ArticleDepression and anxiety2019
Prospective associations of perceived unit cohesion with postdeployment mental health outcomes.
Article in Depression and anxiety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- What work-related exposures are associated with post-traumatic stress disorder? A systematic review with meta-analysis.BMJ open · 2021Pooled it
- Alcohol Use and Operational Readiness in the U.S. Active-duty Military: A Review of Burden, Culture, and Barriers to Care.Current psychiatry reports · 2026Review
- Tattooing Among Combat Soldiers as a Coping Resource With Their Military Service Experiences.Stress and health : journal of the International Society for the Investigation of Stress · 2025Article
- Pilot implementation of a telehealth safety planning group intervention for suicidal rural Veterans enhanced by lived experience veteran peer participation.Frontiers in psychiatry · 2025Article
- Assessing the psychometric properties of the Army STARRS' vertical unit cohesion scale: A large-scale, longitudinal study.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025Article
- Rat Models in Post-Traumatic Stress Disorder Research: Strengths, Limitations, and Implications for Translational Studies.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024Review
- The Impact of Relationships Within Combat Units on Post-Deployment Suicide Risk.Behavioral sciences (Basel, Switzerland) · 2024Review
- The role of unit cohesion and perceived resilience in substance use disorder.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024Article
- Prospective association of attachment style with suicide attempts among US Army soldiers.Psychological medicine · 2024Article
- Social network size and personality traits independently and prospectively predict distress disorders and suicidal behavior in U.S. Army soldiers.Psychological medicine · 2023Article
- The Relationship between Psychological Hardiness and Military Performance by Reservists: A Moderation Effect of Perceived Stress and Resilience.Healthcare (Basel, Switzerland) · 2023Article
- Longitudinal studies on cohesion in a military context - A systematic review.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2022Review
- Unit cohesion during deployment and post-deployment mental health: is cohesion an individual- or unit-level buffer for combat-exposed soldiers?Psychological medicine · 2022Article
- Multimorbidity and out-of-pocket expenditure on medicine in Europe: Longitudinal analysis of 13 European countries between 2013 and 2015.Frontiers in public health · 2022Article
- Perceptions of purpose, cohesion, and military leadership: A path analysis of potential primary prevention targets to mitigate suicidal ideation.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2022Article
- Cohort profile: the Ohio Army National Guard Mental Health Initiative (OHARNG-MHI).Social psychiatry and psychiatric epidemiology · 2021Article
- A test of the interpersonal theory of suicide in a large, representative, retrospective and prospective study: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).Behaviour research and therapy · 2020Article
- Examining the interaction of autism spectrum disorder-related traits and unit cohesion on suicide risk among military personnel.Journal of affective disorders · 2020Article
- Postconcussive, posttraumatic stress and depressive symptoms in recently deployed U.S. Army soldiers with traumatic brain injury.Psychological assessment · 2019Article
- The evolution of mental health outcomes across a combat deployment cycle: A longitudinal study of the Guam Army National GuardPloS one · 2019Article
Corrections and comments
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Authors and funding
12 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundPrior investigations have found negative associations between military unit cohesion and posttraumatic stress disorder (PTSD); however, most relied on cross-sectional data and few examined relationships of unit cohesion to other mental disorders. This study evaluates prospective associations of perceived unit cohesion with a range of mental health outcomes following combat deployment.
methodsU.S. Army soldiers were surveyed approximately 1-2 months before deployment to Afghanistan (T0); and 1 month (T1), 3 months (T2), and 9 months (T3) after return from deployment. Logistic regression was performed to estimate associations of perceived unit cohesion at T0 with risk of PTSD, major depressive episode (MDE), generalized anxiety disorder (GAD), alcohol or substance use disorder (AUD/SUD), and suicidal ideation at T2 or T3 among soldiers who completed all study assessments (N = 4,645). Models were adjusted for sociodemographic and Army service characteristics, predeployment history of the index outcome, and deployment stress exposure.
resultsHigher perceived unit cohesion at T0 was associated with lower risk of PTSD, MDE, GAD, AUD/SUD, and suicidal ideation at T2 or T3 (AORs = 0.72 to 0.85 per standard score increase in unit cohesion; P-values < 0.05). Models of incidence of mental disorders and suicidal ideation among soldiers without these problems predeployment yielded similar results, except that perceived unit cohesion was not associated with incident AUD/SUD.
conclusionsSoldiers who reported strong unit cohesion before deployment had lower risk of postdeployment mental disorders and suicidal ideation. Awareness of associations of perceived unit cohesion with postdeployment mental health may facilitate targeting of prevention programs.
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