Evidence map›Paper›PMID 35197132›Full record

ArticlePsychological medicine2023

Mental health across the early years in the military.

Lisa Dell, Carolina Casetta, Helen Benassi, Sean Cowlishaw, James Agathos, Meaghan O'Donnell, Monique Crane, Virginia Lewis, Belinda Pacella, Sonia Terhaag and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Emotion Regulation and Coping in Active Military Personnel: A Systematic Review.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Pooled it
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. The association of multi-system conditions on mental health trajectories during naval deployment.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025
    Article
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  10. Article
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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

14 authors at 6 institutions in 1 country.

Lisa DellPhoenix Australia Centre for Posttraumatic Mental Health, 161 Barry Street, Carlton VIC, Melbourne 3053, Australia.ORCID https://orcid.org/0000-0002-6870-5432
Carolina CasettaDepartment of Defence, Joint Health Command, Canberra, Australia.
Helen BenassiDepartment of Defence, Joint Health Command, Canberra, Australia.
Sean CowlishawPhoenix Australia Centre for Posttraumatic Mental Health, 161 Barry Street, Carlton VIC, Melbourne 3053, Australia.
James AgathosPhoenix Australia Centre for Posttraumatic Mental Health, 161 Barry Street, Carlton VIC, Melbourne 3053, Australia.
Meaghan O'DonnellPhoenix Australia Centre for Posttraumatic Mental Health, 161 Barry Street, Carlton VIC, Melbourne 3053, Australia.
Monique CraneDepartment of Psychology, Faculty of Medicine, Health and Human Sciences, Macquarie University, Macquarie Park NSW, Sydney 2109, Australia.
Virginia LewisAustralian Institute for Primary Care and Ageing, La Trobe University, Bundoora VIC, Melbourne 3086, Australia.
Belinda PacellaPhoenix Australia Centre for Posttraumatic Mental Health, 161 Barry Street, Carlton VIC, Melbourne 3053, Australia.
Sonia TerhaagPhoenix Australia Centre for Posttraumatic Mental Health, 161 Barry Street, Carlton VIC, Melbourne 3053, Australia.
David MortonDepartment of Defence, Joint Health Command, Canberra, Australia.
Alexander McFarlaneFaculty of Health and Medical Sciences, Adelaide Medical School, University of Adelaide, Adelaide SA 5005, Australia.
Richard BryantFaculty of Science, School of Psychology, University of New South Wales, Sydney NSW 2052, Australia.
David ForbesPhoenix Australia Centre for Posttraumatic Mental Health, 161 Barry Street, Carlton VIC, Melbourne 3053, Australia.
The University of Melbourne · AUAustralian National University · AULa Trobe University · AUMacquarie University · AUThe University of Adelaide · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe mental health impact of the initial years of military service is an under-researched area. This study is the first to explore mental health trajectories and associated predictors in military members across the first 3-4 years of their career to provide evidence to inform early interventions.

methodsThis prospective cohort study surveyed Australian Defence personnel (

resultsThree clear trajectories emerged for psychological distress: resilient (84.0%), worsening (9.6%) and recovery (6.5%). Four trajectories emerged for post-traumatic stress, including resilient (82.5%), recovery (9.6%), worsening (5.8%) and chronic subthreshold (2.3%) trajectories. Across both outcomes, prior trauma exposure alongside modifiable factors, such as maladaptive coping styles, and increased anger and sleep difficulties were associated with the worsening and chronic subthreshold trajectories, whilst members in the resilient trajectories were more likely to be male, report increased social support from family/friends and Australian Defence Force (ADF) sources, and use adaptive coping styles.

conclusionsThe emergence of symptoms of mental health problems occurs early in the military lifecycle for a significant proportion of individuals. Modifiable factors associated with wellbeing identified in this study are ideal targets for intervention, and should be embedded and consolidated throughout the military career.

Indexed as

Military PersonnelStress Disorders, Post-TraumaticAustraliaFemaleHumansMaleMental HealthProspective Studieslatent class growth analysismental healthMilitarypsychological distressPTSDresilience

Identifiers

PMID35197132
PMCPMC10277765
OpenAlexW4213430770

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.