Rupp Brianna L, Ying Saixia, Stahlman Shauna
MSMR. 2018 Oct;25(10):9-15.
This study evaluated incidence of pre-deployment family problem diagnoses and psychiatric medical evacuations among a population of active component service members without a history of previous mental health diagnoses, who deployed to the U.S. Central Command Area of Responsibility for the first time between 1 January 2002 and 31 December 2014. During the surveillance period, 6,182 service members received an incident family problems diagnosis during the pre-deployment period, with an overall incidence of 5.6 cases per 1,000 deployers. The incidence of pre-deployment family problem diagnoses was generally stable over the study period. Compared to their respective counterparts, rates of pre-deployment family problems were highest among females, non-Hispanic black service members, those who were married, enlisted service members, and Army members. A total of 2,190 active component service members were evacuated from theater for psychiatric reasons, with an overall incidence rate of 3.1 per 1,000 deployed person-years. Of evacuated service members, 1.7% had diagnosed pre-deployment family problems (N=38). Incidence of psychiatric medical evacuation was consistently higher among those with pre-deployment family problems among all demographic subgroups, and overall was 2.7 times the incidence among those without documented family problems.
本研究评估了2002年1月1日至2014年12月31日期间首次部署到美国中央司令部责任区、且此前无精神健康诊断史的现役军人中，部署前家庭问题诊断和精神科医疗后送的发生率。在监测期内，6182名军人在部署前阶段被诊断出有家庭问题，总体发生率为每1000名部署人员中有5.6例。在研究期间，部署前家庭问题诊断的发生率总体稳定。与各自的对应人群相比，部署前家庭问题发生率在女性、非西班牙裔黑人军人、已婚军人、义务兵和陆军军人中最高。共有2190名现役军人因精神原因从战区后送，总体发生率为每1000部署人年3.1例。在后送的军人中，1.7%在部署前被诊断出有家庭问题（N = 38）。在所有人口亚组中，有部署前家庭问题的军人精神科医疗后送发生率一直较高，总体是无家庭问题记录军人发生率的2.7倍。
