Incidences of anxiety disorders among active duty service members between 1999 and 2018

Russell, Patricia; Judkins, Jason L.; Blessing, Alexis; Moore, Brian A.; Morissette, Sandra B.

doi:10.1016/j.janxdis.2022.102608

Cited by 6 publications

(3 citation statements)

References 47 publications

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“…Our small sample size also limited our ability to control for potentially confounding baseline differences. More people in the group with anxiety had miliary insurance, for example, which may be associated with other baseline differences such as pain related to injuries obtained while in the military and also a myriad of psychological conditions including anxiety [28]. Intraamniotic infection may also impact anxiety as it is an unanticipated new diagnosis that typically occurs intrapartum, which could potentially provoke anxiety although publications supporting this potential could not be identified.…”

Section: Discussionmentioning

confidence: 99%

Assessment of In-Hospital Pain Control after Childbirth and Its Correlation with Anxiety in the Postpartum Period: A Cross-Sectional Study at a Single Center in the USA

et al. 2022

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Anxiety is common during the antepartum, intrapartum, and postpartum period. While the relationship between obstetric pain and depression is well characterized, there are few publications examining the relationship between obstetric pain and anxiety. Our objective was to characterize the association, if any, between postpartum pain and anxiety. This was a survey-based cross-sectional study. The general anxiety disorder (GAD)-7 and American Pain Society patient outcome questionnaire (APS-POQ) were completed by 64 postpartum participants at hospital discharge. Associations between anxiety and pain control were assessed. Participants with moderate to severe scores (greater or equal to 10) on the GAD-7 had more maximum pain scores (0 to 10 scale) in the severe range (greater or equal to 7) in the first (p = 0.049) and second (p = 0.010) 24 h periods after delivery and were more likely to have spent more time in severe pain within these time frames (p = 0.007 and p = 0.010, respectively). Similar relationships were observed when classifying anxiety ordinally. In conclusion, higher postpartum pain scores were associated with greater anxiety in the postpartum period.

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Section: Discussionmentioning

confidence: 99%

Assessment of In-Hospital Pain Control after Childbirth and Its Correlation with Anxiety in the Postpartum Period: A Cross-Sectional Study at a Single Center in the USA

et al. 2022

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“…Among the 456,293 active component service members who were diagnosed with at least one mental health disorder from 2016 to 2020, anxiety disorders accounted for 6.7 percent of those diagnoses (Armed Forces Health Surveillance Division, 2021). Incidence rates of anxiety disorders per 1,000 active-duty service members increased from 1999 to 2018 and ranged from 0.01 to 23.7 (Russell et al, 2022). We propose one outcome measure that assesses response to treatment for anxiety.…”

Section: Anxiety Outcome Quality Measurementioning

confidence: 99%

Using Quality Measures and Measurement-Based Care to Improve Behavioral Health Care for Veterans and Service Members

2023

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Using Quality Measures and Measurement-Based Care to Improve Behavioral Health Care for Veterans and Service Members C ommunity-based organizations that provide behavioral health (BH) care to veterans, service members, and their families in the community need to ensure that the care being delivered is high-quality and effective, and that it aligns with recommended care. Although these organizations can provide needed services, they may not systematically evaluate the quality and the impact of the care provided. The aim of this report is to introduce two related but distinct approaches to assessing and improving BH care: using quality measures and measurement-based care (MBC).Using quality measures is an organizational process in which measures are used to assess capacity to provide care, determine whether the care delivered to patients was consistent with care recommendations outlined in clinical practice guidelines (CPGs), and assess whether those patients improved. CPGs are summaries of recommendations of how to diagnose

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“…For example, while much of the current research focuses on PTSD diagnoses, many veterans also struggle with depression and anxiety. Studies estimate that 9.6% of veterans struggle with and receive a diagnosis of depression (Liu et al, 2019) and the prevalence of diagnosed anxiety disorder incidence rates varies widely from 0.01 to 23.7 per 1,000 service members (Russell et al, 2022). Differential diagnoses will highlight different aspects of PTSD symptom presentation and require different treatment modalities to avoid being ineffective or exacerbating the comorbid symptoms.…”

Section: Introductionmentioning

confidence: 99%

Posttraumatic growth-oriented peer-based training among U.S. veterans: evaluation of post-intervention and long-term follow-up outcomes

Rhodes,

Tedeschi,

Moore

et al. 2024

Front. Psychol.

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IntroductionExposure to trauma among U.S. military veterans occurs at a high rate, often resulting in continued difficulty with emotional adjustment and a diagnosis of posttraumatic stress disorder (PTSD). The present study provides data from 184 U.S. military veterans who completed a manualized posttraumatic-growth oriented training program during an integrative seven-day retreat.MethodsData was collected at baseline, after program completion, and at 18-month follow-up.ResultsResults on primary outcomes indicated significant increases, with medium to large effect sizes, in growth related outcomes. Specifically, there was a significant increase in scores by 54% on the posttraumatic growth outcome measure (PTGI-X) from baseline (M = 50.2, SD = 31.1) to endpoint (M = 77.4, SD = 29.6), t(183) = −8.78, p < 0.001. Also, results indicate that immediately following training (Day 7), participants reported a significant decrease of 49% on the PCL-5 from baseline (M = 39.7, SD = 17.6) to endpoint (M = 20.1, SD = 13.2), t(183) = 11.75, p < 0.001. Depression subscale scores decreased by 60% from baseline (M = 8.0, SD = 5.2) to endpoint (M = 3.2, SD = 3.0), t(183) = 10.68, p < 0.001; Anxiety scores decreased by 28% from baseline (M = 5.8, SD = 4.3) to endpoint (M = 4.2, SD = 3.5), t(183) = 4.08, p < 0.001; and Stress scores decreased by 50% from baseline (M = 10.0, SD = 4.4) to endpoint (M = 5.0, SD = 3.3), t(183) = 12.21, p < 0.001. Eighteen-month follow-up data was available for 74 participants and indicated that all significant changes in growth-related outcomes were maintained. Further, all significant changes in symptomatology-related outcomes were also maintained at follow-up.DiscussionThese findings demonstrate both the immediate and the long-lasting impact of an integrative posttraumatic growth-oriented training program on psychological growth and PTSD symptom reduction among U.S. military veterans.

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Incidences of anxiety disorders among active duty service members between 1999 and 2018

Cited by 6 publications

References 47 publications

Assessment of In-Hospital Pain Control after Childbirth and Its Correlation with Anxiety in the Postpartum Period: A Cross-Sectional Study at a Single Center in the USA

Assessment of In-Hospital Pain Control after Childbirth and Its Correlation with Anxiety in the Postpartum Period: A Cross-Sectional Study at a Single Center in the USA

Using Quality Measures and Measurement-Based Care to Improve Behavioral Health Care for Veterans and Service Members

Posttraumatic growth-oriented peer-based training among U.S. veterans: evaluation of post-intervention and long-term follow-up outcomes

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