Preventing Psychological Disorders in Service Members and Their Families: An Assessment of Programs

Denning, Laura Aiuppa; Meisnere, Marc; Warner, Kenneth E.; Mental, Prevention Programs for; Families, Their

doi:10.7205/milmed-d-14-00360

Cited by 20 publications

(2 citation statements)

References 241 publications

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“…Although a vast number of prevention, reintegration, and resiliency programs exist to promote mental health among service members, a 2014 Institute of Medicine (IOM) report concluded that many of these programs and screening tools are based on insufficient evidence and lack validated measures [4]. It is also suggested that service members feel uncomfortable reporting depression and are reluctant to seek medical care due to the belief that treatment will negatively impact their career path [5, 6].…”

Section: Introductionmentioning

confidence: 99%

The relationship between vitamin D status and depression in a tactical athlete population

Schaad

Bukhari

Brooks

et al. 2019

Journal of the International Society of Sports Nutrition

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Background Stressors inherent to the military, such as combat exposure, separation from family, and strenuous training, collectively contribute to compromised psychological resilience and greatly impact military performance. Methods This retrospective review of records was conducted to determine whether vitamin D status was associated with diagnoses of depression and if diagnoses differed by geographic location. Results Depression (defined using diagnostic codes) was more prevalent in individuals who were diagnosed with vitamin D deficiency (20.4%) than in individuals who were not (4.2%). After adjustment, vitamin D deficient diagnoses remained significantly associated with depression diagnoses (OR = 1.22; 95% CI, 1.11–1.33, p < 0.001). Furthermore, vitamin D deficient diagnoses were strongly associated with geographic latitude (r2 = 0.92, p = 0.002). Conclusion These results suggest that service members stationed at installations located at northerly latitudes may be at increased risk for vitamin D deficiency. Furthermore, vitamin D deficient service members may be at higher risk for diagnosis of depression. As a number of military service members avoid reporting symptoms or seeking treatment, vitamin D status may be a useful screening tool to identify service members at risk for depression.

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Section: Introductionmentioning

confidence: 99%

The relationship between vitamin D status and depression in a tactical athlete population

Schaad

Bukhari

Brooks

et al. 2019

Journal of the International Society of Sports Nutrition

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“…Few data are publicly available to evaluate the effectiveness of military preaccession screening procedures. However, a review by the Institute of Medicine (Denning, Meisnere, & Warner, 2014) noted that nonvalidated procedures in use for preaccession screening had limited effectiveness and various studies have found psychiatric disorder to be a leading cause of early attrition from military service including discharge during basic training (Hoge et al, 2002, 2003; Niebuhr, Powers, Krauss, Cuda, & Johnson, 2006). These findings occur within a context that most psychiatric disorders among military members have an onset that predates their enlistment (Gadermann et al, 2012; Kessler et al, 2014), suggesting that service members diagnosed with BPD during military service likely entered the military with BPD or a co-occurring psychiatric disorder.…”

mentioning

confidence: 99%

Borderline personality disorder and self-directed violence in a sample of suicidal army soldiers.

Fruhbauerova¹,

DeCou²,

Crow³

et al. 2021

Psychological Services

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There has been a sharp increase in the military suicide rates in 2004. While, borderline personality disorder (BPD) has a stronger association with suicide attempts than any other mental health disorder, there is limited evidence concerning the prevalence and scope of BPD symptoms among military personnel. This secondary data analysis compared active duty suicidal soldiers to characterize the presence-absence of BPD diagnostic criteria and lifetime history of self-directed violence in a suicidal military sample. The current study examined data of 137 active Service Members with significant suicidal ideation. Approximately one-quarter of the soldiers in this sample met full diagnostic criteria for BPD. The presence of BPD criteria was generally consistent among participants with BPD who reported past self-directed violence relative to those who did not. The number of BPD criteria was a significant predictor of the odds of reporting any nonsuicidal self-injury (NSSI) as well as the amount of NSSI, but was not associated with suicide attempt. This study demonstrated that a nontrivial proportion of suicidal soldiers meet criteria for this condition, which is strongly associated with self-directed violence. It is important to rigorously assess for the presence-absence of BPD criteria among suicidal military personnel and cultivate prevention strategies and treatment options for BPD.

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Erratum to: Do the Military’s Frontline Psychiatry/Combat and Operational Stress Control Doctrine Help or Harm Veterans?—Part one: Framing the Issue

Russell

Figley

2017

Psychol. Inj. and Law

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Preventing Psychological Disorders in Service Members and Their Families: An Assessment of Programs

Cited by 20 publications

References 241 publications

The relationship between vitamin D status and depression in a tactical athlete population

The relationship between vitamin D status and depression in a tactical athlete population

Borderline personality disorder and self-directed violence in a sample of suicidal army soldiers.

Erratum to: Do the Military’s Frontline Psychiatry/Combat and Operational Stress Control Doctrine Help or Harm Veterans?—Part one: Framing the Issue

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