Evidence map›Paper›PMID 29420791›Full record

ArticleMilitary medicine2018

Substance Use and Psychological Distress Before and After the Military to Civilian Transition.

Karen J Derefinko, Troy A Hallsell, Matthew B Isaacs, Francisco I Salgado Garcia, Lauren W Colvin, Zoran Bursac, Meghan E McDevitt-Murphy, James G Murphy, Melissa A Little, Gerald W Talcott and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Military medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
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  3. When military-to-civilian transition support falls short: A qualitative assessment of transition needs among U.S. Veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2026
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  9. Observational
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  14. Applying polyvictimization theory to veterans: Associations with substance use and mental health.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022
    Article
  15. Peace of mind: Promoting psychological growth and reducing the suffering of combat veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2022
    Article
  16. Military TBI-What civilian primary care providers should know.Journal of family medicine and primary care · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. The role of United States identity in adjustment among Veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Karen J DerefinkoDepartment of Preventive Medicine, University of Tennessee Health Sciences Center, 66 N. Pauline St., Memphis, TN 38163-2181.
Troy A HallsellDepartment of History, The University of Memphis, Memphis, TN 38152-3450.
Matthew B IsaacsDepartment of History, The University of Memphis, Memphis, TN 38152-3450.
Francisco I Salgado GarciaDepartment of Preventive Medicine, University of Tennessee Health Sciences Center, 66 N. Pauline St., Memphis, TN 38163-2181.
Lauren W ColvinResearch Informatics for the Cancer Center, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105.
Zoran BursacDepartment of Preventive Medicine, University of Tennessee Health Sciences Center, 66 N. Pauline St., Memphis, TN 38163-2181.
Meghan E McDevitt-MurphyDepartment of Psychology, University of Memphis, 400 Innovation Drive, Memphis, TN 38152.
James G MurphyDepartment of Psychology, University of Memphis, 400 Innovation Drive, Memphis, TN 38152.
Melissa A LittleDepartment of Public Health Sciences, University of Virginia School of Medicine, 560 Ray Hunt Drive, Room 2120, Charlottesville, VA 22911.
Gerald W TalcottDepartment of Public Health Sciences, University of Virginia School of Medicine, 560 Ray Hunt Drive, Room 2120, Charlottesville, VA 22911.
Robert C KlesgesDepartment of Public Health Sciences, University of Virginia School of Medicine, 560 Ray Hunt Drive, Room 2120, Charlottesville, VA 22911.
University of Memphis · USUniversity of Tennessee Health Science Center · USUniversity of Virginia · USSt. Jude Children's Research Hospital · US

Funding

New, Emerging, and Traditional Tobacco Use in the MilitaryR01DA037273 · NIDA · UNIVERSITY OF VIRGINIA · PI KLESGES, ROBERT C · 2015 to 2019
$3.4M
NIDA NIH HHS R01 DA037273
6 · The paper itself

Abstract

Background: Those currently serving in the military constitute a vulnerable population given their high-risk status for substance use, and population data suggest that veterans continue to engage in significant substance use long after their military service ends. Recent research suggests that the separation transition from active duty to civilian life may be critical in terms of the future functioning of the veteran. Methods: We sought to explore substance use prevalence, as well as potential emotional distress among veterans by retrospectively assessing substance use during active duty and following separation to examine possible changes in use over this period. This study assessed substance use and emotional distress in veterans (N = 80; 90% male) across the military to civilian transition. Findings: Repeated measures tests indicated that endorsement of alcohol use, cigarette use, and prescription drug misuse was similar during active duty and post-separation, and marijuana and hard drug use endorsement increased significantly in the 6-mo period post-separation. Further, comorbid use of different substances was common. Active duty levels of anxiety/depression and aggressive feelings were maintained from active duty to post-separation, and feeling alone and military-based trauma symptoms increased significantly. Finally, participants indicated that only a minority of the veterans they knew were doing emotionally well or did not have alcohol/substance use issues. Discussion: These findings indicate a clear need for substance use and psychological intervention availability before and after transition to enable veterans to transition to civilian life effectively. Based on the many issues at work during the transition process, programs may do well to focus more specifically on identification of problems and raising awareness, rather than awaiting more severe issues in the future. Validation of the difficulties of the separation transition, veterans' feelings of isolation, and the importance of veteran community support may help newly transitioning veterans find advocates who may help them navigate existing assistance programs.

Indexed as

Adaptation, PsychologicalAdultAnalysis of VarianceChi-Square DistributionFemaleHumansMaleMilitary PersonnelRetrospective StudiesSocial SupportStress, PsychologicalSubstance-Related DisordersVeterans

Identifiers

PMID29420791
PMCPMC12122054
OpenAlexW2789777835

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.