Gender differences of postdeployment post-traumatic stress disorder among service members and veterans of the Iraq and Afghanistan conflicts
- PMID: 23988441
- DOI: 10.1093/epirev/mxt005
Gender differences of postdeployment post-traumatic stress disorder among service members and veterans of the Iraq and Afghanistan conflicts
Abstract
Despite the marked expansion of roles for women in the US military over the last decade, whether differences by gender exist in regard to the development of mental health conditions postdeployment is unclear. This comprehensive review of the literature (2001-2012) examined whether US servicewomen were more likely than men to experience post-traumatic stress disorder (PTSD) after returning from deployments to the Iraq and Afghanistan conflicts. Findings from 18 studies from 8 unique study populations were reviewed. Seven studies found that women had a higher risk for screening positive for PTSD compared with men, including prospectively designed studies that evaluated new-onset PTSD among members from all service branches. Although results from studies with Veterans Affairs samples found women at decreased risk in 4 analyses, these studies used the same source databases, were conducted in treatment-seeking populations, and were mostly unable to account for combat experience. Seven studies detected no differences by gender. In summary, women appeared to have a moderately higher risk for postdeployment PTSD, although there was a lack of consensus among the studies, and even those with the most rigorous methods were not designed specifically to evaluate potential gender differences. Given the limitations of the published literature, further research should use longitudinal study designs and comprehensive evaluations of deployment experiences while adjusting for predeployment factors to confirm that gender differences exist with regard to postdeployment PTSD.
Keywords: Operation Enduring Freedom; Operation Iraqi Freedom; post-traumatic stress disorder; deployment; gender; health outcomes; military; women.
Similar articles
-
Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan.JAMA. 2006 Mar 1;295(9):1023-32. doi: 10.1001/jama.295.9.1023. JAMA. 2006. PMID: 16507803
-
Gender differences in combat-related stressors and their association with postdeployment mental health in a nationally representative sample of U.S. OEF/OIF veterans.J Abnorm Psychol. 2011 Nov;120(4):797-806. doi: 10.1037/a0023452. Epub 2011 May 30. J Abnorm Psychol. 2011. PMID: 21639595
-
Longitudinal Examination of Posttraumatic Stress Disorder as a Long-Term Outcome of Iraq War Deployment.Am J Epidemiol. 2016 Dec 1;184(11):796-805. doi: 10.1093/aje/kww151. Epub 2016 Nov 16. Am J Epidemiol. 2016. PMID: 27852604
-
Posttraumatic stress disorder post Iraq and Afghanistan: prevalence among military subgroups.Can J Psychiatry. 2014 Sep;59(9):468-79. doi: 10.1177/070674371405900903. Can J Psychiatry. 2014. PMID: 25569079 Free PMC article. Review.
-
Prevalence of, risk factors for, and consequences of posttraumatic stress disorder and other mental health problems in military populations deployed to Iraq and Afghanistan.Curr Psychiatry Rep. 2015 May;17(5):37. doi: 10.1007/s11920-015-0575-z. Curr Psychiatry Rep. 2015. PMID: 25876141 Review.
Cited by
-
Feasibility and preliminary effectiveness of mobile cognitive control training during basic combat training in the military.Mil Psychol. 2021 Nov 5;34(1):55-67. doi: 10.1080/08995605.2021.1969162. eCollection 2022. Mil Psychol. 2021. PMID: 38536343 Free PMC article.
-
Sex differences in intrusive memories following trauma.PLoS One. 2018 Dec 6;13(12):e0208575. doi: 10.1371/journal.pone.0208575. eCollection 2018. PLoS One. 2018. PMID: 30521618 Free PMC article.
-
The Neuromodulatory Basis of Aggression: Lessons From the Humble Fruit Fly.Front Behav Neurosci. 2022 Apr 18;16:836666. doi: 10.3389/fnbeh.2022.836666. eCollection 2022. Front Behav Neurosci. 2022. PMID: 35517573 Free PMC article. Review.
-
Sex-Specific Differences in Rodents Following a Single Primary Blast Exposure: Focus on the Monoamine and Galanin Systems.Front Neurol. 2020 Oct 15;11:540144. doi: 10.3389/fneur.2020.540144. eCollection 2020. Front Neurol. 2020. PMID: 33178100 Free PMC article.
-
Psychological Resilience, Mental Health, and Inhibitory Control Among Youth and Young Adults Under Stress.Front Psychiatry. 2021 Jan 20;11:608588. doi: 10.3389/fpsyt.2020.608588. eCollection 2020. Front Psychiatry. 2021. PMID: 33584372 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical