Articlegreen2012

Prevalence of DSM-IV Major Depression Among U.S. Military Personnel: Meta-Analysis and Simulation

Anne Gadermann · Charles C. Engel · James A. Naifeh · Matthew K. Nock · Maria V. Petukhova · Patcho N. Santiago +3 more

131 citations0/0 files storedMilitary Medicine

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Mental Health Treatment and Access Child and Adolescent Psychosocial and Emotional Development Posttraumatic Stress Disorder Research

Abstract

A meta-analysis of 25 epidemiological studies estimated the prevalence of recent Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) major depression (MD) among U.S. military personnel. Best estimates of recent prevalence (standard error) were 12.0% (1.2) among currently deployed, 13.1% (1.8) among previously deployed, and 5.7% (1.2) among never deployed. Consistent correlates of prevalence were being female, enlisted, young (ages 17-25), unmarried, and having less than a college education. Simulation of data from a national general population survey was used to estimate expected lifetime prevalence of MD among respondents with the sociodemographic profile and none of the enlistment exclusions of Army personnel. In this Simulated sample, 16.2% (3.1) of respondents had lifetime MD and 69.7% (8.5) of first onsets occurred before expected age of enlistment. Numerous methodological problems limit the results of the meta-analysis and simulation. The article closes with a discussion of recommendations for correcting these problems in future surveillance and operational stress studies.

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References

1977The CES-D Scale 2001The PHQ-9 1986Meta-analysis in clinical trials 1999Validation and Utility of a Self-report Version of PRIME-MD The PHQ Primary Care Study 2003The Epidemiology of Major Depressive Disorder 2003The Patient Health Questionnaire-2 2002The PHQ-9: A New Depression Diagnostic and Severity Measure 2008The PHQ-8 as a measure of current depression in the general population

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