The Psychosocial Effects of Combat: The Frequently Unseen Injury

Gaylord, Kathryn M.

doi:10.1016/j.ccell.2006.05.010

Cited by 27 publications

(16 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, deployed men and women without combat exposures were significantly less likely to develop depression than were nondeployed men and women. This finding may suggest that individuals who are healthier and at less risk for depression are more likely to deploy and, thus, mitigate stress-related effects of deployment [57][58][59][60] among men and women who do not face combat exposures. In other words, deployment with low probability of exposure to combat (or the effects of combat, such as being in the line of fire or handling casualties, prisoners, or treating the wounded) may not be significantly stressful to the majority of US service members.…”

Section: Discussionmentioning

confidence: 85%

A Prospective Study of Depression Following Combat Deployment in Support of the Wars in Iraq and Afghanistan

et al. 2010

View full text Add to dashboard Cite

Objective. We investigated relations between deployment and new-onset depression among US service members recently deployed to the wars in Iraq and Afghanistan. Methods. We included 40 219 Millennium Cohort Study participants who completed baseline and follow-up questionnaires and met inclusion criteria. Participants were identified with depression if they met the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire criteria for depression at follow-up, but not at baseline. Results. Deployed men and women with combat exposures had the highest onset of depression, followed by those not deployed and those deployed without combat exposures. Combat-deployed men and women were at increased risk for new-onset depression compared with nondeployed men and women (men: adjusted odds ratio [AOR] = 1.32; 95% confidence interval [CI] = 1.13, 1.54; women: AOR = 2.13; 95% CI = 1.70, 2.65). Conversely, deployment without combat exposures led to decreased risk for new-onset depression compared with those who did not deploy (men: AOR = 0.66; 95% CI = 0.53, 0.83; women: AOR = 0.65; 95% CI = 0.47, 0.89). Conclusions. Deployment with combat exposures is a risk factor for new-onset depression among US service members. Post-deployment screening may be beneficial for US service members exposed to combat.

show abstract

Section: Discussionmentioning

confidence: 85%

A Prospective Study of Depression Following Combat Deployment in Support of the Wars in Iraq and Afghanistan

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Descriptions of wartime nursing have been limited since the Vietnam War. Since the first Gulf War, the literature reflects some research that has been directed towards delineating the numbers and types of casualties; 8–10 preparation for deployment; 11,12 health and readiness of deploying troops; 13 nursing roles; 14,15 treatment approaches in field operations, 16–18 and some postdeployment assessments of injuries and stress reactions 19–27 …”

Section: Literature Reviewmentioning

confidence: 99%

Army nursing practice challenges in humanitarian and wartime missions

Agazio

2010

Int J of Nursing Practice

View full text Add to dashboard Cite

The research question guiding this study was: What are the nursing practice challenges for Army nurses in military operations other than war (MOOTW), or humanitarian missions and wartime? Using a descriptive qualitative design, 75 Army Nurse Corps officers with deployment experience participated in a focused interview either in person or by telephone. Deployment locations included Bosnia, Honduras, Iraq, Afghanistan and other worldwide locations. Nurses recounted challenges and adjustments made to deliver high quality patient care to soldiers and civilian casualties especially for multi-level traumatic injuries. Specialized skill sets and personal adaptation were necessary for practice under austere conditions in these environments. By understanding the practice of nursing in MOOTW and wartime, nurses can best prepare and train to effectively function and care for patients in these challenging settings.

show abstract

“…In fact, an estimated 14% of the global disease burden has been attributed to mental health disorders (3), and this figure is likely to be an underestimate as it fails to take into consideration the association between mental health and other health conditions (4). Populations who have been exposed to traumatic events, such as war veterans, have an even higher prevalence of Major Depressive Disorder (MDD) and Generalised Anxiety Disorder (GAD) (5)(6)(7). For example, soldiers assessed a few months after returning from deployment to Afghanistan and Iraq had a GAD prevalence of around 14% and 15%, respectively, and prevalence of MDD of around 17% and 16% (8).…”

mentioning

confidence: 99%