ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2016
Military Occupational Outcomes in Canadian Armed Forces Personnel with and without Deployment-Related Mental Disorders.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 28 citations in OpenAlex.
- Barriers to mental health support among Canadian Veterans: Complicating factors of confidentiality and moral injury.Journal of military, veteran and family health · 2025Article
- The role of military service in preventing depression in China: evidence from a nationally representative longitudinal survey.BMC public health · 2023Article
- Decreased Emotional Dysregulation Following Multi-Modal Motion-Assisted Memory Desensitization and Reconsolidation Therapy (3MDR): Identifying Possible Driving Factors in Remediation of Treatment-Resistant PTSD.International journal of environmental research and public health · 2021Article
- Course and Predictors of Posttraumatic Stress Disorder in the Canadian Armed Forces: A Nationally Representative, 16-Year Follow-up Study: Cours et prédicteurs du trouble de stress post-traumatique dans les Forces armées canadiennes: une étude de suivi de 16 ans nationalement représentative.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
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- Contribution of traumatic deployment experiences to the burden of mental health problems in Canadian Armed Forces personnel: exploration of population attributable fractions.Social psychiatry and psychiatric epidemiology · 2019Article
- Blunted Nocturnal Salivary Melatonin Secretion Profiles in Military-Related Posttraumatic Stress Disorder.Frontiers in psychiatry · 2019Article
- The relation between adverse childhood experiences and moral injury in the Canadian Armed Forces.European journal of psychotraumatology · 2019Article
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- Contribution of the Mission in Afghanistan to the Burden of Past-Year Mental Disorders in Canadian Armed Forces Personnel, 2013.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Article
- Prevalence Comparison of Past-year Mental Disorders and Suicidal Behaviours in the Canadian Armed Forces and the Canadian General Population.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Article
- Disability and Mental Disorders in the Canadian Armed Forces.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Article
- Prevalence of Past-Year Mental Disorders in the Canadian Armed Forces, 2002-2013.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Article
- The 2013 Canadian Forces Mental Health Survey: Background and Methods.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Review
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Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMental disorders are common in military organizations, and these frequently lead to functional impairments that can interfere with duties and lead to costly attrition. In Canada, the military mental health system has received heavy investment to improve occupational outcomes. We investigated military occupational outcomes of diagnosed mental disorders in a cohort of 30,513 personnel who deployed on the Afghanistan mission.
methodsCohort members were military personnel who deployed on the Afghanistan mission from 2001 to 2008. Mental disorder diagnoses and their attribution to the Afghanistan mission were ascertained via medical records in a stratified random sample (n = 2014). Career-limiting medical conditions (that is, condition-associated restrictions that reliably lead to medically related attrition) were determined using administrative data. Outcomes were assessed from first Afghanistan-related deployment return.
resultsAt 5 years of follow-up, the Kaplan-Meier estimated cumulative fraction with career-limiting medical conditions was 40.9% (95% confidence interval [CI] 35.5 to 46.4) among individuals with Afghanistan service-related mental disorders (ARMD), 23.6% (CI 15.5 to 31.8) with other mental disorders, and 11.1% (CI 8.9 to 13.3) without mental disorders. The adjusted Cox regression hazard ratios for career-limiting medical condition risk were 4.89 (CI 3.85 to 6.23) among individuals with ARMD and 2.31 (CI 1.48 to 3.60) with other mental disorders, relative to those without mental disorders.
conclusionsNotwithstanding the Canadian military's mental health system investments, mental disorders (particularly ARMD) still led to a high risk of adverse military occupational outcomes. Such investments have intrinsic value but may not translate into reduced medically related attrition without improvements in prevention and treatment effectiveness.
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