title: Baseline prevalence of Axis I diagnosis in the Ohio Army National Guard.
abstract: The goal of this study is to determine the pre-existing lifetime and current prevalence of DSM-IV Axis I disorders within the Ohio Army National Guard (OHARNG). Data was analyzed from the clinical subsample of the Ohio Army National Guard Mental Health Initiative (OHARNG MHI). Five hundred participants were provided with an in-depth clinical assessment using the Clinician-Administered PTSD Scale (CAPS) and the Structured Clinical Interview for DSM-IV-TR (SCID). Logistic regression examined the relationship between Axis I disorders and the number of deployments and gender. Prevalence of at least one DSM-IV lifetime disorder was 66.2%; substance use disorders were 52.2%, followed by mood disorders (30.0%) and anxiety disorders (22.0%). Prevalence of at least one current disorder was 24.8%; anxiety disorders (13.2%), mood disorders (7.6%), and substance use disorders (7.0%) were most frequent. Number of deployments was associated with PTSD (OR=8.27, 95% CI 2.10-32.59, p=0.003), alcohol use disorder (OR=1.77, 95% CI 1.07-2.92, p=0.025), and any substance use disorder (OR=1.85, 95% CI 1.12-3.05, p=0.016). Gender (OR=2.02, 95% CI 1.10-3.73, p=0.024) was associated with any mood disorder. The results provide baseline information on the most prevalent mental disorders within the OHARNG.
authors.affiliation: University of Toledo College of Medicine, Toledo, OH, United States. Electronic address: Marijo.Tamburrino@utoledo.edu.
authors.forename: Marijo B
authors.initials: MB
authors.lastname: Tamburrino
authors.affiliation: Department of Psychiatry, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH, United States.
authors.forename: Philip
authors.initials: P
authors.lastname: Chan
authors.affiliation: University of Michigan, Ann Arbor, MI, United States; Columbia University, New York, NY, United States.
authors.forename: Marta
authors.initials: M
authors.lastname: Prescott
authors.affiliation: Department of Psychiatry, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH, United States.
authors.forename: Joseph
authors.initials: J
authors.lastname: Calabrese
authors.affiliation: University of Michigan, Ann Arbor, MI, United States.
authors.forename: Israel
authors.initials: I
authors.lastname: Liberzon
authors.affiliation: Department of Psychiatry, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH, United States.
authors.forename: Renee
authors.initials: R
authors.lastname: Slembarski
authors.affiliation: Department of Psychiatry, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH, United States.
authors.forename: Edwin
authors.initials: E
authors.lastname: Shirley
authors.affiliation: University of Toledo College of Medicine, Toledo, OH, United States.
authors.forename: Thomas
authors.initials: T
authors.lastname: Fine
authors.affiliation: Department of Psychiatry, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH, United States.
authors.forename: Toyomi
authors.initials: T
authors.lastname: Goto
authors.affiliation: University of Toledo College of Medicine, Toledo, OH, United States.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Wilson
authors.affiliation: Mid-Atlantic Permanente Research Institute, Kaiser Permanente, Rockville, MD, United States.
authors.forename: Alphonse
authors.initials: A
authors.lastname: Derus
authors.affiliation: Department of Psychiatry, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH, United States.
authors.forename: Stephen
authors.initials: S
authors.lastname: Ganocy
authors.affiliation: Department of Psychiatry, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH, United States.
authors.forename: Mary
authors.initials: M
authors.lastname: Beth Serrano
authors.affiliation: Boston University, Boston, MA, United States.
authors.forename: Sandro
authors.initials: S
authors.lastname: Galea
mesh_terms: D000293:Adolescent; D000328:Adult; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008603:Mental Health; D008875:Middle Aged; D008889:Military Personnel / Q000523:psychology*; D009820:Ohio; D015995:Prevalence; D055815:Young Adult
keywords: Alcohol abuse; CAPS; Major depressive disorder; Military; Prevalence rates; SCID