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Anxiety disorders on rise the military

11/14/2013

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Summary: 

"In the past 13 years, 217,409 incidents of anxiety disorders were diagnosed among the active component of the US Armed Forces, according to data from the Armed Forces Health Surveillance Center's Medical Surveillance Monthly Report.

"In the US Armed Forces, mental disorders ... are a leading cause of morbidity, disability, health care service utilization, lost duty time and attrition from military service," Army Col. William Corr, deputy director of the division of epidemiology and analysis at the Armed Forces Health Surveillance Center, said in a press release. "Incidence rates of mental disorders diagnoses overall and anxiety disorders in particular have increased sharply among US military members during the past 10 years."

From 2000 to 2012, the unadjusted incidence rate of anxiety disorder diagnosis among active members of the US Army, Navy, Air Force, Marine Corps and Coast Guard was 117.2 per 10,000 person-years.

"Non-specific anxiety disorder" was the first anxiety disorder-related diagnosis among 205,717 incident cases. According to the report, more specific anxiety-related disorders were diagnosed among many of these active members, including generalized anxiety (14.3%), panic disorder without agoraphobia (8.2%), specified phobic disorders (4.5%) and obsessive-compulsive disorder (1.6%).

Additionally, within 1 year before or after their case-defining anxiety disorder encounter, about one-third of service members diagnosed with an anxiety disorder also were diagnosed with an adjustment (34.3%) or a depressive (33.5%) disorder.

Phobic disorders accounted for 21,675 cases and obsessive-compulsive disorders accounted for 8,370 cases.

In terms of health care burdens during the 13-year period, anxiety disorders were responsible for 93,992 hospital bed days; researchers noted a 316% increase in anxiety disorder-related hospital bed days from the first to the last year of the study period."

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