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Comment & Response |

Mental Health and the Army

Mark C. Russell, PhD, ABPP1,2; Sue Nicholson Butkus, PhD3
[+] Author Affiliations
1Antioch University Seattle, Seattle, Washington
2retired US Navy commander
3Washington State University, Pullman, Tacoma
JAMA Psychiatry. 2014;71(8):966-967. doi:10.1001/jamapsychiatry.2014.695.
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To the Editor The underlying assumption that personal weakness rather than war is responsible for the high rates of mental health disorders among military personnel ignores historical data and raises questions about the study and its conclusions by Kessler et al1 published in JAMA Psychiatry. Retrospective analyses of premilitary, military, and postmilitary risk factors conducted since World War I almost uniformly conclude that the single best predictor for stress casualties is cumulative exposure to war stress followed by perception of low social support.2


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August 1, 2014
Charles W. Hoge, MD; Christopher H. Warner, MD; Carl A. Castro, PhD
1Center for Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Maryland
2Psychiatry Consultant to the Army Surgeon General and Division Surgeon (Rear), 101st Airborne Division, Ft Campbell, Kentucky
3School of Social Work, University of Southern California, Los Angeles
JAMA Psychiatry. 2014;71(8):965-966. doi:10.1001/jamapsychiatry.2014.689.
August 1, 2014
Brandon J. Hill, PhD; Joshua Trey Barnett, MA
1Department of Obstetrics and Gynecology, Center for the Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health, University of Chicago, Chicago, Illinois2The Kinsey Institute for Research in Sex, Gender, and Reproduction, Bloomington, Indiana
3Department of Communication, University of Utah, Salt Lake City
JAMA Psychiatry. 2014;71(8):967. doi:10.1001/jamapsychiatry.2014.697.
August 1, 2014
Ronald C. Kessler, PhD; Matthew K. Nock, PhD; Michael Schoenbaum, PhD
1Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
2Department of Psychology, Harvard University, Cambridge, Massachusetts
3National Institute of Mental Health, Bethesda, Maryland
JAMA Psychiatry. 2014;71(8):967-968. doi:10.1001/jamapsychiatry.2014.716.
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