title: Predictors of psychiatric disorders in combat veterans.
abstract: BACKGROUND
  Most previous research that has examined mental health among Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) combatants has relied on self-report measures to assess mental health outcomes; few studies have examined predictors of actual mental health diagnoses. The objective of this longitudinal investigation was to identify predictors of psychiatric disorders among Marines who deployed to combat in Iraq and Afghanistan.
  
  
  METHODS
  The study sample consisted of 1113 Marines who had deployed to Iraq or Afghanistan. Demographic and psychosocial predictor variables from a survey that all Marines in the sample had completed were studied in relation to subsequent psychiatric diagnoses. Univariate and multivariate logistic regression were used to determine the influence of the predictors on the occurrence of psychiatric disorders.
  
  
  RESULTS
  In a sample of Marines with no previous psychiatric disorder diagnoses, 18% were diagnosed with a new-onset psychiatric disorder. Adjusting for other variables, the strongest predictors of overall psychiatric disorders were female gender, mild traumatic brain injury symptoms, and satisfaction with leadership. Service members who expressed greater satisfaction with leadership were about half as likely to develop a mental disorder as those who were not satisfied. Unique predictors of specific types of mental disorders were also identified.
  
  
  CONCLUSIONS
  Overall, the study's most relevant result was that two potentially modifiable factors, low satisfaction with leadership and low organizational commitment, predicted mental disorder diagnoses in a military sample. Additional research should aim to clarify the nature and impact of these factors on combatant mental health.
authors: Behavioral Science and Epidemiology Department, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106-3521, USA. stephanie.kewley@med.navy.mi
authors: Stephanie
authors: S
authors: Booth-Kewley
authors: Emily A
authors: EA
authors: Schmied
authors: Robyn M
authors: RM
authors: Highfill-McRoy
authors: Gerald E
authors: GE
authors: Larson
authors: Cedric F
authors: CF
authors: Garland
authors: Lauretta A
authors: LA
authors: Ziajko
mesh_terms: D000293:Adolescent; D000328:Adult; D055826:Afghan Campaign 2001-; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D054542:Iraq War, 2003-2011; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology; D008603:Mental Health; D008889:Military Personnel / Q000523:psychology*; D010549:Personal Satisfaction; D011237:Predictive Value of Tests; D057566:Self Report; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans / Q000523:psychology*
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