title: Stress in service members.
abstract: Military service differs from civilian jobs in the stressors that service members experience, including frequent deployments (eg, to an area of combat operations), obedience, regimentation, subordination of self to the group, integrity, and flexibility. The military culture emphasizes teamwork and peer support. In some cases, service members cannot adapt to military life, become overwhelmed by stress, or cannot overcome a traumatic experience. Clinicians should conduct a thorough evaluation guided by an understanding of the military culture. Every effort should be made to identify the stress and the maladaptive response and provide early clinical interventions to prevent progression.
authors.affiliation: Medical Corps (RET), US Army, USA; Psychiatry Continuity Service, Department of Psychiatry, Walter Reed National Military Medical Center, Building 8, 4th Floor, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600, USA. Electronic address: Raymond.G.Lande.civ@health.mil.
authors.forename: R Gregory
authors.initials: RG
authors.lastname: Lande
mesh_terms: D019973:Alcohol-Related Disorders / Q000150:complications / Q000523:psychology; D006801:Humans; D001523:Mental Disorders / Q000150:complications* / Q000523:psychology*; D008889:Military Personnel / Q000523:psychology*; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000150:complications / Q000523:psychology; D013315:Stress, Psychological / Q000150:complications* / Q000523:psychology*
keywords: Alcohol use disorders; Deployment cycle; Early interventions; Military culture; Military stress; Nonpharmacologic treatment; Posttraumatic stress disorder