| Titre : | A Prospective Study of Depression Following Combat Deployment in Support of the Wars in Iraq and Afghanistan. (2010) |
| Auteurs : | Timothy-S WELLS ; BLAZER (Dan) : USA. Duke University Medical Center. Durham. NC. ; BOYKO (Edward-J) : USA. Seattle Epidemiologic Research and Information Center. Veterans Affairs Puget Sound Health Care System. Seattle. WA. ; Sarah-O FORTUNA ; Cynthia-A LEARDMANN ; . MILLENNIUM COHORT STUDY TEAM ; Margaret-Ak RYAN ; Besa Smith ; Tyler-C Smith ; Us Air Force Research Laboratory. Wright-Patterson Afb. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 100, n° 1, Janvier 2010) |
| Pagination : | 90-99 |
| Langues: | Anglais |
| Mots-clés : | Etat dépressif ; Etude prospective ; Guerre ; Irak ; Afghanistan ; Asie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 8R0xomnC. Diffusion soumise à autorisation]. Objective. We investigated relations between deployment and new-onset depression among US service members recently deployed to the wars in Iraq and Afghanistan. Methods. We included 40219 Millennium Cohort Study participants who completed baseline and follow-up questionnaires and met inclusion criteria. Participants were identified with depression if they met the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire criteria for depression at follow-up, but not at baseline. Results. Deployed men and women with combat exposures had the highest onset of depression, followed by those not deployed and those deployed without combat exposures. Combat-deployed men and women were at increased risk for new-onset depression compared with nondeployed men and women (men : adjusted odds ratio [AOR]=1.32 ; 95% confidence interval [CI]=1.13,1.54 ; women : AOR=2.13 ; 95% CI=1.70,2.65). Conversely, deployment without combat exposures led to decreased risk for new-onset depression compared with those who did not deploy (men : AOR=0.66 ; 95% CI=0.53,0.83 ; women : AOR=0.65 ; 95% CI=0.47,0.89). Conclusions. Deployment with combat exposures is a risk factor for new-onset depression among US service members. Post-deployment screening may be beneficial for US service members exposed to combat. |
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