ArticleSocial psychiatry and psychiatric epidemiology2019
Contribution of traumatic deployment experiences to the burden of mental health problems in Canadian Armed Forces personnel: exploration of population attributable fractions.
Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 28 citations in OpenAlex.
- Digital Health Interventions for Military Members, Veterans, and Public Safety Personnel: Scoping Review.JMIR mHealth and uHealth · 2025Article
- A Retrospective Cohort Analysis of Mental Health-Related Emergency Department Visits Among Veterans and Non-Veterans Residing in Ontario, Canada: Une analyse de cohorte rétrospective des visites au service d'urgence liées à la santé mentale parmi les vétérans et non-vétérans résidant en Ontario, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024Article
- Article
- Child Maltreatment History, Deployment-Related Traumatic Events, and Past 12-Month Cannabis Use Among Veterans in Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024Article
- Holding and rupture: Describing post-traumatic stress among former UK Army and Royal Marine personnel deployed to Iraq and Afghanistan.PloS one · 2024Article
- Military service and risk of subsequent drug use disorders among Swedish men.Social psychiatry and psychiatric epidemiology · 2023Article
- Conducting research during the COVID-19 pandemic: the Op LASER study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2022Article
- Moral Injury and Recovery in Uniformed Professionals: Lessons From Conversations Among International Students and Experts.Frontiers in psychiatry · 2022Article
- Operational stressors, psychological distress, and turnover intentions: The impact of potentially morally injurious experiences.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2021Article
- Differences in military personnel's hardiness depending on their leadership levels and combat experience: An exploratory pilot study.Military psychology : the official journal of the Division of Military Psychology, American Psychological AssociationArticle
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMental health problems are prevalent after combat; they are also common in its absence. Estimates of deployment-attributability vary. This paper quantifies the contribution of different subtypes of occupational trauma to post-deployment mental health problems.
methodsParticipants were a cohort of 16,193 Canadian personnel undergoing post-deployment mental health screening after return from the mission in Afghanistan. The screening questionnaire assessed post-traumatic stress disorder, depression, panic disorder, generalized anxiety disorder, and exposure to 30 potentially traumatic deployment experiences. Logistic regression estimated adjusted population attributable fractions (PAFs) for deployment-related trauma, which was treated as count variables divided into several subtypes of experiences based on earlier factor analytic work.
resultsThe overall PAF for overall deployment-related trauma exposure was 57.5% (95% confidence interval 44.1, 67.7) for the aggregate outcome of any of the four assessed problems. Substantial PAFs were seen even at lower levels of exposure. Among subtypes of trauma, exposure to a dangerous environment (e.g., receiving small arms fire) and to the dead and injured (e.g., handling or uncovering human remains) had the largest PAFs. Active combat (e.g., calling in fire on the enemy) did not have a significant PAF.
conclusionsMilitary deployments involving exposure to a dangerous environment or to the dead or injured will have substantial impacts on mental health in military personnel and others exposed to similar occupational trauma. Potential explanations for divergent findings in the literature on the extent to which deployment-related trauma contributes to the burden of mental disorders are discussed.
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