Publications

The following manuscripts have been published or are currently in press. Listings are in chronological order, unless otherwise noted.

Research Publication 2
Title Publication Date/Location
Prospective Evaluation of Mental Health and Deployment Experience Among Women in the US Military American Journal of Epidemiology 2012;176(2):135-45

Seelig AD, Jacobson IG, Smith B, Hooper TI, Gackstetter GG, Ryan MAK, Wells TS, MacDermid Wadsworth S, Smith TC, for the Millennium Cohort Study Team

Women with reported combat exposures were more likely to have mental health symptoms than women who deployed without combat associated exposures and women who never deployed.

View abstract

Prospective Post-Traumatic Stress Disorder Symptom Trajectories in Active Duty and Separated Military Personnel Journal of Psychiatric Research 2017 Jun;89:55-64

Porter B, Bonanno GA, Frasco MA, Dursa EK, Boyko EJ

This study compared trajectories of PTSD symptoms between separated and continuously serving Active Duty participants. Trajectories among both groups were highly similar and separated into four classes: resilient, delayed-onset, improving, and elevated-recovering. Resilient trajectories (i.e., having low PTSD symptoms throughout the study period) were the most common trajectory in both groups, although they were less common among separated (82%) compared with continuously serving (87%) personnel. Interventions targeted toward individuals with delayed-onset trajectories may prevent sub-clinical PTSD from worsening.

View full text

Prospectively Assessed Posttraumatic Stress Disorder and Associated Physical Activity Public Health Reports 2011 May/Jun;126(3):371-83

LeardMann CA, Kelton ML, Smith B, Littman AJ, Boyko EJ, Wells TS, Smith TC, for the Millennium Cohort Study Team

Nearly 90% of the Cohort participate in some level of physical activity. Engagement in physical activity, specifically vigorous activity, was associated with decreased odds of PTSD symptoms. While further research is needed, a physical activity component may be valuable to treat and/or prevent PTSD among service members.

View abstract

PTSD Prevalence, Associated Exposures, and Functional Health Outcomes in a Large, Population-Based Military Cohort Public Health Report 2009 Jan;124:90-102

Smith TC, Wingard DL, Ryan MAK, Kritz-Silverstein D, Slymen DJ, Sallis JF, for the Millennium Cohort Study Team

Findings suggest a 2% prevalence of current PTSD symptoms in the US Military that are associated with increased reporting of exposures and decrements in functional health.

View full text

Recent Sexual Trauma and Adverse Health and Occupational Outcomes Among US Service Women Journal of Traumatic Stress 2015 Aug;28(4):298-306

Millegan J, Schaller EK, LeardMann CA, Street AE, Williams D, Trone DW, Crum-Cianflone NF

Findings from this study indicate that recent sexual trauma is associated with potential adverse physical health, mental health, and occupational outcomes among women serving in the US armed forces, after adjustment for demographics, prior sexual trauma, mental health, and military factors. Given these findings and the increasing role of women in the military, prevention and mitigation of sexual trauma should remain a high priority and more effective strategies should be developed to prevent sexual trauma.

View abstract

Reliability of Standard Health Assessment Instruments in a Large, Population-Based Cohort Study Annals of Epidemiology 2007 Jul;17(7):525-32

Smith TC, Smith B, Jacobson IG, Corbeil TE, Ryan MAK, for the Millennium Cohort Study Team

Reliability metrics, by test-retest concordance and internal consistency, are extremely strong in Millennium Cohort Study data.

View abstract

Risk Factors Associated with Miscarriage and Impaired Fecundity Among United States Servicewomen During the Recent Conflicts in Iraq and Afghanistan Women's Health Issues 2017 Feb;27(3):356-365

Ippolito AC, Seelig AD, Powell TM, Conlin AMS, Crum-Cianflone NF, Lemus H, Sevick CS, LeardMann CA

Among Servicewomen aged 18-45 years, 31% reported a miscarriage and 11% reported impaired fecundity (infertility) during a 3-year study period. Findings suggest that deployments in support of the operations in Iraq and Afghanistan do not increase the risk for miscarriage and infertility among U.S. Servicewomen. More research is needed to better understand whether specific combat experiences or environmental exposures encountered during deployments increase the risk for adverse reproductive health outcomes.

View full text

Risk Factors Associated with Suicide in Current and Former US Military Personnel Journal of the American Medical Association 2013;310(5):496-506

LeardMann CA, Powell TM, Smith TC, Bell MR, Smith B, Boyko EJ, Hooper TI, Gackstetter GD, Ghamsary M, Hoge CW

Based on data from over 150,000 current and former service members from all service branches, 83 suicide deaths occurred in 707,493 person-years from 2001 through 2008 (11.73/100,000 person-years). Suicide risk was independently associated with depression, manic-depressive disorder, alcohol-related problems, and male gender. None of the deployment or military-related factors were associated with an increased risk for suicide. Assessing service members' prior psychiatric history as well as screening for and treating mental and substance abuse disorders may provide the best potential for mitigating suicide risk.

View abstract

Risk Factors for Lower Extremity Tendinopathies in Military Personnel The Orthopaedic Journal of Sports Medicine 2013 Jan-Jun;1(1) 2325967113492707

Owens BD, Wolf JM, Seelig AD, Jacobson IG, Boyko EJ, Smith B, Ryan MAK, Gackstetter GD, Smith TC

This study found that deployment was associated with the development of plantar fasciitis. Modifiable risk factors including being overweight or obese were associated with both Achilles tendinopathy and plantar fasciitis, with a marginal relationship between moderate alcohol use and Achilles tendinopathy. Identification of potential risk factors for musculoskeletal injuries among service members could serve as the focus for future prevention and intervention efforts.

View abstract

Risk Factors for Relapse to Problem Drinking Among Current and Former US Military Personnel: A Prospective Study of the Millennium Cohort. Drug and Alcohol Dependence 2015; 148:93-101.

Williams EC, Frasco MA, Jacobson IG, Maynard C, Littman AJ, Seelig AD, Crum-Cianflone NF, Nagel A, Boyko EJ.

This study investigated demographic, military, behavioral, and health characteristics associated with relapse among current and former military members with remittent problem drinking. The findings from this study suggest 16% of this population relapse. Several military and non-military characteristics were found to predict relapse, including being in the Reserve/National Guard compared to Active-duty and screening positive for mental health conditions. Targeted intervention to prevent relapse may be indicated for particular subgroups.

View abstract

The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Department of Defense may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.

Publication badge scores are provided by Altmetric.