Posttraumatic stress disorder after combat zone deployment among Navy and Marine Corps men and women.

BACKGROUND As more women are deployed into combat environments, preliminary findings have been inconsistent regarding gender differences in symptoms of posttraumatic stress disorder (PTSD) following deployment. Very little is known about the experiences of Navy and Marine Corps personnel deployed to combat zones. METHODS The study population consisted of Navy and Marine Corps personnel who completed a Post-Deployment Health Assessment upon return from deployment to Iraq, Afghanistan, or Kuwait during 2008 and 2009 and a Post-Deployment Health Reassessment approximately 6 months later. These instruments included screening questions for PTSD. RESULTS The final sample of 31,534 service members included 29,640 men and 1,894 women. Within occupation categories, women were overrepresented relative to men in the roles of functional support/administration and healthcare specialists, whereas men were overrepresented in the role of combat specialist. Screening rates were similar by gender, with a slightly higher percentage of women compared with men screening positive for PTSD (6.6% vs. 5.3%). These symptoms of PTSD among men and women in this sample could not be attributed to combat exposure or other deployment-related characteristics. CONCLUSIONS Relative to men, women in this sample had a similar probability of screening positive for PTSD following deployment. These PTSD symptoms were not associated with deployment-related variables, suggesting that deployment to a combat zone does not affect women differently from men. This finding could have meaningful implications for policies surrounding women in the military.

[1]  Mark R Schultz,et al.  Gender differences in combat-related stressors and their association with postdeployment mental health in a nationally representative sample of U.S. OEF/OIF veterans. , 2011, Journal of abnormal psychology.

[2]  J. Sareen,et al.  Stress and mental disorders in female military personnel: comparisons between the sexes in a male dominated profession. , 2012, Journal of psychiatric research.

[3]  Tyler C Smith,et al.  New onset and persistent symptoms of post-traumatic stress disorder self reported after deployment and combat exposures: prospective population based US military cohort study , 2008, BMJ : British Medical Journal.

[4]  Coady B Lapierre,et al.  Posttraumatic stress and depression symptoms in soldiers returning from combat operations in Iraq and Afghanistan. , 2007, Journal of traumatic stress.

[5]  Paul D Bliese,et al.  Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat. , 2008, Journal of consulting and clinical psychology.

[6]  L. Trego,et al.  Women at War: Implications for Mental Health , 2010, Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation.

[7]  Charles W Hoge,et al.  Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. , 2006, JAMA.

[8]  Dawne Vogt,et al.  A new generation of women veterans: stressors faced by women deployed to Iraq and Afghanistan. , 2009, Clinical psychology review.

[9]  D. Luxton,et al.  Gender differences in traumatic experiences and mental health in active duty soldiers redeployed from Iraq and Afghanistan. , 2012, Journal of psychiatric research.

[10]  P. Thuras,et al.  Gender differences in the effects of deployment-related stressors and pre-deployment risk factors on the development of PTSD symptoms in National Guard Soldiers deployed to Iraq and Afghanistan. , 2014, Journal of psychiatric research.

[11]  Mark R Schultz,et al.  Predeployment, deployment, and postdeployment risk factors for posttraumatic stress symptomatology in female and male OEF/OIF veterans. , 2011, Journal of abnormal psychology.

[12]  Shira Maguen,et al.  Gender differences in mental health diagnoses among Iraq and Afghanistan veterans enrolled in veterans affairs health care. , 2010, American journal of public health.

[13]  M. Hotopf,et al.  Is previous psychological health associated with the likelihood of Iraq War deployment? An investigation of the "healthy warrior effect". , 2009, American journal of epidemiology.

[14]  Robert D. Swanson,et al.  An examination of the diagnostic efficiency of post-deployment mental health screens. , 2012, Journal of clinical psychology.

[15]  D. Luxton,et al.  Gender differences in depression and PTSD symptoms following combat exposure , 2010, Depression and anxiety.

[16]  S. Wessely,et al.  Impact of exposure to combat during deployment to Iraq and Afghanistan on mental health by gender , 2012, Psychological Medicine.

[17]  Rachel Kimerling,et al.  Military-related sexual trauma among Veterans Health Administration patients returning from Afghanistan and Iraq. , 2010, American journal of public health.

[18]  Simon Wessely,et al.  Women in novel occupational roles: mental health trends in the UK Armed Forces. , 2007, International journal of epidemiology.

[19]  Christopher H Warner,et al.  Importance of anonymity to encourage honest reporting in mental health screening after combat deployment. , 2011, Archives of general psychiatry.

[20]  J. Gradus,et al.  Gender Differences Among Veterans Deployed in Support of the Wars in Afghanistan and Iraq , 2013, Journal of General Internal Medicine.