TY - JOUR
T1 - Deployment-related depression screening, 2001-2008
T2 - Comparing clinical versus research surveys
AU - Welsh, Marleen M.
AU - Federinko, Susan P.
AU - Burnett, Daniel G.
AU - Gackstetter, Gary D.
AU - Boyko, Edward J.
AU - Seelig, Amber D.
AU - Wells, Timothy S.
AU - Hooper, Tomoko I.
N1 - Funding Information:
We would like to thank the entire Millennium Cohort Study Team from the Deployment Health Research Department, Naval Health Research Center, San Diego CA, for their support, as well as the Millennium Cohort Study co-investigators for their leadership. We are also indebted to the Millennium Cohort Study participants, without whom these analyses would not be possible. We appreciate the support from the Management Information Division, U.S. Defense Manpower Data Center (Seaside CA), Military Operational Medicine Research Program, and U.S. Army Medical Research and Materiel Command.
Funding Information:
The Millennium Cohort Study is funded through the Military Operational Medicine Research Program, U.S. Army Medical Research and Materiel Command (Fort Detrick MD). Resources from the Veterans Affairs Puget Sound Health Care System supported Dr. Boyko’s involvement in this research.
Publisher Copyright:
© 2014 American Journal of Preventive Medicine. All rights reserved.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - Conclusions Deployment health surveys are important tools for identifying returning service members experiencing depression symptoms. However, these findings suggest that ongoing stigma and barriers to appropriate follow-up mental health care remain to be addressed in the military setting.Results Moderate agreement (κ=0.464) was observed between paired survey responses. A higher proportion of active duty members, the unmarried, and new accessions into military service endorsed depression symptoms on the research survey but not the military-linked survey. In stratified analyses, agreement was higher in Reserve/National Guard members than active duty (κ=0.561 vs 0.409). New active duty accessions showed lower agreement (κ=0.388), as did unmarried active duty participants (κ=0.304).Methods This cross-sectional study analyzed depression screening responses from 2001 to 2008 from participants of the Millennium Cohort Study, a longitudinal military cohort study, who completed a post-deployment health assessment within 30 days of a research survey. Kappa statistics and percent positive and negative agreement were calculated. Demographic and military characteristics associated with discordant screening results were examined. Initial analyses were performed in 2011, with additional analyses in 2013.Background Potential adverse mental health effects of deployment, including depression, are an ongoing concern. Although a previous study assessed under-reporting of depression on post-deployment health assessments compared to anonymous surveys, those results were not examined at the individual level to identify demographic or military factors that may be associated with unwillingness to report depression symptoms.Purpose To compare self-reported depression symptoms on post-deployment health assessments with responses to the same depression questions on a research survey.
AB - Conclusions Deployment health surveys are important tools for identifying returning service members experiencing depression symptoms. However, these findings suggest that ongoing stigma and barriers to appropriate follow-up mental health care remain to be addressed in the military setting.Results Moderate agreement (κ=0.464) was observed between paired survey responses. A higher proportion of active duty members, the unmarried, and new accessions into military service endorsed depression symptoms on the research survey but not the military-linked survey. In stratified analyses, agreement was higher in Reserve/National Guard members than active duty (κ=0.561 vs 0.409). New active duty accessions showed lower agreement (κ=0.388), as did unmarried active duty participants (κ=0.304).Methods This cross-sectional study analyzed depression screening responses from 2001 to 2008 from participants of the Millennium Cohort Study, a longitudinal military cohort study, who completed a post-deployment health assessment within 30 days of a research survey. Kappa statistics and percent positive and negative agreement were calculated. Demographic and military characteristics associated with discordant screening results were examined. Initial analyses were performed in 2011, with additional analyses in 2013.Background Potential adverse mental health effects of deployment, including depression, are an ongoing concern. Although a previous study assessed under-reporting of depression on post-deployment health assessments compared to anonymous surveys, those results were not examined at the individual level to identify demographic or military factors that may be associated with unwillingness to report depression symptoms.Purpose To compare self-reported depression symptoms on post-deployment health assessments with responses to the same depression questions on a research survey.
UR - http://www.scopus.com/inward/record.url?scp=84908208968&partnerID=8YFLogxK
U2 - 10.1016/j.amepre.2014.07.036
DO - 10.1016/j.amepre.2014.07.036
M3 - Article
C2 - 25241198
AN - SCOPUS:84908208968
SN - 0749-3797
VL - 47
SP - 531
EP - 540
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
IS - 5
ER -