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A Prospective Study of Depression Following Combat Deployment in Support of the Wars in Iraq and Afghanistan

2009; American Public Health Association; Volume: 100; Issue: 1 Linguagem: Inglês

10.2105/ajph.2008.155432

1541-0048

Timothy S. Wells, Cynthia A. LeardMann, Sarah O. Fortuna, Besa Smith, Tyler C. Smith, Margaret A.K. Ryan, Edward J. Boyko, Dan G. Blazer,

Suicide and Self-Harm Studies

We investigated relations between deployment and new-onset depression among US service members recently deployed to the wars in Iraq and Afghanistan.We included 40 219 Millennium Cohort Study participants who completed baseline and follow-up questionnaires and met inclusion criteria. Participants were identified with depression if they met the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire criteria for depression at follow-up, but not at baseline.Deployed men and women with combat exposures had the highest onset of depression, followed by those not deployed and those deployed without combat exposures. Combat-deployed men and women were at increased risk for new-onset depression compared with nondeployed men and women (men: adjusted odds ratio [AOR]=1.32; 95% confidence interval [CI]=1.13, 1.54; women: AOR=2.13; 95% CI=1.70, 2.65). Conversely, deployment without combat exposures led to decreased risk for new-onset depression compared with those who did not deploy (men: AOR=0.66; 95% CI=0.53, 0.83; women: AOR=0.65; 95% CI=0.47, 0.89).Deployment with combat exposures is a risk factor for new-onset depression among US service members. Post-deployment screening may be beneficial for US service members exposed to combat.