Mental health impact of the Iraq and Afghanistan conflicts: A review of US research, service provision, and programmatic responses

References

• Adler, A.B., Bliese, P.D., McGurk, D., Hoge, C.W., Castro, C.A. (2009). Battlemind debriefing and Battlemind training as early interventions with soldiers returning from Iraq: Randomization by platoon. Journal of Consulting & Clinical Psychology, 77, 928–940.
   PubMed Web of Science ®Google Scholar
• Adler, A.B., Castro, C.A., Bliese, P.D., McGurk, D., Milliken, C. (2007). The efficacy of Battlemind training at 3-6 months post-deployment. Paper presented at the Battlemind training system: Supporting soldiers throughout the deployment cycle symposium of the American Psychological Association Convention, San Francisco, CA, August.
   Google Scholar
• Assistant Secretary of Defense for Health Affairs (2010). Mental health assessments for members of the Armed Forces deployed in connection with a contingency operation (memorandum, July 19). Available at: http://www.health.mil/libraries/HA_Policies_and_Guidelines/10-005.pdf (accessed 2 December 2010).
   Google Scholar
• Bilmes, L.J. (2010). The true cost of war (statement to the House Committee on Veterans’ Affairs, September 30). Available at: http://democrats.veterans.house.gov/hearings/hearing.aspx?NewsID=632 (accessed 2 December 2010).
   Google Scholar
• Bliese, P.D. (2006). Social climates: Drivers of soldier well-being and resilience. A.B. Adler, C.A. Castro, T.W. Britt, Military Life: The Psychology of Serving in Peace and Combat: Vol 2: Operational Stress 213–234. Westport, CT: Praeger Security International.
   Google Scholar
• Bliese, P.D., Adler, A.B., Castro, C.A. (2011). The deployment context: Psychology and implementing mental health interventions. A.B. Adler, P.B. Bliese, C.A. Castro, Deployment psychology: Evidence-based strategies to promote mental health in the military 103–124. Washington, DC: American Psychological Association.
   Google Scholar
• Bliese, P.D., Wright, K.M., Adler, A.B., Thomas, J.L., Hoge, C.W. (2007). Timing of postcombat mental health assessments. Psychological Services, 4, 141–148.
   Google Scholar
• Bonanno, G.A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59, 20–28.
   PubMed Web of Science ®Google Scholar
• Bouton, M.E. (2004). Context and behavioral processes in extinction. Learning & Memory, 11, 485–494.
   PubMed Web of Science ®Google Scholar
• Bowles, S.V., Bates, M.J. (2010). Military organizations and programs contributing to resilience building. Military Medicine, 175, 382–385.
   PubMed Web of Science ®Google Scholar
• Britt, T.W., Davison, J., Bliese, P.D., Castro, C.A. (2004). How leaders can influence the impact that stressors have on soldiers. Military Medicine, 169, 541–545.
   PubMed Web of Science ®Google Scholar
• Cabrera, O.A., Hoge, C.W., Bliese, P.D., Castro, C.A., Messer, S.C. (2007). Childhood adversity and combat as predictors of depression and post-traumatic stress in deployed troops. American Journal of Preventive Medicine, 33, 77–82.
   PubMed Web of Science ®Google Scholar
• Carey, M.E. (1996). Analysis of wounds incurred by US Army Seventh Corps personnel in Corps hospitals during Operation Desert Storm, February 20 to March 10, 1991. Journal of Trauma, 40(S3), S165–169.
   PubMedGoogle Scholar
• Carlson, K.F., Nelson, D., Orazem, R.J., Nugent, S., Cifu, D.X., Sayer, N.A. (2010). Psychiatric diagnoses among Iraq and Afghanistan war veterans screened for deployment-related traumatic brain injury. Journal of Traumatic Stress, 23, 17–24.
   PubMed Web of Science ®Google Scholar
• Casey, G.W. (2011). Comprehensive soldier fitness: A vision for psychological resilience in the US Army. American Psychologist, 66, 1–3.
   PubMed Web of Science ®Google Scholar
• Chwastiak, L.A., Rosenheck, R.A., Desai, R., Kazis, L.E. (2010). Association of psychiatric illness and all-cause mortality in the National Department of Veterans Affairs Health Care System. Psychosomatic Medicine, 72, 817–822.
   PubMed Web of Science ®Google Scholar
• Cornum, R., Matthews, M.D., Seligmanh, M.E.P. (2011). Comprehensive soldier fitness: Building resilience in a challenging institutional context. American Psychologist, 66, 4–9.
   PubMed Web of Science ®Google Scholar
• Cozza, S.J. (2005). Combat exposure and PTSD. PTSD Research Quarterly, 16, 1–8.
   Google Scholar
• Department of Veterans Affairs (2010). Mental health effects of serving in Afghanistan and Iraq. National Center for PTSD. Available at: http://www.ptsd.va.gov/public/pages/overview-mental-health-effects.asp (accessed 22 November 2010).
   Google Scholar
• Dickstein, B.D., McLean, C.P., Mintz, J., Conoscenti, L.M., Steenkamp, M.M., Benson, T.A., …Litz, B.T. (2010). Unit cohesion and PTSD symptom severity in Air Force medical personnel. Military Medicine, 175, 482–486.
   PubMed Web of Science ®Google Scholar
• Dohrenwend, B.P., Turner, J.B., Turse, N.A., Adams, B.G., Koenen, K.C., Marshall, R. (2006). The psychological risks of Vietnam for US veterans: A revisit with new data and methods. Science, 313, 979–982.
   PubMed Web of Science ®Google Scholar
• Engel, C.C. (2005). Improving primary care for military personnel and veterans with posttraumatic stress disorder – the road ahead. General Hospital Psychiatry, 27, 158–160.
   PubMed Web of Science ®Google Scholar
• Engel, C.C., Oxman, T., Yamamoto, C., Gould, D., Barry, S., Stewart, P., Kroenke, K., Williams, J.W. Jr, Dietrich, A.J. (2008). RESPECT-Mil: Feasibility of a systems-level collaborative care approach to depression and post-traumatic stress disorder in military primary care. Military Medicine, 173(10), 935–940.
   PubMedGoogle Scholar
• Engel, C.C., Litz, B., Magruder, K., Gore, K., Harper, C.E., Yeager, D. (2009) Randomized trial of a web-based nurse-assisted PTSD self-management intervention for primary care: Study design and status. Abstract. Paper presented at Symposium 6: Telemedicine. Mental Health Research Forum, Kansas City, MO, September.
   Google Scholar
• Felker, B., Hawkins, E., Dobie, D., Gutierrez, J., McFall, M. (2008). Characteristics of deployed Operation Iraqi Freedom military personnel who seek mental health care. Military Medicine, 173, 155–158.
   PubMed Web of Science ®Google Scholar
• French, L.M. (2009) Preface. Journal of Head Trauma Rehabilitation, 24, 1–3.
   PubMed Web of Science ®Google Scholar
• Gillham, J.E., Reivich, K.J., Freres, D.R., Chaplin, T.M., Shatte, A.J., Samuels, B., …Seligman, M.E. (2007). School-based prevention of depressive symptoms: A randomized controlled study of the effectiveness and specificity of the Penn Resiliency Program. Journal of Consulting & Clinical Psychology, 75, 9–19.
   PubMed Web of Science ®Google Scholar
• Giwertz, A.H., Polusny, M.A., DeGarmo, D.S., Khaylis, A., Erbes, C.R. (2010). Posttraumatic stress symptoms among National Guard soldiers deployed to Iraq: Associations with parenting behaviors and couple adjustment. Journal of Consulting & Clinical Psychology, 78, 599–610.
   PubMedGoogle Scholar
• Grieger, T.A., Cozza, S.J., Ursano, R.J., Hoge, C., Martinez, P.E., Engel, C.C., Wain, H.J. (2006). Posttraumatic stress disorder and depression in battle-injured soldiers. American Journal of Psychiatry, 163, 1777–1783.
   PubMed Web of Science ®Google Scholar
• Guastella, A.J., Richardson, R., Lovibond, P.F., Rapee, R.M., Gaston, J.E., Mitchell, P., Dadds, M.R. (2008). A randomized controlled trial of D-cycloserine enhancement of exposure therapy for social anxiety disorder. Biological Psychiatry, 63, 544–549.
   PubMed Web of Science ®Google Scholar
• Haskell, S.G., Gordon, K.S., Mattocks, K., Duggal, M., Erdos, J., Justice, A., Brandt, C.A. (2010). Gender differences in rates of depression, PTSD, pain, obesity, and military sexual trauma among Connecticut war veterans of Iraq and Afghanistan. Journal of Womens Health (Larchment), 19, 267–271.
   PubMed Web of Science ®Google Scholar
• Hofmann, S.G., Meuret, A.E., Smits, J.A., Simon, N.M., Pollack, M.H., Eisenmenger, K., …Otto, M.W. (2006). Augmentation of exposure therapy with D-cycloserine for social anxiety disorder. Archives of General Psychiatry, 63, 298–304.
   PubMed Web of Science ®Google Scholar
• Hoge, C.W., Auchterlonie, J.L., Milliken, C.S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. Journal of the American Medical Association, 295, 1023–1032.
   PubMed Web of Science ®Google Scholar
• Hoge, C.W., Castro, C.A. (2006). Post-traumatic stress disorder in UK and US forces deployed to Iraq. Lancet, 368, 837.
   PubMed Web of Science ®Google Scholar
• Hoge, C.W., Castro, C.A., Messer, S.C., McGurk, D., Cotting, D.I., Koffman, R.L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351, 13–22.
   PubMed Web of Science ®Google Scholar
• Hoge, C.W., Clark, J.C., Castro, C.A. (2007a). Commentary: Women in combat and the risk of post-traumatic stress disorder and depression. International Journal of Epidemiology, 36, 327–329.
   PubMed Web of Science ®Google Scholar
• Hoge, C.W., McGurk, D., Thomas, J.L., Cox, A.L., Engel, C.C., Castro, C.A. (2008). Mild traumatic brain injury in US soldiers returning from Iraq. New England Journal of Medicine, 358, 453–463.
   PubMed Web of Science ®Google Scholar
• Hoge, C.W., Terhakopian, A., Castro, C.A., Messer, S.C., Engel, C.C. (2007b). Association of posttraumatic stress disorder with somatic symptoms, health care visits, and absenteeism among Iraq War veterans. American Journal of Psychiatry, 164, 150–153.
   PubMed Web of Science ®Google Scholar
• Insel, T.R. (2010). Research activities at the National Institute of Mental Health affecting veterans and their families. Statement to the Committee on Appropriations, Subcommittee on Military Construction, Veterans Affairs, and Related Agencies, United States House of Representatives. Available at: http://www.hhs.gov/asl/testify/2010/03/t20100323a.html (accessed 2 December 2010).
   Google Scholar
• IoM (Institute of Medicine) (2010). Returning home from Iraq and Afghanistan: Preliminary assessment of readjustment needs of veterans, service members, and their families. 94–98. Washington, DC: National Academies Press.
   Google Scholar
• Jacobson, I.G., Ryan, M.A., Hooper, T.I., Smith, T.C., Amoroso, P.J., Boyko, E.J., …Bell, N.S. (2008). Alcohol use and alcohol-related problems before and after military combat deployment. Journal of the American Medical Association, 300, 663–675.
   PubMed Web of Science ®Google Scholar
• Jacobson, I.G., Smith, T.C., Smith, B., Keel, P.K., Amoroso, P.J., Wells, T.S., …Ryan, M.A. (2009). Disordered eating and weight changes after deployment: Longitudinal assessment of a large US military cohort. American Journal of Epidemiology, 169, 415–427.
   PubMed Web of Science ®Google Scholar
• Kang H. (2008). Analysis of VA Health care Utilization among US Global War on Terrorism (GWOT) Veterans. Washington, DC: Department of Veterans Affairs.
   Google Scholar
• Kang, H.K., Li, B., Mahan, C.M., Eisen, S.A., Engel, C.C. (2009). Health of US veterans of 1991 Gulf War: A follow-up survey in 10 years. Journal of Occupational & Environmental Medicine, 51, 401–410.
   PubMed Web of Science ®Google Scholar
• Kang, H.K., Natelson, B.H., Mahan, C.M., Lee, K.Y., Murphy, F.M. (2003). Post-traumatic stress disorder and chronic fatigue syndrome-like illness among Gulf War veterans: A population-based survey of 30,000 veterans. American Journal of Epidemiology, 157, 141–148.
   PubMed Web of Science ®Google Scholar
• Kessler, R.C. (2000). Posttraumatic stress disorder: The burden to the individual and to society. Journal of Clinical Psychiatry, 61S5, S4–12.
   Google Scholar
• Kim, P.Y., Thomas, J.L., Wilk, J.E., Castro, C.A., Hoge, C.W. (2010). Stigma, barriers to care, and use of mental health services among active duty and National Guard soldiers after combat. Psychiatric Services (Washington, DC), 61, 582–588.
   PubMed Web of Science ®Google Scholar
• Kimerling, R., Street, A.E., Pavao, J., Smith, M.W., Cronkite, R.C., Holmes, T.H., Frayne, S.M. (2010). Military-related sexual trauma among Veterans Health Administration patients returning from Afghanistan and Iraq. American Journal of Public Health, 100, 1409–1412.
   PubMed Web of Science ®Google Scholar
• Kline, A., Falca-Dodson, M., Sussner, B., Ciccone, D.S., Chandler, H., Callahan, L., Losonczy, M. (2010). Effects of repeated deployment to Iraq and Afghanistan on the health of New Jersey Army National Guard troops: implications for military readiness. American Journal of Public Health, 100, 276–283.
   PubMed Web of Science ®Google Scholar
• Kulka, R.A., Schlenger, W.E., Fairbank, J.A., Hough, R.L., Jordan, B.K., Marmar, C.R., …Grady, D.A. (1990). Trauma and the Vietnam War generation: Report of Findings from the National Vietnam Veterans Readjustment Study. New York, NY: Brunner/Mazel.
   Google Scholar
• LeardMann, C.A., Smith, B., Ryan, M.A. (2010). Do adverse childhood experiences increase the risk of postdeployment posttraumatic stress disorder in US Marines? BMC Public Health, 10, 437.
   PubMed Web of Science ®Google Scholar
• LeardMann, C.A., Smith, T.C., Smith, B., Wells, T.S., Ryan, M.A. (2009). Baseline self reported functional health and vulnerability to post-traumatic stress disorder after combat deployment: Prospective US military cohort study. British Medical Journal, 338, b1273.
   Web of Science ®Google Scholar
• Leedham, C.S., Blood, C.G., Newland, C. (1993) A descriptive analysis of wounds among US Marines treated at second-echelon facilities in the Kuwaiti theater of operations. Military Medicine, 158, 508–512.
   PubMedGoogle Scholar
• Lester, P.B., McBride, S.B., Bliese, P.D., Adler, A.B. (2011). Bringing science to bear: An empirical assessment of the Comprehensive Soldier Fitness program. The American Psychologist, 66, 77–81.
   PubMed Web of Science ®Google Scholar
• Litz, B.T., Engel, C.C., Bryant, R., Papa, A. (2007). A randomized, controlled proof-of-concept trial of an internet-based, therapist-assisted self-management treatment for posttraumatic stress disorder. American Journal of Psychiatry, 164, 1–8.
   PubMedGoogle Scholar
• Magruder, K.M., Frueh, B.C., Knapp, R.G., Davis, L., Hamner, M.B., Martin, R.H., …Arana, G.W. (2005). 17.Prevalence of posttraumatic stress disorder in Veterans Affairs primary care clinics. General Hospital Psychiatry, 27, 169–179.
   PubMed Web of Science ®Google Scholar
• Maguen, S., Lucenko, B.A., Reger, M.A., Gahm, G.A., Litz, B.T., Seal, K.H., …Marmar, C.R. (2010a). The impact of reported direct and indirect killing on mental health symptoms in Iraq war veterans. Journal of Traumatic Stress, 23, 86–90.
   PubMed Web of Science ®Google Scholar
• Maguen, S., Ren, L., Bosch, J.O., Marmar, C.R., Seal, K.H. (2010b). Gender differences in mental health diagnoses among Iraq and Afghanistan veterans enrolled in Veterans Affairs health care. American Journal of Public Health. 100, 2450–6.
   PubMed Web of Science ®Google Scholar
• Maguen, S., Suvak, M., Litz, B.T. (2006). Predictors and prevalence of posttraumatic stress disorder among military veterans. A.B. Adler, C.A. Castro, T.W. Britt, Military life: The psychology of serving in peace and combat, Vol. 2: Operational Stress 141–169. Westport, CT: Praeger Security International.
   Google Scholar
• Mansfield, A.J., Kaufman, J.S., Gaynes, B.N., Engel, C.C. (2010a). Deployment and mental health diagnoses among us military children. Abstract presented at the Annual Meeting of the Society for Epidemiologic Research, Seattle, WA, June.
   Google Scholar
• Mansfield, A.J., Kaufman, J.S., Marshall, S.W., Gaynes, B.N., Morrissey, J.P., Engel, C.C. (2010b). Deployment and the use of mental health services among US Army wives. New England Journal of Medicine, 362, 101–109.
   PubMed Web of Science ®Google Scholar
• McHugh, R.K., Barlow, D.H. (2010). The dissemination and implementation of evidence-based psychological treatments. A review of current efforts. American Psychologist, 65, 73–84.
   PubMed Web of Science ®Google Scholar
• MHAT-II (2005) Operation Iraqi Freedom (OIF-II) Mental Health Advisory Team (MHAT-II) Report. Available at: www.armymedicine.army.mil/reports/reports.html (accessed 22 November 2010).
   Google Scholar
• MHAT-V (2008). Mental Health Advisory Team (MHAT-V) Operation Iraqi Freedom 06–08: Iraq Operation Enduring Freedom 8: Afghanistan. Available at http://www.armymedicine.army.mil/reports/mhat/mhat_v/MHAT_V_OIFandOEF-Redacted.pdf (accessed 22 November 2010).
   Google Scholar
• Milad, M.R., Quirk, G.J. (2002). Neurons in medial prefrontal cortex signal memory for fear extinction. Nature, 420, 70–74.
   PubMed Web of Science ®Google Scholar
• Milliken, C.S., Auchterlonie, J.L., Hoge, C.W. (2007). Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq War. Journal of the American Medical Association, 298, 2141–2148.
   PubMed Web of Science ®Google Scholar
• Munsey, C. (2009). Air Force revitalizes program that matches psychologists with physicians. Monitor on Psychology, 40(1), 13.
   Google Scholar
• MSMR (Medical Surveillance Monthly Report) (2010). Update: Deployment health assessments, US Armed Forces, April 2010. Medical Surveillance Monthly Report, 17, 18–20.
   Google Scholar
• Okie, S. (2005). Traumatic brain injury in the war zone. New England Journal of Medicine, 352, 2043–2047.
   PubMed Web of Science ®Google Scholar
• Ouimette, P., Wade, P., Coolhart, D., Tirone, D., Goodwin, E., Semenec, S. (2010). Measuring PTSD course among substance use disorder patients: A pilot study of the interrater reliability and validity of the Longitudinal Interval Follow-Up Evaluation (LIFE). Traumatology, 16, 19–26.
   Google Scholar
• Phillips, C.J., LeardMann, C.A., Gumbs, G.R., Smith, B. (2010). Risk factors for posttraumatic stress disorder among deployed US male marines. BMC Psychiatry, 10, 52.
   Google Scholar
• Pietrzak, R.H., Johnson, D.C., Goldstein, M.B., Malley, J.C., Southwick, S.M. (2009). Posttraumatic stress disorder mediates the relationship between mild traumatic brain injury and health and psychosocial functioning in veterans of Operations Enduring Freedom and Iraqi Freedom. Journal of Nervous & Mental Disease, 197, 748–753.
   PubMed Web of Science ®Google Scholar
• Ressler, K.J., Rothbaum, B.O., Tannenbaum, L., Anderson, P., Graap, K., Zimand, E., …Davis, M. (2004). Cognitive enhancers as adjuncts to psychotherapy: use of D-cycloserine in phobic individuals to facilitate extinction of fear. Archives of General Psychiatry, 61, 1136–1144.
   PubMed Web of Science ®Google Scholar
• Rundell, J.R. (2006). Demographics of and diagnoses in Operation Enduring Freedom and Operation Iraqi Freedom personnel who were psychiatrically evacuated from the theater of operations. General Hospital Psychiatry, 28, 352–356.
   PubMed Web of Science ®Google Scholar
• Schlenger, W.E., Kulka, R.A., Fairbank, J.A., Hough, R.L., Jordan, B.K., Marmar, C.R., Weiss, D.S. (1992). The prevalence of post-traumatic stress disorder in the Vietnam generation: A multimethod, multisource assessment of psychiatric disorder. Journal of Traumatic Stress, 5, 333–363.
   Web of Science ®Google Scholar
• Schwab, K.A., Ivins, B., Salazar, A.M. (2003). Brain injury, epidemiological issues. M.J. Aminoff, R.B. Daroff, Encyclopedia of the Neurological Sciences, 438–445. Boston, MA: Academic Press.
   Google Scholar
• 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, 99, 1651–1658.
   PubMed Web of Science ®Google Scholar
• Smith, T.C., Ryan, M.A., Wingard, D.L., Slymen, D.J., Sallis, J.F., Kritz-Silverstein, D. (2008a). New onset and persistent symptoms of post-traumatic stress disorder self reported after deployment and combat exposures: Prospective population based US military cohort study. British Medical Journal, 336, 366–371.
   PubMed Web of Science ®Google Scholar
• Smith, T.C., Wingard, D.L., Ryan, M.A., Kritz-Silverstein, D., Slymen, D.J., Sallis, J.F. (2008b). Prior assault and posttraumatic stress disorder after combat deployment. Epidemiology, 19, 505–512.
   PubMed Web of Science ®Google Scholar
• Stiglitz, J.E., Bilmes, L.J. (2008). The three trillion dollar war: The true cost of the Iraq conflict. New York: Norton.
   Google Scholar
• Terrio, H., Brenner, L.A., Ivins, B.J., Cho, J.M., Helmick, K., Schwab, K., …Warden, D. (2009). Traumatic brain injury screening: Preliminary findings in a US Army brigade combat team. Jounal of Head Trauma Rehabilitation, 24, 14–23.
   PubMed Web of Science ®Google Scholar
• Thomas, J.L., Castro, C.A., Adler, A.B., Bliese, P.D., McGurk, D., Cox, A., Hoge, C.W. (2007). The Efficacy of Battlemind at Immediate Post Deployment Reintegration. Paper presented at the Battlemind Training System: Supporting soldiers throughout the deployment cycle symposium at the 2007 American Psychological Association Annual Convention. San Francisco, CA, August.
   Google Scholar
• 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, 614–623.
   PubMed Web of Science ®Google Scholar
• Unützer, J., Choi, Y., Cook, I.A., Oishi, S. (2002). A web-based data management system for improve care for depression in a multicenter clinical trial. Psychiatric Services, 53, 671–678.
   PubMed Web of Science ®Google Scholar
• US Army (2008). Report to the Surgeon General Traumatic Brain Injury Task Force. Available at: http://www.armymedicine.army.mil/reports/tbi/TBITaskForceReportJanuary2008.pdf (accessed 13 January 2011).
   Google Scholar
• Wang, P.S., Berglund, P., Olfson, M., Pincus, H.A., Wells, K.B., Kessler, R.C. (2005). Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 603–613.
   PubMed Web of Science ®Google Scholar
• Warner, C.H., Appenzeller, G.N., Breitbach, J.E., Mobbs, A., Lange, J.T. (2011). The CARE framework: The broadening of mental health services in a deployed environment. A.B. Adler, P.B. Bliese, C.A. Castro, Deployment Psychology: Evidence-based Strategies to Promote Mental Health in the Military 35–68. Washington, DC: American Psychological Association.
   Google Scholar
• Weathers, R., Keane, T.M., Foa, E.B. (2009). Assessment and diagnosis of adults. E.B. Foa, T.M. Keane, M.J. Friedman, J.A. Cohen, Effective Treatments for PTSD: Practice Guidelines from the International Society of Traumatic Stress Studies 2nd, 23–61. New York, NY: Guilford Press.
   Google Scholar
• Wells, T.S., LeardMann, C.A., Fortuna, S.O., Smith, B., Smith, T.C., Ryan, M.A., … Blazer, D. (2010). A prospective study of depression following combat deployment in support of the wars in Iraq and Afghanistan. American Journal of Public Health, 100, 90–99.
   PubMed Web of Science ®Google Scholar
• Wojcik, B.E., Akhtar, F.Z., Hassell, L.H. (2009). Hospital admissions related to mental disorders in US Army soldiers in Iraq and Afghanistan. Military Medicine, 174, 1010–1018.
   PubMed Web of Science ®Google Scholar
• Zeiss, A., Karlin, B. (2008). Integration of mental health and primary care services in the Department of Veterans Affairs health care system. Journal of Clinical Pysychology in Medical Settings, 15, 73–78.
   PubMed Web of Science ®Google Scholar