting with Nonmetastatic Prostate Cancer Treated with Androgen Deprivation Therapy

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Nguyen

Herzog

et al. 2021

European Urology Oncology

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Depression among military spouses: Demographic, military, and service member psychological health risk factors

Cited by 31 publications

References 39 publications

Longitudinal trajectories of comorbid PTSD and depression symptoms among U.S. service members and veterans

Longitudinal trajectories of comorbid PTSD and depression symptoms among U.S. service members and veterans

Associations of warzone veteran mental health with partner mental health and family functioning: Family Foundations Study

Risk of Dementia and Depression in Young and Middle-aged Men Presenting with Nonmetastatic Prostate Cancer Treated with Androgen Deprivation Therapy

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