Military Medicine,
Год журнала:
2023,
Номер
189(5-6), С. e1230 - e1239
Опубликована: Сен. 16, 2023
ABSTRACT
Introduction
Military
veterans
are
at
increased
risk
of
substance
use
disorders.
Limited
research
is
available
about
veterans’
cannabis
(CU)
during
the
coronavirus
disease
2019
(COVID-19)
pandemic.
This
study
estimated
prevalence
past
30-day
CU,
investigated
individual-level
correlates
and
evaluated
reasons
(medical,
recreational,
or
both)
CU
among
U.S.
Veterans
second
wave
COVID-19
Materials
Methods
We
used
population-based,
cross-sectional
data
from
2021
Behavioral
Risk
Factor
Surveillance
System
Survey
Marijuana
Use
model.
The
sample
included
nationally
representative
military
aged
18+
years
(n
=
11,167).
outcome
was
CU.
Individual-level
demographic,
socioeconomic,
behavioral,
clinical
were
examined.
Analyses
weighted
to
account
for
survey’s
complex
design
with
results
generalizable
nearly
2.9
million
veterans.
conducted
descriptive
statistics,
estimates,
multivariable
logistic
regression
analyses.
Results
Out
veterans,
11.1%
self-reported
as
non-Hispanic
Black,
3.7%
Hispanic,
79.1%
White;
88.5%
men,
72.8%
50+
years.
About
14.6%
current
tobacco
smokers,
4.7%
e-cigarette
users,
12.5%
binge
alcohol
drinkers,
43.4%
had
three
more
comorbid
conditions.
Overall,
8.5%
reported
in
30
days,
which
30.4%
it
medical
25.8%
nonmedical
reasons.
decreased
age,
education,
income
level.
Compared
their
counterparts,
odds
greater
those
living
urban
areas,
frequent
mental
distress,
infrequent
physical
who
least
one
condition.
Non-Hispanic
Black
89%
(adjusted
ratio
[AOR]
=1.89,
95%
confidence
interval
[CI],
1.19-3.0)
compared
White
Current
smokers
3.54
(95%
CI,
2.40-5.24)
former
1.78
1.28-2.47)
times
higher
reporting
than
never
smokers.
(AOR
3.37,
2.20-5.16)
drinking
3.18,
2.29-4.41)
also
statistically
significantly
associated
no
drinking.
Conclusions
prevalent
certain
subgroups
Thus,
identifying
high-risk
adequately
educating
them
CU’s
benefits,
risks,
safety
crucial.
Current Neuropharmacology,
Год журнала:
2023,
Номер
22(4), С. 557 - 635
Опубликована: Май 3, 2023
Abstract:
This
narrative
state-of-the-art
review
paper
describes
the
progress
in
understanding
and
treatment
of
Posttraumatic
Stress
Disorder
(PTSD).
Over
last
four
decades,
scientific
landscape
has
matured,
with
many
interdisciplinary
contributions
to
its
diagnosis,
etiology,
epidemiology.
Advances
genetics,
neurobiology,
stress
pathophysiology,
brain
imaging
have
made
it
apparent
that
chronic
PTSD
is
a
systemic
disorder
high
allostatic
load.
The
current
state
includes
wide
variety
pharmacological
psychotherapeutic
approaches,
which
are
evidence-based.
However,
myriad
challenges
inherent
disorder,
such
as
individual
barriers
good
outcome,
comorbidity,
emotional
dysregulation,
suicidality,
dissociation,
substance
use,
trauma-related
guilt
shame,
often
render
response
suboptimal.
These
discussed
drivers
for
emerging
novel
including
early
interventions
Golden
Hours,
interventions,
medication
augmentation
use
psychedelics,
well
targeting
nervous
system.
All
this
aims
improve
symptom
relief
clinical
outcomes.
Finally,
phase
orientation
recognized
tool
strategize
position
step
progression
pathophysiology.
Revisions
guidelines
systems
care
will
be
needed
incorporate
innovative
treatments
evidence
emerges
they
become
mainstream.
generation
well-positioned
address
devastating
disabling
impact
traumatic
events
through
holistic,
cutting-edge
efforts
research.
Psychological Medicine,
Год журнала:
2021,
Номер
53(3), С. 945 - 956
Опубликована: Июнь 14, 2021
Abstract
Background
The
coronavirus
disease-2019
(COVID-19)
pandemic
has
caused
myriad
health,
social,
and
economic
stressors.
To
date,
however,
no
known
study
examined
changes
in
mental
health
during
the
U.S.
military
veteran
population.
Methods
Data
were
analyzed
from
2019–2020
National
Health
Resilience
Veterans
Study,
a
nationally
representative,
prospective
cohort
survey
of
3078
veterans.
Pre-to-peri-pandemic
psychiatric
symptoms
evaluated,
as
well
pre-pandemic
risk
protective
factors
pandemic-related
correlates
increased
distress.
Results
prevalence
generalized
anxiety
disorder
(GAD)
positive
screens
pre-
to
peri-pandemic
(7.1%
9.4%;
p
<
0.001)
was
driven
by
an
increase
among
veterans
aged
45–64
years
(8.2%
13.5%;
0.001),
but
major
depressive
posttraumatic
stress
remained
stable.
Using
continuous
measure
distress,
estimated
13.2%
reported
clinically
meaningful
pre-to-peri-pandemic
distress
(mean
=
1.1
standard
deviation).
with
larger
social
network
size
secure
attachment
style
less
likely
experience
whereas
reporting
more
loneliness
Concerns
about
losses,
COVID-19
effects,
housing
stability
associated
over-and-above
factors.
Conclusions
Although
most
showed
resilience
problems
nearly
1
year
into
pandemic,
GAD
increased,
particularly
middle-aged
veterans,
one
seven
experienced
Clinical
implications
these
findings
are
discussed.
Depression and Anxiety,
Год журнала:
2021,
Номер
38(6), С. 606 - 614
Опубликована: Март 5, 2021
Background
Recent
research
suggests
that
exposure
to
potentially
morally
injurious
experiences
(PMIEs)
may
be
associated
with
increased
risk
for
suicidal
behavior
among
US
combat
veterans,
but
population-based
data
on
these
associations
are
scarce.
This
study
examined
the
association
between
PMIEs
current
ideation
(SI),
lifetime
suicide
plans
(SP),
and
attempts
(SA)
in
a
contemporary,
nationally
representative
sample
of
veterans.
Methods
Data
were
analyzed
from
2019–2020
National
Health
Resilience
Veterans
Study,
which
surveyed
veterans
(n
=
1321).
assessed
using
Moral
Injury
Events
Scale
(MIES).
Multivariable
logistic
regression
analyses
conducted
examine
MIES
total
scores
specific
types
behavior.
Results
Thirty-six
point
three
percent
reported
at
least
one
PMIE.
Perceived
transgressions
by
self,
others,
betrayal
SI,
SP,
SA
(odds
ratios
[ORs]
1.21–1.27,
all
p
s
<
.05),
after
adjusting
sociodemographic,
trauma,
psychiatric
characteristics.
significantly,
albeit
weakly,
SP
(OR
1.03,
.01),
not
SI/SA.
Depression,
posttraumatic
stress
disorder
(PTSD),
age
emerged
as
strongest
correlates
SI/SP/SA
(14.9%–38.1%
explained
variance),
while
accounted
comparatively
modest
amount
variance
(3.3%–8.9%).
Conclusions
Reports
prevalent
behavior,
above
beyond
severity
exposure,
PTSD,
depression.
Implications
clinical
practice
future
discussed,
including
need
methodological
advancements
measurement
moral
injury.
International Journal of Environmental Research and Public Health,
Год журнала:
2025,
Номер
22(2), С. 246 - 246
Опубликована: Фев. 10, 2025
Previous
research
suggests
a
high
prevalence
of
suicidal
ideation
among
military
personnel.
Suicidal
is
associated
with
suicide
attempts
and
death.
This
study
focused
on
the
association
between
belongingness—a
component
Interpersonal
Psychological
Theory
Suicide—and
alcohol
misuse
different
categories
branch
service
status.
Using
Military
Suicide
Research
Consortium
Common
Data
Elements
database
(N
=
2516),
we
conducted
linear
regression
analyses
to
examine
moderating
effect
belongingness
status
(i.e.,
Active
Duty)
ideation.
Results
showed
negative
significant
ideation,
positive
The
results
indicated
that
moderated
but
did
not
moderate
Additionally,
highlight
differences
across
branches
statuses
suggest
importance
developing
tailored
prevention
programs
address
specific
needs
each
subpopulation.
Cannabis and Cannabinoid Research,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 25, 2024
Veterans
use
cannabis
as
a
chronic
pain
treatment
due
to
combination
of
the
easing
restrictions
and
dissatisfaction
with
care
standards.
The
segregation
medical
from
conventional
health
systems
may
translate
opportunities
disadvantages
that
are
not
well
defined.
Our
study
aimed
characterize
how
approach
using
for
symptom
management,
including
product
access,
developing
plan,
its
integration
into
daily
life.
