Evidence map›Paper›PMID 32492027›Full record

ArticlePloS one2020

Mental health, physical health, and health-related behaviors of U.S. Army Special Forces.

Adam D Cooper, Steven G Warner, Anna C Rivera, Rudolph P Rull, Amy B Adler, Dennis J Faix, Rob Neff, Edwin A Deagle, Ryan J Caserta, Cynthia A LeardMann and 1 more

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Self-awareness of soldiers regarding risk factors for cardiovascular diseases.International journal of occupational medicine and environmental health · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Applying the Socioecological Model to Map Factors Associated with Military Physical Activity Adherence.International journal of environmental research and public health · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Profile of forensic medical examinations among members of the Battalion of Special Police Operations of Santa Catarina, Brazil.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT
    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.

Adam D CooperDeployment Health Research Department, Naval Health Research Center, San Diego, CA, United States of America.
Steven G WarnerDeployment Health Research Department, Naval Health Research Center, San Diego, CA, United States of America.
Anna C RiveraDeployment Health Research Department, Naval Health Research Center, San Diego, CA, United States of America.
Rudolph P RullDeployment Health Research Department, Naval Health Research Center, San Diego, CA, United States of America.
Amy B AdlerWalter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Dennis J FaixNaval Medical Research Unit Two, Phnom Penh, Cambodia.
Rob NeffPreservation of the Force and Family, Headquarters United States Special Operation Command, MacDill Air Force Base, Tampa, FL, United States of America.
Edwin A DeaglePreservation of the Force and Family, Headquarters United States Special Operation Command, MacDill Air Force Base, Tampa, FL, United States of America.
Ryan J CasertaPreservation of the Force and Family, Headquarters United States Special Operation Command, MacDill Air Force Base, Tampa, FL, United States of America.
Cynthia A LeardMannDeployment Health Research Department, Naval Health Research Center, San Diego, CA, United States of America.ORCID 0000-0002-3683-6016
Millennium Cohort Study Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo prospectively examine the health and health-related behaviors of Army Special Forces personnel in comparison with two distinct, but functionally similar Army groups.

methodsSpecial Forces, Ranger Qualified, and General Purposes Forces enrolled in the Millennium Cohort Study were identified using data from the Defense Manpower Data Center. Using prospective survey data (2001-2014), we estimated the association of Army specialization with mental health, social support, physical health, and health-related behaviors with multivariable regression models.

resultsAmong the 5,392 eligible participants (84.4% General Purposes Forces, 10.0% Special Forces, 5.6% Ranger Qualified), Special Forces personnel reported the lowest prevalence of mental disorders, physical health problems, and unhealthy behaviors. In the multivariable models, Special Forces personnel were less likely to report mental health problems, multiple somatic symptoms, and unhealthy behaviors compared with General Purpose Forces infantrymen (odds ratios [OR]: 0.20-0.54, p-values < .01). Overall, Special Forces personnel were similar in terms of mental and physical health compared with Ranger Qualified infantrymen, but were less likely to sleep < 5 hours/night (OR: 0.60, 95% confidence intervals: 0.40, 0.92) and have 5 or more multiple somatic symptoms (OR: 0.69, 95% CI: 0.49, 0.98). Both Special Forces personnel and Ranger Qualified infantrymen engaged in more healthy behaviors compared with General Purpose Forces infantrymen (OR: 2.57-6.22, p-values<0.05). Engagement in more healthy behaviors reduced the odds of subsequent adverse health outcomes, regardless of specialization.

conclusionsArmy Special Forces personnel were found to be mentally and physically healthier than General Purpose Forces infantrymen, which may in part be due to their tendency to engage in healthy behaviors. Findings indicate that engagement in a greater number of healthy behaviors may reduce odds for subsequent adverse outcomes.

Indexed as

Health BehaviorHealth StatusMental HealthAdolescentAdultFollow-Up StudiesHumansLogistic ModelsMaleMental DisordersMiddle AgedMilitary PersonnelOdds RatioPrevalenceProspective StudiesSleep

Identifiers

PMID32492027
PMCPMC7269253

What OpenQuestion holds

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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.