Prevalence of Past-Year Mental Disorders in the Canadian Armed Forces, 2002-2013.
More than 40,000 Canadian Armed Forces (CAF) personnel have deployed in support of the mission in Afghanistan since 2002. Over the same period, the CAF strengthened its mental health system. This article explores the effect of these events on the prevalence of past-year mental disorders over the period 2002-2013.



The data sources were 2 highly comparable population-based mental health surveys of CAF Regular Force personnel done in 2002 and 2013 (n = 5155 and 6996, respectively). Data were collected via in-person interviews with Statistics Canada personnel using the World Health Organization's Composite International Diagnostic Interview to assess past-year disorders.



In 2013, 16.5% had 1 or more of the 6 past-year disorders assessed in the survey, with the most common conditions being major depressive episode (MDE), posttraumatic stress disorder (PTSD), and generalized anxiety disorder (GAD), which affected 8.0%, 5.3%, and 4.7%, respectively. The prevalence of PTSD, GAD, and panic disorder has increased significantly since 2002 (adjusted odds ratios from logistic regression models = 2.1, 3.0, and 1.9, respectively), while no change was seen for MDE. The comorbidity of mood and anxiety disorders increased significantly over time, being seen in 27.4% and 41.0% of those with mental disorders in 2002 and 2013, respectively.



There has been an increase in the prevalence of PTSD and other anxiety disorders and of the extent of comorbidity of mood and anxiety disorders in CAF personnel over the period 2002-2013.
Directorate of Mental Health, Canadian Forces Health Services Group Headquarters, Ottawa, Ontario Department of Family Medicine, University of Ottawa, Ottawa, Ontario mark.zamorski@forces.gc.ca.
Mark A
MA
Zamorski
Directorate of Mental Health, Canadian Forces Health Services Group Headquarters, Ottawa, Ontario.
Rachel E
RE
Bennett
Directorate of Mental Health, Canadian Forces Health Services Group Headquarters, Ottawa, Ontario.
Corneliu
C
Rusu
Directorate of Mental Health, Canadian Forces Health Services Group Headquarters, Ottawa, Ontario.
Murray
M
Weeks
Directorate of Mental Health, Canadian Forces Health Services Group Headquarters, Ottawa, Ontario.
David
D
Boulos
Directorate of Mental Health, Canadian Forces Health Services Group Headquarters, Ottawa, Ontario.
Bryan G
BG
Garber
D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000453:epidemiology*; D002170:Canada / Q000453:epidemiology; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000453:epidemiology*; D005260:Female; D006306:Health Surveys / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data*; D008875:Middle Aged; D008889:Military Personnel / Q000706:statistics & numerical data*; D015995:Prevalence; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*; D055815:Young Adult
comorbidity; epidemiology; mental disorders/statistics and numerical data; military personnel; posttraumatic; prevalence; stress disorders