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Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment

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Published on: December 6, 2024

Predictors of psychiatric disorders in combat veterans.

Stephanie Booth-Kewley¹, Emily A Schmied, Robyn M Highfill-McRoy

¹Behavioral Science and Epidemiology Department, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106-3521, USA. stephanie.kewley@med.navy.mi

|May 9, 2013

Summary

Military leadership satisfaction and organizational commitment are key predictors of new-onset psychiatric disorders in combat veterans. Addressing these factors may improve mental health outcomes for service members.

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Area of Science:

Military mental health research
Psychiatric epidemiology
Combat-related psychological outcomes

Background:

Previous research on OEF/OIF combatant mental health predominantly used self-report measures.
Few studies have investigated predictors of actual psychiatric diagnoses in this population.
This study focused on identifying predictors of new-onset psychiatric disorders in deployed Marines.

Purpose of the Study:

To identify demographic and psychosocial predictors of psychiatric disorders among Marines deployed to combat zones.
To conduct a longitudinal investigation of mental health diagnoses in a military sample.

Main Methods:

Longitudinal study of 1113 Marines deployed to Iraq or Afghanistan.
Utilized survey data for demographic and psychosocial predictors.
Employed univariate and multivariate logistic regression to analyze subsequent psychiatric diagnoses.

Main Results:

18% of Marines with no prior diagnoses developed new-onset psychiatric disorders.
Strongest predictors included female gender, mild traumatic brain injury symptoms, and satisfaction with leadership.
Higher satisfaction with leadership was associated with a 50% lower likelihood of developing a mental disorder.

Conclusions:

Low satisfaction with leadership and low organizational commitment predicted mental disorder diagnoses.
These modifiable factors represent potential targets for intervention.
Further research is needed to clarify the impact of leadership and commitment on combatant mental health.