title: Hospital admissions related to mental disorders in U.S. Army soldiers in Iraq and Afghanistan.
abstract: We conducted a retrospective study of 473,964 U.S. Army soldiers deployed to Iraq and Afghanistan through December 2004 using deployment and admission records. We categorized mental disorder diagnoses using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) and identified attempted suicide/ self-inflicted injuries using ICD-9-CM diagnosis codes E950-E959. We estimated and evaluated relative risks (RR) using Poisson regression models. Analysis found 1,948 psychiatric hospitalizations of deployed soldiers. The most common mental problems were mood, adjustment, and anxiety disorders (including post-traumatic stress disorder [PTSD]). RR of mental disorders ranged from 1.6 to 3 for females and 2 to 6 for enlisted soldiers compared to their counterparts. Younger soldiers had 30-60% higher substance abuse disorders. Combat units in Iraq demonstrated higher risk of any mental disorder and anxiety problems compared to combat support units. Younger women had the highest incidence of attempted suicide/ self-inflicted injuries. Further mental disorders surveillance is recommended.
authors.affiliation: AMEDDC&S Center for AMEDD Strategic Studies ATTN: MCCS-FH, 1608 Stanley Road, Suite 47, Fort Sam, Houston, TX 78234-5047, USA.
authors.forename: Barbara E
authors.initials: BE
authors.lastname: Wojcik
authors.forename: Fatema Z
authors.initials: FZ
authors.lastname: Akhtar
authors.forename: L Harrison
authors.initials: LH
authors.lastname: Hassell
mesh_terms: D000328:Adult; D055826:Afghan Campaign 2001-; D003130:Combat Disorders / Q000145:classification / Q000453:epidemiology* / Q000523:psychology; D017050:Episode of Care; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D038801:International Classification of Diseases; D054542:Iraq War, 2003-2011; D008297:Male; D001523:Mental Disorders / Q000145:classification / Q000453:epidemiology* / Q000523:psychology; D008875:Middle Aged; D008889:Military Personnel / Q000523:psychology*; D012189:Retrospective Studies; D012307:Risk Factors; D014481:United States