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Published Online: 2 November 2015

U.S. Military Surveillance of Mental Disorders, 1998–2013

Cassie Wicken, M.H.S., Remington Nevin, M.D., M.P.H., and Elspeth Cameron Ritchie, M.D., M.P.H.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 67, Number 2
https://doi.org/10.1176/appi.ps.201500001
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Abstract

Objective:

Feature articles in the Medical Surveillance Monthly Report (MSMR) reflect the U.S. military’s health surveillance priorities. This study examined whether the recent rise in the number of ambulatory encounters for mental disorders in the U.S. military associated with the Iraq and Afghanistan wars was reflected in a proportional increase in MSMR feature articles on this topic.

Methods:

Articles published in the MSMR from January 1998 to December 2013 were examined to categorize feature articles according to health outcome. The proportion of articles by topic of outcome was compared with the proportion of all ambulatory encounters by category of disorder.

Results:

Mental disorders constituted 13% of ambulatory encounters and were the topic of 11% of 329 feature articles during the period, a statistically nonsignificant difference.

Conclusions:

The increased number of encounters for mental disorders has been met with a proportional but delayed increase in the number of MSMR feature articles focusing on these disorders.

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Information & Authors

Information

Published In

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Cover: Print table, by Frank Lloyd Wright (maker: William E. Nemmers), 1902–1903. White oak. Purchase, Emily Crane Chadbourne Bequest, 1972, the Metropolitan Museum of Art, New York City. Image copyright © The Metropolitan Museum of Art. Image source: Art Resource, New York City.

Psychiatric Services
Volume 67 • Number 2 • February 01, 2016
Pages: 248 - 251
PubMed: 26523430

History

Received: 1 January 2015
Revision received: 1 April 2015
Revision received: 6 May 2015
Accepted: 26 May 2015
Published online: 2 November 2015
Published in print: February 01, 2016

Authors

Details

Cassie Wicken, M.H.S.
Ms. Wicken is with the Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore. Dr. Nevin is with the Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Ritchie is with the Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland. Send correspondence to Dr. Nevin (e-mail: [email protected]).
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Remington Nevin, M.D., M.P.H.
Ms. Wicken is with the Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore. Dr. Nevin is with the Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Ritchie is with the Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland. Send correspondence to Dr. Nevin (e-mail: [email protected]).
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Elspeth Cameron Ritchie, M.D., M.P.H.
Ms. Wicken is with the Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore. Dr. Nevin is with the Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore. Dr. Ritchie is with the Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland. Send correspondence to Dr. Nevin (e-mail: [email protected]).
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Funding Information

Dr. Nevin has served as a consultant and expert witness for defense and plaintiffs’ attorneys in criminal and civil cases involving claims of antimalarial toxicity. Ms. Wicken and Dr. Ritchie report no financial relationships with commercial interests.

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