Armed Forces Health Surveillance Center, (MCAF-CS) Silver Spring, MD 20904, USA.
MSMR. 2011 Sep;18(9):2-11.
Since 2001, 1,347,731 active component U.S. military members deployed in support of operations in Afghanistan and Iraq. This report documents the percentages of deployers who were diagnosed with selected mental disorders in relation to the number (first through fifth) and lengths of "dwell times" prior to such deployments. In general, larger percentages of deployers were diagnosed with PTSD and anxiety-related disorders after second/third than first deployments. After first and repeat deployments, relatively more medical than other occupational group members were diagnosed with PTSD. In general, larger percentages of deployers were diagnosed with alcohol/drug disorders and psychosocial problems after first than repeat deployments; and among deployers younger than 25 years, in combat-specific occupations, and females, every disorder (except PTSD and anxiety-related) affected larger percentages after first than repeat deployments. For most disorders, the longer the "dwell times" prior to deployments, the larger the percentages diagnosed with the conditions after the deployments. The findings should be interpreted with consideration of limitations of the analysis.
自2001年以来,有1347731名现役美军成员被部署到阿富汗和伊拉克执行任务。本报告记录了在这些部署之前,被诊断患有特定精神障碍的部署人员的百分比与“驻留时间”(从第一次到第五次)的数量和时长之间的关系。总体而言,第二次/第三次部署后被诊断患有创伤后应激障碍(PTSD)和焦虑相关障碍的部署人员比例高于第一次部署。在第一次和重复部署后,被诊断患有PTSD的医疗人员相对多于其他职业群体成员。总体而言,第一次部署后被诊断患有酒精/药物障碍和心理社会问题的部署人员比例高于重复部署;在25岁以下、从事特定战斗职业的部署人员以及女性中,除PTSD和焦虑相关障碍外,每种障碍在第一次部署后受影响的比例都高于重复部署。对于大多数障碍而言,部署前的“驻留时间”越长,部署后被诊断患有这些疾病的比例就越高。这些研究结果应结合分析的局限性来进行解读。