title: Relative impact of adverse events and screened symptoms of posttraumatic stress disorder and depression among active duty soldiers seeking mental health care.
abstract: Symptoms of depression and posttraumatic stress are among the most studied psychological difficulties among soldiers. Such symptoms have been linked to a history of adverse events among both civilians and combat veterans. There is a paucity of research on this topic that can be applied to an active duty clinical population. Intake screening data were reviewed for 1,626 soldiers presenting to an outpatient mental health clinic to identify variables, including history of potentially traumatic experiences, associated with screened symptoms of posttraumatic stress disorder (PTSD) and depression. Demographics such as age, gender, and military rank, as well as number of adverse childhood experiences were significant predictors of screened PTSD and depression. A history of deployment to a combat zone predicted screened PTSD, but not depression. The role of childhood abuse as a risk factor is discussed and highlighted in the etiology of symptoms for soldiers seeking mental health care.
authors.affiliation: Department of Psychology, Madigan Army Medical Center, USA. gregory.gahm@us.army.mil
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Gahm
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Lucenko
authors.forename: Paul
authors.initials: P
authors.lastname: Retzlaff
authors.forename: Seiya
authors.initials: S
authors.lastname: Fukuda
mesh_terms: D000328:Adult; D003863:Depression / Q000209:etiology*; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008403:Mass Screening; D008889:Military Personnel / Q000523:psychology*; D010045:Outpatients; D010342:Patient Acceptance of Health Care; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology*; D014481:United States