HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (25) Citing Articles via Google Scholar Google Scholar Articles by Prigerson, H. G. Articles by Rosenheck, R. A. Search for Related Content PubMed PubMed Citation Articles by Prigerson, H. G. Articles by Rosenheck, R. A.

Holly G. Prigerson, PhD, Paul K. Maciejewski, PhD and Robert A. Rosenheck, MD

Holly G. Prigerson and Robert A. Rosenheck are with the Veterans Affairs Medical Center, West Haven, Conn, and the Department of Psychiatry and Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Conn. Paul K. Maciejewski is with the Donaghue Women's Health Investigator Program, Yale University School of Medicine, New Haven, Conn.

Correspondence: Requests for reprints should be sent to Holly G. Prigerson, PhD, Room 522, Connecticut Mental Health Center, 34 Park St, New Haven, CT 06519 (e-mail: holly.prigerson{at}yale.edu).

Objectives. This study determined the percentage of adverse outcomes in US men attributable to combat exposure.

Methods. Standardized psychiatric interviews (modified Diagnostic Interview Schedule and Composite International Diagnostic Interview assessments) were administered to a representative national sample of 2583 men aged 18 to 54 in the National Comorbidity Survey part II subsample.

Results. Adjusted attributable fraction estimates indicated that the following were significantly attributable to combat exposure: 27.8% of 12-month posttraumatic stress disorder, 7.4% of 12-month major depressive disorder, 8% of 12-month substance abuse disorder, 11.7% of 12-month job loss, 8.9% of current unemployment, 7.8% of current divorce or separation, and 21% of current spouse or partner abuse.

Conclusions. Combat exposure results in substantial morbidity lasting decades and accounts for significant and multifarious forms of dysfunction at the national level.

This article has been cited by other articles:

				T. S. Wells, C. A. LeardMann, S. O. Fortuna, B. Smith, T. C. Smith, M. A. K. Ryan, E. J. Boyko, D. Blazer, and for the Millennium Cohort Study Team A Prospective Study of Depression Following Combat Deployment in Support of the Wars in Iraq and Afghanistan Am J Public Health, January 1, 2010; 100(1): 90 - 99. [Abstract] [Full Text] [PDF]

				M. P. Atkinson, A. Guetz, and L. M. Wein A Dynamic Model for Posttraumatic Stress Disorder Among U.S. Troops in Operation Iraqi Freedom Management Science, September 1, 2009; 55(9): 1454 - 1468. [Abstract] [PDF]

				A. M Simanek, J. B. Dowd, and A. E Aiello Persistent pathogens linking socioeconomic position and cardiovascular disease in the US Int. J. Epidemiol., June 1, 2009; 38(3): 775 - 787. [Abstract] [Full Text] [PDF]

				C. B. Nemeroff, J. D. Bremner, E. B. Foa, H. S. Mayberg, C. S. North, and M. B. Stein Posttraumatic Stress Disorder: A State-of-the-Science Review Focus, April 1, 2009; 7(2): 254 - 273. [Abstract] [Full Text] [PDF]

				J. Sareen, S.-L. Belik, T. O. Afifi, G. J. G. Asmundson, B. J. Cox, and M. B. Stein Canadian Military Personnel's Population Attributable Fractions of Mental Disorders and Mental Health Service Use Associated With Combat and Peacekeeping Operations Am J Public Health, December 1, 2008; 98(12): 2191 - 2198. [Abstract] [Full Text] [PDF]

				T Browne, A Iversen, L Hull, L Workman, C Barker, O Horn, M Jones, D Murphy, N Greenberg, R Rona, et al. How do experiences in Iraq affect alcohol use among male UK armed forces personnel? Occup. Environ. Med., September 1, 2008; 65(9): 628 - 633. [Abstract] [Full Text] [PDF]

				C. S. Milliken, J. L. Auchterlonie, and C. W. Hoge Longitudinal Assessment of Mental Health Problems Among Active and Reserve Component Soldiers Returning From the Iraq War JAMA, November 14, 2007; 298(18): 2141 - 2148. [Abstract] [Full Text] [PDF]

				J. Sareen, B. J. Cox, T. O. Afifi, M. B. Stein, S.-L. Belik, G. Meadows, and G. J. G. Asmundson Combat and Peacekeeping Operations in Relation to Prevalence of Mental Disorders and Perceived Need for Mental Health Care: Findings From a Large Representative Sample of Military Personnel Arch Gen Psychiatry, July 1, 2007; 64(7): 843 - 852. [Abstract] [Full Text] [PDF]

				C. W. Hoge, J. L. Auchterlonie, and C. S. Milliken Mental Health Problems, Use of Mental Health Services, and Attrition From Military Service After Returning From Deployment to Iraq or Afghanistan JAMA, March 1, 2006; 295(9): 1023 - 1032. [Abstract] [Full Text] [PDF]

				C. W. Hoge, C. A. Castro, S. C. Messer, D. McGurk, D. I. Cotting, and R. L. Koffman Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care N. Engl. J. Med., July 1, 2004; 351(1): 13 - 22. [Abstract] [Full Text] [PDF]

				C. E. Fletcher Health Care Providers' Perceptions of Spirituality While Caring for Veterans Qual Health Res, April 1, 2004; 14(4): 546 - 561. [Abstract] [PDF]