tailieunhanh - Báo cáo y học: " Psychiatric diagnoses and punishment for misconduct: the effects of PTSD in combatdeployed Marines"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Psychiatric diagnoses and punishment for misconduct: the effects of PTSD in combatdeployed Marines | Highfill-McRoy et al. BMC Psychiatry 2010 10 88 http 1471-244X 10 88 BMC Psychiatry RESEARCH ARTICLE Open Access Psychiatric diagnoses and punishment for misconduct the effects of PTSD in combat-deployed Marines Robyn M Highfill-McRoy1 Gerald E LarsonH Stephanie Booth-Kewley1 f Cedric F Garland1 2t Abstract Background Research on Vietnam veterans suggests an association between psychological problems including posttraumatic stress disorder PTSD and misconduct however this has rarely been studied in veterans of Operation Iraqi Freedom or Operation Enduring Freedom. The objective of this study was to investigate whether psychological problems were associated with three types of misconduct outcomes demotions drug-related discharges and punitive discharges. Methods A population-based study was conducted on all . Marines who entered the military between October 1 2001 and September 30 2006 and deployed outside of the United States before the end of the study period September 30 2007. Demographic psychiatric deployment and personnel information was collected from military records. Cox proportional hazards regression analysis was conducted to investigate associations between the independent variables and the three types of misconduct in war-deployed n 77 998 and non-war-deployed n 13 944 Marines. Results Marines in both the war-deployed and non-war-deployed cohorts with a non-PTSD psychiatric diagnosis had an elevated risk for all three misconduct outcomes hazard ratios ranged from to . PTSD was a significant predictor of drug-related discharges in both the war-deployed and non-war-deployed cohorts. In the war-deployed cohort only a specific diagnosis of PTSD was associated with an increased risk for both demotions hazard ratio 95 confidence interval to and punitive discharges HR 95 CI to . Conclusions These results provide evidence of an association between PTSD and behavior problems in Marines deployed