Post-traumatic stress disorder and service utilization in a sample of service members from Iraq and Afghanistan

Mil Med. 2007 Apr;172(4):359-63. doi: 10.7205/milmed.172.4.359.

Abstract

Objective: The purpose of this study was to evaluate levels of post-traumatic stress disorder (PTSD), depression, alcohol abuse, quality of life, and mental health service utilization among returnees from Operation Enduring Freedom and Operation Iraqi Freedom.

Methods: One hundred twenty returnees, enrolled for health care at a midwestern Veterans Affairs medical center, completed questionnaires approximately 6 months after their return from deployment.

Results: PTSD levels (12%) were consistent with previous research while problematic drinking levels were also elevated (33%). PTSD and, to a lesser degree, alcohol abuse were associated with lower quality of life in multiple domains, even when controlling for the influence of depression. Of those screening positive for PTSD, 56% reported using mental health services. Only 18% of those screening positive for alcohol abuse reported using such services.

Conclusions: PTSD and alcohol problems are prevalent in Operation Enduring Freedom/Operation Iraqi Freedom returnees and associated with lower quality of life. Mental health service utilization is limited, even among returnees enrolled for Veterans Affairs health care.

MeSH terms

  • Adult
  • Afghanistan
  • Female
  • Health Surveys
  • Hospitals, Veterans / statistics & numerical data*
  • Humans
  • Iraq
  • Male
  • Mental Health Services / statistics & numerical data*
  • Middle Aged
  • Midwestern United States / epidemiology
  • Military Personnel / psychology
  • Military Psychiatry
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Stress Disorders, Post-Traumatic / therapy
  • United States / epidemiology
  • United States Department of Veterans Affairs
  • Veterans / psychology*