海湾战争军事部署是美国军队精神疾病的一个风险因素。
Military deployment to the Gulf War as a risk factor for psychiatric illness among US troops.
作者信息
Fiedler Nancy, Ozakinci Gozde, Hallman William, Wartenberg Daniel, Brewer Noel T, Barrett Drue H, Kipen Howard M
机构信息
Department of Environmental and Occupational Medicine and Dentistry of New Jersey, UMDNJ-Robert Wood Johnson Medical School, 170 Frelinghuysen Road, Piscataway, NJ 08854, USA.
出版信息
Br J Psychiatry. 2006 May;188:453-9. doi: 10.1192/bjp.188.5.453.
BACKGROUND
Several studies document an excess of psychiatric symptoms among veterans of the the 1991 Gulf War. However, little is known about the prevalence of psychiatric disorders in those who were deployed to that conflict.
AIMS
To compare the 12-month prevalence and associated risk factors for DSM Axis I psychiatric diagnoses between random samples of Gulf War-deployed veterans and veterans of the same era not deployed to the Persian Gulf (era veterans).
METHOD
Interview data from 967 Gulf War veterans and 784 era veterans were examined to determine current health status, medical conditions, symptoms and Axis I psychiatric disorders. Logistic regression models evaluated risk factors for psychiatric disorder.
RESULTS
Gulf War veterans had a significantly higher prevalence of psychiatric diagnoses, with twice the prevalence of anxiety disorders and depression. Lower rank, female gender and divorced or single marital status were significant independent predictors of psychiatric disorder.
CONCLUSIONS
Deployment to the Gulf War is associated with a range of mental health outcomes more than 10 years after deployment.
背景
多项研究记录了1991年海湾战争退伍军人中存在过多的精神症状。然而，对于被部署到那场冲突中的人员的精神障碍患病率知之甚少。
目的
比较随机抽取的海湾战争退伍军人样本与同一时期未被部署到波斯湾的退伍军人（同期退伍军人）之间，DSM轴I精神疾病诊断的12个月患病率及相关危险因素。
方法
对967名海湾战争退伍军人和784名同期退伍军人的访谈数据进行检查，以确定当前健康状况、医疗条件、症状和轴I精神疾病。逻辑回归模型评估精神障碍的危险因素。
结果
海湾战争退伍军人的精神疾病诊断患病率显著更高，焦虑症和抑郁症患病率是同期退伍军人的两倍。较低军衔、女性性别以及离婚或单身婚姻状况是精神障碍的显著独立预测因素。
结论
部署到海湾战争与部署十多年后的一系列心理健康结果相关。
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