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http://story.news.yahoo.com/news?tmpl=story2&u=/nm/20020920/hl_nm/military_mental_dc


Health - Reuters 
 
Mental Disorders Key Health Problems in Military
Fri Sep 20, 1:37 PM ET

NEW YORK (Reuters Health) - Mental disorders such as depression and
substance-abuse problems are among the most common health conditions in
the US armed services, according to military researchers. 

  Their study of all active-duty personnel during the 1990s also found
that service men and women were much more likely to leave the service
after treatment for a mental health condition, compared with a physical
ailment. 

  There is no reason to believe that mental health problems affect
members of the military any more than the general US population, the
researchers note. Rather, they report, the fact that conditions were so
common in a generally young, healthy population highlights the
"pervasive nature of mental disorders" in society. 

  Dr. Charles W. Hoge of the Walter Reed Army Institute of Research in
Silver Spring, Maryland, and his colleagues report the findings in the
September issue of the American Journal of Psychiatry. 

  Hoge's team looked at hospitalizations for all active military
personnel between 1990 and 1999, as well as outpatient clinic visits in
1998 and 1999. They found that by 1995, mental disorders had become the
second-leading reason for hospitalization and were the fifth-leading
cause of outpatient clinic visits in 1998-1999. 

  Of the more than 1.5 million hospitalizations for service men and
women during the 1990s, 13% included a mental disorder diagnosis--which
in most of these cases was the "primary" diagnosis. Alcohol- and
drug-related disorders were the most frequent mental health problem,
followed by mood disorders such as major and mild depression, and a
group of conditions known as adjustment disorders. Adjustment disorders
involve an inability to deal with stressful events that is severe
enough to get in the way of work and life. 

  Overall, the researchers found, mental health problems appeared much
more likely than physical ills to affect service members' ability to
stay on the job. For example, nearly half of soldiers hospitalized for
a mental disorder in 1996 left the service within 6 months. That
compares with 12% of those hospitalized for physical conditions. 

  "Our analyzes confirm that mental disorders are a major public health
problem and a leading cause of occupational dysfunction in this
population," Hoge's team writes. 

  According to the researchers, the findings raise questions about the
impact of mental disorders on civilian job loss. 

  They also stress that "these medical data do not suggest that the
impact of mental disorders is greater among service members than in the
general US population." 

  Studying the military, Hoge's team notes, provides a "unique
opportunity" because it is one of the healthiest US populations, is
ethnically diverse and has equal access to healthcare. 

  The fact that mental disorders have such an impact in the military,
they conclude, provides new evidence that mental illness is "common,
disabling, and costly to society." 
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SOURCE: American Journal of Psychiatry 2002;159:1576-1583. 
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