MSMR. 2021 Aug 1;28(8):2-9.
Mental health disorders have historically accounted for significant morbidity, health care utilization, disability, and attrition from military service. From 2016 through 2020, a total of 456,293 active component service members were diagnosed with at least 1 mental health disorder and 84,815 were diagnosed with mental health problems related to family/support group problems, maltreatment, lifestyle problems, substance abuse counseling, or social environment problems. Crude annual incidence rates of at least 1 mental health disorder decreased between 2016 and 2018, then increased in 2019 and decreased again in 2020. Most of the incident mental health disorder diagnoses were attributable to adjustment disorders, anxiety disorders, depressive disorders, “other” mental health disorders, alcohol-related disorders, and post-traumatic stress disorder. Similar to the last MSMR update, rates of incident mental health disorders were generally higher among female service members and Army members and declined with increasing age. Ongoing efforts to assist and treat service members should continue to promote help-seeking behavior to improve the psychological and emotional well-being of service members and reduce the burden of mental health disorders.
精神健康障碍在历史上导致了大量的发病率、医疗保健利用、残疾和军队服务的减员。从 2016 年到 2020 年，共有 456,293 名现役军人被诊断出至少患有 1 种精神健康障碍，84,815 人被诊断出与家庭/支持团体问题、虐待、生活方式问题、药物滥用咨询或社会环境问题有关的精神健康问题。至少 1 种精神健康障碍的粗年发病率在 2016 年至 2018 年之间下降，然后在 2019 年上升，在 2020 年再次下降。大多数新发精神健康障碍诊断归因于适应障碍、焦虑障碍、抑郁障碍、“其他”精神健康障碍、酒精相关障碍和创伤后应激障碍。与上一次 MSMR 更新相似，女性和陆军军人的新发精神健康障碍率通常更高，而且随着年龄的增长而下降。持续努力为军人提供帮助和治疗，应继续促进寻求帮助的行为，以改善军人的心理和情绪健康，并减轻精神健康障碍的负担。
