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Cited by 835

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Trends and Risk Factors for Mental Health Diagnoses Among Iraq and Afghanistan Veterans Using Department of Veterans Affairs Health Care, 2002–2008

Open access
Seal, Karen H., Metzler, Thomas J., Gima, Kristian S., Bertenthal, Daniel, Maguen, Shira, Marmar, Charles R.·2009·American Journal of Public Health

Abstract

Objectives. We sought to investigate longitudinal trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans. Methods. We determined the prevalence and predictors of mental health diagnoses among 289 328 Iraq and Afghanistan veterans entering Veterans Affairs (VA) health care from 2002 to 2008 using national VA data. Results. Of 289 328 Iraq and Afghanistan veterans, 106 726 (36.9%) received mental health diagnoses; 62 929 (21.8%) were diagnosed with posttraumatic stress disorder (PTSD) and 50 432 (17.4%) with depression. Adjusted 2-year prevalence rates of PTSD increased 4 to 7 times after the invasion of Iraq. Active duty veterans younger than 25 years had higher rates of PTSD and alcohol and drug use disorder diagnoses compared with active duty veterans older than 40 years (adjusted relative risk = 2.0 and 4.9, respectively). Women were at higher risk for depression than were men, but men had over twice the risk for drug use disorders. Greater combat exposure was associated with higher risk for PTSD. Conclusions. Mental health diagnoses increased substantially after the start of the Iraq War among specific subgroups of returned veterans entering VA health care. Early targeted interventions may prevent chronic mental illness.

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Research works printed but not linked: 3

  1. The International Classification of Diseases, Ninth Revision, Clinical Modification . Vol. 1 and 2. 3rd ed. Hyattsville, MD: Dept of Health and Human Services; 1989.
  2. National Center for PTSD and War-Related Illness, 2004, Iraq War Clinician Guide
  3. 10.1037/0278-6133.19.1.91 · doi:10.1037/0278-6133.19.1.91 · Paper page

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Metadata

Authors
Seal, K. H., Metzler, T. J., Gima, K. S., Bertenthal, D., Maguen, S., & Marmar, C. R.
Venue
American Journal of Public Health
Published
2009-09
Volume
99
Issue
9
Pages
1651-1658
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
OpenAlex
W2129089721
Cited by
835
References
24
FWCI
50.30
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Trends and Risk Factors for Mental Health Diagnoses Among Iraq and Afghanistan Veterans Using Department of Veterans Affairs Health Care, 2002–2008. https://app.cochat.ai/papers/10.2105/ajph.2008.150284
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Seal, K. H., Metzler, T. J., Gima, K. S., Bertenthal, D., Maguen, S., & Marmar, C. R. (2009). Trends and Risk Factors for Mental Health Diagnoses Among Iraq and Afghanistan Veterans Using Department of Veterans Affairs Health Care, 2002–2008. American Journal of Public Health. https://doi.org/10.2105/ajph.2008.150284

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