Impact of exposure to combat during deployment to Iraq and Afghanistan on mental health by gender

Psychological Medicine

Volumn 42, Issue 9, 2012, Pages 1985-1996

  Woodhead, C ^a   Wessely, S ^a   Jones, N ^a   Fear, N T ^a   Hatch, S L ^a  

^a KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

Combat exposure; deployment; gender differences; mental health; military

Indexed keywords

ADULT; ALCOHOLISM; ARTICLE; COHORT ANALYSIS; FEMALE; HUMAN; MALE; POSTTRAUMATIC STRESS DISORDER; PSYCHOLOGICAL ASPECT; RISK FACTOR; SEX DIFFERENCE; SOLDIER; STATISTICS; UNITED KINGDOM; WAR;

ADULT; AFGHAN CAMPAIGN 2001-; ALCOHOL-RELATED DISORDERS; COHORT STUDIES; FEMALE; GREAT BRITAIN; HUMANS; IRAQ WAR, 2003 - 2011; MALE; MILITARY PERSONNEL; RISK FACTORS; SEX FACTORS; STRESS DISORDERS, POST-TRAUMATIC;

EID: 84864551093     PISSN: 00332917     EISSN: 14698978     Source Type: Journal    
DOI: 10.1017/S003329171100290X     Document Type: Article

References (43)

1. Adler A, Huffman AH, Bliese PD, Castro CA (2005). The impact of deployment length and experience on the well-being of male and female soldiers. Journal of Occupational Health Psychology 10, 121-137.
2. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG (2001). AUDIT: The Alcohol Use Disorders Identification Test, 2nd edn. World Health Organization : Geneva.
3. Bell E, Roth MA, Weed G (1998). Wartime stressors and health outcomes: Women in the Persian Gulf War. Journal of Psychosocial Nursing and Mental Health Services 36, 19-25.
4. Carter-Visscher R, Polusny MA, Murdoch M, Thuras P, Erbes CR, Kehle SM (2010). Pre-deployment gender differences in stressors and mental health among U.S. National Guard troops poised for Operation Iraqi Freedom deployment. Journal of Traumatic Stress 23, 78-85.
5. Cohen B, Gima K, Bertenthal D, Kim S, Marmar CR, Seal KH (2009). Mental health diagnoses and utilization of VA non-mental health medical services among returning Iraq and Afghanistan veterans. Journal of General Internal Medicine 25, 18-24.
6. Engel C, Engel AL, Campbell SJ, McFall ME, Russo J, Katon W (1993). Posttraumatic stress disorder symptoms and pre-combat sexual and physical abuse in Desert Storm veterans. Journal of Nervous and Mental Disease 181, 683-688.
7. Fear NT, Iversen A, Meltzer H, Workman L, Hull L, Greenberg N, Barker C, Browne T, Earnshaw M, Horn O, Jones M, Murphy D, Rona RJ, Hotopf M, Wessely S (2007). Patterns of drinking in the UK Armed Forces. Addiction 11, 1749-1759.
8. Fear NT, Jones M, Murphy D, Hull L, Iversen A, Coker B, Machell L, Sundin J, Woodhead C, Jones N, Greenberg N, Landau S, Dandeker C, Rona RJ, Hotopf M, Wessely S (2010). What are the consequences of deployment to Iraq and Afghanistan on the mental health of the UK Armed Forces ? A cohort study. Lancet 375, 1783-1797.
9. Fontana A, Rosenheck R, Desai R (2010). Female veterans of Iraq and Afghanistan seeking care from VA specialized PTSD programs: Comparison with male veterans and female war zone veterans of previous eras. Journal of Women's Health 19, 1-7.
10. Freedy J, Magruder KM,Mainous AG, Frueh C, Geesey ME, Carnemolla M (2010). Gender differences in traumatic event exposure and mental health among veteran primary care patients. Military Medicine 175, 750-758.
11. Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, Rutter C (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine 27, 191-197.
12. Haskell S, Gordon KS, Mattocks K, Duggal M, Erdos J, Justice A, Brandt CA (2010). Gender differences in rates of depression, PTSD, pain, obesity, and military sexual trauma among Connecticut war veterans of Iraq and Afghanistan. Journal of Women's Health 19, 267-271.
13. Hoge C, Castro CA, Messer SC, McGurk D, Cotting DI, Koffman RL (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine 351, 13-22.
14. Hoge C, Clark JC, Castro CA (2007). Commentary: Women in combat and the risk of post-traumatic stress disorder and depression. International Journal of Epidemiology 36, 327-329.
15. Hotopf M, Hull L, Fear NT, Browne T, Horn O, Iversen A, Jones M, Murphy D, Bland D, Earnshaw M, Greenberg N, Hacker Hughes J, Tate AR, Dandeker C, Rona R, Wessely S (2006). The health of UK military personnel who deployed to the 2003 Iraq war: A cohort study. Lancet 367, 1731-1741.
16. Iversen AC, Fear NT, Ehlers A, Hacker Hughes J, Hull L, Earnshaw M, Greenberg N, Rona R, Wessely S, HotopfM (2008). Risk factors for post-traumatic stress disorder among UK Armed Forces personnel. Psychological Medicine 38, 511-522.
17. Jones M, Fear N, Greenberg N, Jones N, Hull L, Hotopf M, Wessely S, Rona R (2008). Do medical services personnel who deployed to the Iraq war have worse mental health than other deployed personnel ? European Journal of Public Health 18, 422-427.
18. Kessler R, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, Wittchen HU, Kendler KS (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry 51, 8-19.
19. Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry 52, 1048-1060.
20. King D, King LA, Foy DW, Keane TM, Fairbank JA (1999). Posttraumatic stress disorder in a national sample of female and male Vietnam veterans : Risk factors, war-zone stressors, and resilience-recovery variables. Journal of Abnormal Psychology 108, 164-170.
21. King D, King LA, Gudanowski DM, Vreven DL (1995). Alternative representations of war zone stressors : Relationships to posttraumatic stress disorder in male and female Vietnam veterans. Journal of Abnormal Psychology 104, 184-196.
22. Lapierre C, Schwegler AF, LaBauve BJ (2007). Posttraumatic stress and depression symptoms in soldiers returning from combat operations in Iraq and Afghanistan. Journal of Traumatic Stress 20, 933-943.
23. Luxton DD, Skopp NA, Maguen S (2010). Gender differences in depression and PTSD symptoms following combat exposure. Depression and Anxiety 27, 1027-1033.
24. Maguen S, Ren L, Bosch JO, Marmar CR, Seal KH (2010). Gender differences in mental health diagnoses among Iraq and Afghanistan veterans enrolled in Veterans Affairs health care. American Journal of Public Health 100, 2450-2456.
25. McManus S, Meltzer H, Brugha T, Bebbington P, Jenkins R (2009). Adult Psychiatric Morbidity in England, 2007 : Results of a Household Survey. The NHS Information Centre for Health and Social Care 2009 (www.ic.nhs.uk/pubs/ psychiatricmorbidity07). Accessed 18 March 2009.
26. Nunnink S, Goldwaser G, Heppner PS, Pittman JOE, Nievergelt CM, Baker DG (2010). Female veterans of the OEF/OIF conflict : Concordance of PTSD symptoms and substance misuse. Addictive Behaviors 35, 655-659.
27. Rona R, Fear NT, Hull L, Wessely S (2007). Women in novel occupational roles : Mental health trends in the UK Armed Forces. International Journal of Epidemiology 36, 319-326.
28. Sareen J, Belik S, Stein MB, Asmundson GJG (2010). Correlates of perceived need for mental health care among active military personnel. Psychiatric Services 61, 50-57.
29. Scott W, McCone D, Jackson R, Sayegh L, Don Looney J (2011). The tip of the spear hypothesis revisited : Evidence from recent deployments of U.S. National Guard troops to Iraq and Afghanistan. Unpublished paper presented at the American Sociological Association Annual Meeting, 20 August 2011, Las Vegas, Nevada.
30. Seal K, Metzler TJ, Gima KS, Bertenthal D, Maguen S, Marmar CR (2009). Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002-2008.American Journal of Public Health 99, 1651-1658.
31. Smith T, Wingard DL, Ryan MAK, Kritz-Silverstein D, Slymen DJ, Sallis JF (2008). Prior assault and posttraumatic stress disorder after combat deployment. Epidemiology 19, 505-512.
32. Sternke LM (2011). Measurement of military combat exposure among women: Analysis and implications. Women's Health Issues 21, S160-S168.
33. Street A, Vogt D, Dutra L (2009). A new generation of women veterans : Stressors faced by women deployed to Iraq and Afghanistan. Clinical Psychology Review 29, 685-694.
34. Tolin DF, Foa EB (2006). Sex differences in trauma and posttraumatic stress disorder : A quantitative review of 25 years of research. Psychological Bulletin 132, 959-992.
35. Unwin C, Hotopf M, Hull L, Ismail K, David A, Wessely S (2002). Women in the Persian Gulf : lack of gender differences in long-term health effects of service in the United Kingdom Armed Forces in the 1991 Persian Gulf War. Military Medicine 167, 406-413.
36. Visco R (2009). Postdeployment, self-reporting of mental health problems, and barriers to care. Perspectives in Psychiatric Care 45, 240-253.
37. Vogt D, Pless AP, King LA, King DW (2005). Deployment stressors, gender, and mental health outcomes among Gulf War I veterans. Journal of Traumatic Stress 18, 115-127.
38. Wang PS, Michael L, Olfson M, Pincus HA, Wells KB, Kessler RC (2005). Twelve-month use of mental health services in the United States : Results from the National Comorbidity Survey Replication. Archives of General Psychiatry 62, 629-640.
39. Weathers F, Litz B, Herman D, Huska J, Keane T (1994). The PTSD Checklist-Civilian Version (PCL-C). National Centre for PTSD: Boston.
40. Wells T, LeardMann CA, Fortuna SO, Smith B, Smith TC, Ryan MAK, Boyko EJ, Blazer D (2010). A prospective study of depression following combat deployment in support of the wars in Iraq and Afghanistan. American Journal of Public Health 100, 90-99.
41. Wolfe J, Brown PJ, Kelley JM (1993). Reassessing war stress : Exposure and the Persian Gulf War. Journal of Social Issues 49, 15-31.
42. Zinzow H, Grubaugh AL, Frueh BC, Magruder KM (2008). Sexual assault, mental health, and service use among male and female veterans seen in Veterans Affairs primary care clinics : A multi-site study. Psychiatry Research 159, 226-236.
43. Zinzow H, Grubaugh AL, Monnier J, Suffoletta-Maierle S, Frueh BC (2007). Trauma among female veterans : A critical review. Trauma, Violence and Abuse 8, 384-400.