TITLE

Psychiatric diagnoses and punishment for misconduct: the effects of PTSD in combat-deployed Marines

AUTHOR(S)
Highfill-McRoy, Robyn M.; Larson, Gerald E.; Booth-Kewley, Stephanie; Garland, Cedric F.
PUB. DATE
January 2010
SOURCE
BMC Psychiatry;2010, Vol. 10, p88
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Research on Vietnam veterans suggests an association between psychological problems, including posttraumatic stress disorder (PTSD), and misconduct; however, this has rarely been studied in veterans of Operation Iraqi Freedom or Operation Enduring Freedom. The objective of this study was to investigate whether psychological problems were associated with three types of misconduct outcomes (demotions, drug-related discharges, and punitive discharges.) Methods: A population-based study was conducted on all U.S. Marines who entered the military between October 1, 2001, and September 30, 2006, and deployed outside of the United States before the end of the study period, September 30, 2007. Demographic, psychiatric, deployment, and personnel information was collected from military records. Cox proportional hazards regression analysis was conducted to investigate associations between the independent variables and the three types of misconduct in war-deployed (n = 77 998) and non-war-deployed (n = 13 944) Marines. Results: Marines in both the war-deployed and non-war-deployed cohorts with a non-PTSD psychiatric diagnosis had an elevated risk for all three misconduct outcomes (hazard ratios ranged from 3.93 to 5.65). PTSD was a significant predictor of drug-related discharges in both the war-deployed and non-war-deployed cohorts. In the war-deployed cohort only, a specific diagnosis of PTSD was associated with an increased risk for both demotions (hazard ratio, 8.60; 95% confidence interval, 6.95 to 10.64) and punitive discharges (HR, 11.06; 95% CI, 8.06 to 15.16). Conclusions: These results provide evidence of an association between PTSD and behavior problems in Marines deployed to war. Moreover, because misconduct can lead to disqualification for some Veterans Administration benefits, personnel with the most serious manifestations of PTSD may face additional barriers to care.
ACCESSION #
55563644

 

Related Articles

  • Psychotherapy for Vietnam Veterans with Posttraumatic Stress Disorder. Hendin, Herbert // American Journal of Psychotherapy;Jan1983, Vol. 37 Issue 1, p86 

    Discusses the use of individual psychotherapy in treating posttraumatic stress disorders among Vietnam War veterans in the United States. Presentation of three case summaries to illustrate various ways in which the disorder is manifested and treated; Effectiveness of different therapeutic...

  • Memorial Day Memories. ESTES, JACK // USA Today Magazine;Jul2015, Vol. 144 Issue 2842, p26 

    A personal narrative is presented which explores the author's experience of serving the U.S. Marine in the jungles of Vietnam and his struggle to recover from post traumatic stress disorder (PTSD).

  • Combat Never Ends: The Paranoid Adaptation to Posttraumatic Stress. Hendin, Herbert // American Journal of Psychotherapy;Jan1984, Vol. 38 Issue 1, p121 

    Discusses the paranoid adaptation to posttraumatic stress and its relation to the way in which the Vietnam veterans experienced events in combat. Case illustrating how posttraumatic stress disorder can be treated in psychotherapy; Common experiences identified in the precombat lives of veterans...

  • Unrecognized Post-Traumatic Stress Triggers Class-Action Suit.  // Vietnam;Aug2014, Vol. 27 Issue 2, p10 

    The article reports that U.S.-based Yale Law School students have helped and initiated five Vietnam veterans and Vietnam Veterans of America's class-action lawsuit against the U.S. military after they were denied access to care and benefits in case of post traumatic stress disorder.

  • Vietnam Vets Sue Over PTSD-Related Wartime Discharges.  // Vietnam;Apr2013, Vol. 25 Issue 6, p12 

    The article offers information regarding a lawsuit filed by the Vietnam Veterans of America (VVA) against the U.S. military for not upgrading the discharge statuses of Vietnam War veterans with service-related post traumatic stress syndrome (PTSD).

  • Technology Can Help with Combat Operational Stress. Sipko, Marek M. // U.S. Naval Institute Proceedings;Nov2008, Vol. 134 Issue 11, p70 

    The article focuses on the reactions of the combat operational stress in the U.S. It states that the combat stress contributes to the loss of fighting force and impacts military readiness, and post traumatic stress disorder has increased among Marines due to the Marine Corps' continued combat...

  • Sequelae: The Inner War. Wiles, Bindu // Creative Nonfiction;Fall/Winter2011, Issue 43, p32 

    An essay is presented on post-traumatic stress disorder (PTSD), a condition occurring on soldiers during times of intense and repeated stress. It states that soldiers were often diagnosed with exhaustion following the stress of battle in the early 1800s. Meanwhile, the author explores the...

  • A PERSONAL WAR. Jiminez, Sierra // Jerk Magazine;Oct2010, Vol. 10 Issue 1, p27 

    The article focuses on the life of Jared Starkel in Syracuse, New York. It states that his life struggles to balance his family life with his post-traumatic stress disorder burdened with memories from his three year deployments in the U.S. Marine Corps in Iraq. It mentions that nowadays he...

  • Head Protection: While Equipment Advances, Questions Remain. Roth, Margaret C.; Coultas, Robert E. // Army AL&T Magazine;Apr-Jun2011, p28 

    The article discusses the research and development initiatives of the U.S. Army to measure the variables involved in the prevention, detection and treatment of traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD). It says that the Army and Marine Corps are preparing to field...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics