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Combat-exposed soldiers are at an increased risk for health problems that diminish quality of life (QOL) and substance use. We explored the cross-sectional associations between combat exposure and two measures of QOL, and the effect of substance use on those associations.
Data are from the baseline wave of Operation: SAFETY, an ongoing survey-based study of United States Army Reserve/National Guard (USAR/NG) soldiers and their partners. Our sample consisted of male USAR/NG soldiers with a history of deployment (N = 248). Limitations in usual activity due to physical and emotional problems were assessed using the 36-Item Short-Form Health Survey (SF-36).
Greater combat exposure was independently associated with limitations in usual activity due to physical (regression coefficient = −0.35, 95% CI −0.55 to −0.16, R 2 = 0.09; p < 0.01) and emotional (regression coefficient = −0.32, 95% CI −0.56 to −0.09, R 2 = 0.09; p < 0.01) problems. Combat exposure had a significant interaction with frequent heavy drinking on physical role limitations (regression coefficient = −0.65, 95% CI −1.18 to −0.12, R 2 = 0.12; p < 0.05) and emotional role limitations (regression coefficient = −0.83, 95% CI −1.46 to −0.19, R 2 = 0.12; p < 0.05). Combat exposure also had a significant interaction with lifetime non-medical use of prescription drugs on physical role limitations (regression coefficient = 0.81, 95% CI 0.18–1.45, R 2 = 0.11; p < 0.05).
Combat is an unmodifiable risk factor for poor QOL among soldiers; however, frequent heavy drinking and non-medical use of prescription drugs modifies the relationship between combat exposure and QOL. Therefore, substance use is a potential point of intervention to improve QOL among soldiers.
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Buono, M., Uricuoli, O., & De Leo, D. (1998). Quality of life and longest: A study of centarians. Age and Ageing, 27, 207–216. CrossRef
Polusny, M., Kehle, S., Nelson, N., Erbes, C., Arbisi, P., & Thuras, P. (2011). Longitudinal effects of mild traumatic brain injury and posttraumatic stress disorder comorbidity on postdeployment outcomes in national guard soldiers deployed to Iraq. Archives of General Psychiatry, 68(1), 79–89. doi: 10.1001/archgenpsychiatry.2010.172. CrossRefPubMed
Gilla, J., Leea, H., Barrb, T., Baxterc, T., Heinzelmanna, M., Raka, H., et al. (2013). Lower health related quality of life in U.S. military personnel is associated with service-related disorders and inflammation. Psychiatry Research, 216(1), 116–122. CrossRef
Smith, T. C., Wingard, D. L., Ryan, M. A., Kritz-Silverstein, D., Slymen, D. J., & Sallis, J. F. (2009). PTSD prevalence, associated exposures, and functional health outcomes in a large, population-based military cohort. Public Health Reports, 124(1), 90–102. doi: 10.1177/003335490912400112. CrossRefPubMedPubMedCentral
Trautmann, S., Goodwin, L., Höfler, M., Jacobi, F., Strehle, J., Zimmermann, P., et al. (2016). Prevalence and severity of mental disorders in military personnel: a standardised comparison with civilians. Epidemiology and Psychiatric Sciences (18), 1–10.
Thomas, J. L., Wilk, J. E., Riviere, L. A., McGurk, D., Castro, C. A., & Hoge, C. W. (2010). Prevalence of mental health problems and functional impairment among active component and National Guard soldiers 3 and 12 months following combat in Iraq. Archives of General Psychiatry, 67(6), 614–623. CrossRefPubMed
Griffin, M., Bennett, H., Fitzmaurice, G., Hill, K., Provost, S., & Weiss, R. (2015). Health-related quality of life among prescription opioid-dependent patients: Results from a multi-site study. The American Journal on Addictions/American Academy of Psychiatrists in Alcoholism and Addictions, 24(4), 308–314. doi: 10.1111/ajad.12188. PubMedCentral
Polak, K. (2001). The evaluation of the quality of life among professional soldiers with diagnosed alcohol addiction syndrome. Psychiatria polska, 35(6), 1057–1070. PubMed
Betthauser, K., Pilz, J., & Vollmer, L. (2015). Use and effects of cannabinoids in military veterans with posttraumatic stress disorder. American Journal of Health-System Pharmacy: AJHP: Official Journal of the American Society of Health-System Pharmacists, 72(15), 1279–1284. doi: 10.2146/ajhp140523. CrossRef
Tracy, E., Laudet, A., Min, M., Kim, H., Brown, S., & Singer, L. (2012). Prospective patterns and correlates of quality of life among women in substance abuse treatment. Drug and Alcohol Dependence 0376-8716 (P), 124(3), 242–249. CrossRef
Gonzalez, R., Ang, A., Glik, D., Rawson, R., Lee, S., & Iguchi, M. (2011). Quality of life among treatment seeking methamphetamine-dependent individuals. The American Journal on Addictions/American Academy of Psychiatrists in Alcoholism and Addictions, 20(4), 366–372.
Vest, B. M., Heavey, S. C., Homish, D. L., & Homish, G. G. (2017). Marital satisfaction, family support, and pre-deployment resiliency factors related to Mental Health Outcomes for Reserve and National Guard Soldiers. Military Behavioral Health, Forthcoming. doi: 10.1080/21635781.2017.1343694
Kozlowski, L. T., Homish, D. L., & Homish, G. G. (2017). Daily users compared to less frequent users find vape as or more satisfying and less dangerous than cigarettes, and are likelier to use non-cig-alike vaping products. Preventive Medicine Reports. doi: 10.1016/j.pmedr.2017.02.026. PubMedPubMedCentral
Vogt, D., Smith, B. N., King, D. W., & King, L. A. (2012). Manual for the deployment risk and resilience inventory-2 (DRRI-2): A collection of measures for studying deployment-related experiences of military veterans. Boston, MA: National Center for PTSD.
Maoz, H., Goldwin, Y., Lewis, Y. D., & Bloch, Y. (2016). Exploring reliability and validity of the deployment risk and resilience inventory-2 among a nonclinical sample of discharged soldiers following mandatory military service. Journal of Traumatic Stress, 29(6), 556–562. doi: 10.1002/jts.22135. CrossRefPubMed
Der-Martirosian, C., Kritz-Silverstein, D., & Barrett-Connor, E. (2010). Five-year stability in associations of health-related quality of life measures in community-dwelling older adults: The Rancho Bernardo Study. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 19(9), 1333–1341. doi: 10.1007/s11136-010-9700-y. CrossRef
Park, J., Engstrom, G., Tappen, R., & Ouslander, J. (2015). Health-related quality of life and pain intensity among ethnically diverse community-dwelling older adults. Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses, 16(5), 733–742. doi: 10.1016/j.pmn.2015.04.002. CrossRef
Pietrzak, R. H., Tsai, J., Kirwin, P. D., & Southwick, S. M. (2014). Successful aging among older veterans in the United States. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 22(6), 551–563. doi: 10.1016/j.jagp.2012.11.018. CrossRef
Source, M. O. (2012). Demographics profile of the military community. Arlington, VA: US Department of Defense.
Kaczmarek, M., Pacholska-Bogalska, J., Kwasniewski, W., Kotarski, J., Halerz-Nowakowska, B., & Gozdzicka-Jozefiak, A. (2017). The association between socioeconomic status and health-related quality of life among Polish postmenopausal women from urban and rural communities. Homo: internationale Zeitschrift fur die vergleichende Forschung am Menschen, 68(1), 42–50. doi: 10.1016/j.jchb.2016.11.004. CrossRef
Locke, H. J., & Wallace, K. M. (1959). Short marital-adjustment and prediction tests: Their reliability and validity. Marriage and Family Living, 21(3), 251–255. CrossRef
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guildford Press.
StataCorp (2017). Stata reference manual: Release 15. College Station, TX: Stata Press.
Black, D., Carney, C., Forman-Hoffman, V., Letuchy, E., Peloso, P., Woolson, R., et al. (2004). Depression in veterans of the first Gulf War and comparable military controls. Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists, 16(2), 53–61. CrossRef
Tsai, J., Whealin, J., Scott, J., Harpaz-Rotem, I., & Pietrzak, R. (2012). Examining the relation between combat-related concussion, a novel 5-factor model of posttraumatic stress symptoms, and health-related quality of life in Iraq and Afghanistan veterans. The Journal of Clinical Psychiatry, 73(8), 1110–1118. doi: 10.4088/JCP.11m07587. CrossRefPubMed
Kelsall, H., McKenzie, D., Forbes, A., Roberts, M., Urquhart, D., & Sim, M. (2014). Pain-related musculoskeletal disorders, psychological comorbidity, and the relationship with physical and mental well-being in Gulf War veterans. Pain, 155(4), 685–692. doi: 10.1016/j.pain.2013.12.025. CrossRefPubMed
McCarthy, W., Zhou, Y., Hser, Y., & Collins, C. (2002). To smoke or not to smoke: impact on disability, quality of life, and illicit drug use in baseline polydrug users. Journal of Addictive Diseases: The Official Journal of the ASAM, American Society of Addiction Medicine, 21(2), 35–54. doi: 10.1300/J069v21n02_04. CrossRef
Malyutina, S., Bobak, M., Kurilovitch, S., Gafarov, V., Simonova, G., Nikitin, Y., et al. (2002). Relation between heavy and binge drinking and all-cause and cardiovascular mortality in Novosibirsk, Russia: a prospective cohort study. Lancet, 360(9344), 1448–1454. doi: 10.1016/s0140-6736(02)11470-x. CrossRefPubMed
VA (2012). Analysis of VA Health Care Utilization among Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) Veterans - Revised. Washington, DC: US Department of Veterans Affairs.
Kilpatrick, D. G., Best, C. L., Smith, D. W., Kudler, H., & Cornelison-Grant, V. (2011). Serving those who have served: Educational needs of health care providers working with military members, veterans, and their families. Charleston, SC: Medical University of South Carolina Department of Psychiatry & Behavioral Sciences, National Crime Victims Research and Treatment Center.
VA (2012). Summary of VA benefits for National Guard and reserve members and veterans. Washington, DC: U.S. Department of Veterans Affairs.
Friedmann, P. D., McCullough, D., Chin, M. H., & Saitz, R. (2000). Screening and intervention for alcohol problems. A national survey of primary care physicians and psychiatrists. Journal of General Internal Medicine: Official Journal of the Society for Research and Education in Primary Care Internal Medicine, 15(2), 84–91. CrossRef
Marshall, B. D., Prescott, M. R., Liberzon, I., Tamburrino, M. B., Calabrese, J. R., & Galea, S. (2012). Coincident posttraumatic stress disorder and depression predict alcohol abuse during and after deployment among Army National Guard soldiers. Drug and Alcohol Dependence, 124(3), 193–199. doi: 10.1016/j.drugalcdep.2011.12.027. CrossRefPubMed
Ryan, M. A., Smith, T. C., Smith, B., Amoroso, P., Boyko, E. J., Gray, G. C., et al. (2007). Millennium Cohort: enrollment begins a 21-year contribution to understanding the impact of military service. Journal of Clinical Epidemiology, 60(2), 181–191. doi: 10.1016/j.jclinepi.2006.05.009. CrossRefPubMed
- Combat exposure, emotional and physical role limitations, and substance use among male United States Army Reserve and National Guard soldiers
R. A. Hoopsick
B. M. Vest
D. L. Homish
G. G. Homish
- Springer International Publishing
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