Gadermann Anne M, Engel Charles C, Naifeh James A, Nock Matthew K, Petukhova Maria, Santiago Patcho N, Wu Benjamin, Zaslavsky Alan M, Kessler Ronald C
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA.
Mil Med. 2012 Aug;177(8 Suppl):47-59. doi: 10.7205/milmed-d-12-00103.
A meta-analysis of 25 epidemiological studies estimated the prevalence of recent Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) major depression (MD) among U.S. military personnel. Best estimates of recent prevalence (standard error) were 12.0% (1.2) among currently deployed, 13.1% (1.8) among previously deployed, and 5.7% (1.2) among never deployed. Consistent correlates of prevalence were being female, enlisted, young (ages 17-25), unmarried, and having less than a college education. Simulation of data from a national general population survey was used to estimate expected lifetime prevalence of MD among respondents with the sociodemographic profile and none of the enlistment exclusions of Army personnel. In this Simulated sample, 16.2% (3.1) of respondents had lifetime MD and 69.7% (8.5) of first onsets occurred before expected age of enlistment. Numerous methodological problems limit the results of the meta-analysis and simulation. The article closes with a discussion of recommendations for correcting these problems in future surveillance and operational stress studies.
一项对25项流行病学研究的荟萃分析估计了美国军事人员中近期《精神疾病诊断与统计手册》第四版（DSM-IV）重度抑郁症（MD）的患病率。近期患病率的最佳估计值（标准误差）在当前部署人员中为12.0%（1.2），在先前部署人员中为13.1%（1.8），在从未部署人员中为5.7%（1.2）。患病率的一致相关因素包括女性、应征入伍者、年轻人（17 - 25岁）、未婚以及未接受过大学教育。利用来自全国普通人群调查的数据模拟来估计具有陆军人员社会人口学特征且无入伍排除因素的受访者中MD的预期终生患病率。在这个模拟样本中，16.2%（3.1）的受访者有终生MD，69.7%（8.5）的首次发病发生在预期入伍年龄之前。众多方法学问题限制了荟萃分析和模拟的结果。文章最后讨论了在未来监测和作战压力研究中纠正这些问题的建议。
