Mental Disorders Among U.S. Military Personnel in the 1990s: Association With High Levels of Health Care Utilization and Early Military Attrition

Hoge, Charles W.; Lesikar, Sandra E.; Guevara, Ramon E.; Lange, Jeffrey L.; Brundage, John F.; Engel, Charles C.; Messer, Stephen Craig; Orman, David T.

doi:10.1176/appi.ajp.159.9.1576

Cited by 251 publications

(176 citation statements)

References 34 publications

Supporting

Mentioning

164

Contrasting

Order By: Relevance

“…It is also possible that individuals diagnosed with nondependent abuse of drugs and other mental disorders feel a certain degree of social stigmatization and prefer not to share their health information with strangers. For example, Hoge et al documented that some military members are likely to avoid seeking health care for mental disorders due to perceived concerns over the social stigmatization and the possible adverse impact mental disorder diagnoses may have on careers [29,30]. It is also plausible that those with adjustment reactions felt overwhelmed at the time of invitation and felt that they were unable to add additional responsibilities, such as committing to a 21-year follow-up, thus making them less likely to respond.…”

Section: Discussionmentioning

confidence: 99%

Prior health care utilization as a potential determinant of enrollment in a 21-year prospective study, the Millennium Cohort Study

et al. 2008

View full text Add to dashboard Cite

Results obtained from self-reported health data may be biased if those being surveyed respond differently based on health status. This study was conducted to investigate if health, as measured by health care use preceding invitation, influenced response to invitation to a 21-year prospective study, the Millennium Cohort Study. Inpatient and outpatient diagnoses were identified among more than 68,000 people during a one-year period prior to invitation to enroll. Multivariable logistic regression defined how diagnoses were associated with response. Days spent hospitalized or in outpatient care were also compared between responders and nonresponders. Adjusted odds of response to the questionnaire were similar over a diverse range of inpatient and outpatient diagnostic categories during the year prior to enrollment. The number of days hospitalized or accessing outpatient care was very similar between responders and nonresponders. Study findings demonstrate that, although there are some small differences between responders and nonresponders, prior health care use did not affect response to the Millennium Cohort Study, and it is unlikely that future study findings will be biased by differential response due to health status prior to enrollment invitation.

show abstract

Section: Discussionmentioning

confidence: 99%

Prior health care utilization as a potential determinant of enrollment in a 21-year prospective study, the Millennium Cohort Study

et al. 2008

View full text Add to dashboard Cite

show abstract

“…There are several factors unique to the Armed Forces that affect confidentiality and trust, such as the apparent stigma within some Units of reporting to 'sick parade', and the integrity and confidentiality within the chain of command. 18 We are currently facing a general lack of confidence in public institutions as a whole, and that includes both medicine and the Armed Forces. 3,19,20 As O'Neill stated, whether mistrust is well founded or not, it has a debilitating impact on society.…”

Section: Discussionmentioning

confidence: 99%

Screening for physical and psychological illness in the British Armed Forces: II: Barriers to screening – learning from the opinions of Service personnel

et al. 2004

View full text Add to dashboard Cite

Objective: To identify any potential barriers to the effectiveness of a military health screening programme based on the beliefs of British Service personnel. Methods:As part of a pilot evaluation of the suitability of a new health screening questionnaire for the British Armed Forces, 73 men and women from the three Services, of various ranks and age, underwent a semi-structured interview after completing a screening questionnaire. Participants were asked about the veracity of their answers and their views regarding a screening questionnaire. Afterwards questionnaires were sent to 4496 randomly selected personnel from the three Services, which validated the main emerging themes. A constant comparative method of analysis was used to identify and categorise all ideas presented. Results:The main barriers to health screening were lack of trust, perceived low quality of healthcare, and perceived lack of concern within the institution about work environments and home life. The central issue was 'confidence' in military health care provision. Screening was considered worthwhile, but many confided that they would not honestly answer some items in the questionnaire. Lack of trust in medical confidentiality, stigmatisation and fears that the process would jeopardise career prospects were stressed. Many Service personnel admitted to seeking medical help outside the Armed Forces. Conclusions:Concerns raised by Service personnel may endanger the value of a screening programme and the provision of health services. Greater emphasis needs to be placed upon gaining the confidence of those targeted for health screening.

show abstract

“…[1][2][3][4][5][6][7][8] One study that was conducted just before the military operations in Iraq and Afghanistan began found that at least 6 percent of all U.S. military service members on active duty receive treatment for a mental disorder each year. 9 Given the ongoing military operations in Iraq and Afghanistan, mental disorders are likely to remain an important health care concern among those serving there.…”

mentioning

confidence: 99%

Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care

et al. 2004

Self Cite

View full text Add to dashboard Cite

Mental Disorders Among U.S. Military Personnel in the 1990s: Association With High Levels of Health Care Utilization and Early Military Attrition

Abstract: Mental disorders appear to represent the most important source of medical and occupational morbidity among active-duty U.S. military personnel. These findings provide new population-based evidence that mental disorders are common, disabling, and costly to society.

Cited by 251 publications

References 34 publications

Prior health care utilization as a potential determinant of enrollment in a 21-year prospective study, the Millennium Cohort Study

Prior health care utilization as a potential determinant of enrollment in a 21-year prospective study, the Millennium Cohort Study

Screening for physical and psychological illness in the British Armed Forces: II: Barriers to screening – learning from the opinions of Service personnel

Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care

Contact Info

Product

Resources

About