Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas; VA South Central Mental Illness Research, Education and Clinical Center, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas; Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Affairs Healthcare System, North Little Rock, Arkansas.
Center for Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, Iowa; VA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City, Iowa City VA Health Care System, Iowa City, Iowa; Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa.
Womens Health Issues. 2020 May-Jun;30(3):207-213. doi: 10.1016/j.whi.2020.01.002. Epub 2020 Feb 18.
Being deployed without one's home unit (individual-augmentee) and low perceived deployment preparedness are risk factors for mental health symptoms and substance use in male service members. However, these relationships have not been examined specifically in U.S. servicewomen. This study sought to fill this gap by examining associations between augmentee status and deployment stress preparedness (independent variables) and depression, probable post-traumatic stress disorder (PTSD), and binge drinking (dependent variables) in a sample of U.S. servicewomen.
A community sample of service women from the Midwest, including both veterans and those serving at the time of data collection (N = 991), completed structured telephone interviews. Logistic regression was used to examine associations between augmentee status, deployment stress preparedness, and the likelihood of reporting depression, probable PTSD, and binge drinking after controlling for covariates.
Findings showed that U.S. servicewomen in the Reserve/Guard who deployed as individual-augmentees were more likely to screen positive for depression, report probable PTSD, and disclose recent binge drinking than servicewomen in the Reserve/Guard deployed with their home unit. Also, among servicewomen deployed as individual-augmentees, those in the Reserve/Guard were more likely to report binge drinking than servicewomen in the active component. No statistically significant associations between deployment stress preparedness and mental health symptoms or binge drinking were observed.
Servicewomen in the Reserve/Guard who deployed as individual-augmentees may be at increased risk for depression, probable PTSD, and hazardous drinking when compared with their active component and Reserve/Guard peers deployed with their home units.
在没有所属单位(个体增员)的情况下被部署和低感知的部署准备度是男性军人心理健康症状和物质使用的风险因素。然而,这些关系尚未在女性军人中进行具体检查。本研究试图通过检查增员状态与部署应激准备(自变量)与抑郁、可能的创伤后应激障碍(PTSD)和 binge drinking(因变量)之间的关联来填补这一空白,这是在美国女性军人中进行的一项研究。
一项来自中西部的女性军人的社区样本,包括退伍军人和数据收集时正在服役的军人(N=991),完成了结构化电话访谈。使用逻辑回归来检查增员状态、部署应激准备与抑郁、可能的 PTSD 和 binge drinking 的可能性之间的关联,在控制了协变量后。
研究结果表明,作为个体增员部署的预备役/国民警卫队中的美国女性军人比在预备役/国民警卫队中与所属单位一起部署的女性军人更有可能出现抑郁、报告可能的 PTSD 和最近 binge drinking。此外,在作为个体增员部署的女性军人中,预备役/国民警卫队中的女性军人比现役部队中的女性军人更有可能报告 binge drinking。部署应激准备与心理健康症状或 binge drinking 之间没有统计学上显著的关联。
与现役部队和预备役/国民警卫队中与所属单位一起部署的同行相比,作为个体增员部署的预备役/国民警卫队中的女性军人可能面临更高的抑郁、可能的 PTSD 和危险饮酒风险。