{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T04:51:59Z","timestamp":1788065519765,"version":"build-2784847793"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"3-4","license":[{"start":{"date-parts":[[2021,9,11]],"date-time":"2021-09-11T00:00:00Z","timestamp":1631318400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Joint Program Committee-5 Development of Exposure Standards","award":["21-26"],"award-info":[{"award-number":["21-26"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,20]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to determine the unique and combined associations of various military stress exposures with positive and negative mental health symptoms in active duty service members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We investigated 87 male U.S. Navy Explosive Ordnance Disposal (EOD) technicians (age M\u2009\u00b1\u2009SE, range 33.7\u2009\u00b1\u20090.6, 22-47\u2009years). Those who endorsed a positive traumatic brain injury diagnosis were excluded to eliminate the confounding effects on mental health symptoms. Using a survey platform on a computer tablet, EOD technicians self-reported combat exposure, deployment frequency (total number of deployments), blast exposure (vehicle crash\/blast or 50-m blast involvement), depression, anxiety, posttraumatic stress, perceived stress, and life satisfaction during an in-person laboratory session.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>When controlling for other military stressors, EOD technicians with previous involvement in a vehicle crash\/blast endorsed worse mental health than their nonexposed counterparts. The interactions of vehicle crash\/blast with deployment frequency and combat exposure had moderate effect sizes, and combat and deployment exposures demonstrated protective, rather than catalytic, effects on negative mental health scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Military stressors may adversely influence self-reported symptoms of negative mental health, but deployment experience and combat exposure may confer stress inoculation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/milmed\/usab379","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T12:32:12Z","timestamp":1631622732000},"page":"e646-e652","source":"Crossref","is-referenced-by-count":4,"title":["Military Exposures Predict Mental Health Symptoms in Explosives Personnel but Not Always as Expected"],"prefix":"10.1093","volume":"188","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4877-6732","authenticated-orcid":false,"given":"Nikki E","family":"Barczak-Scarboro","sequence":"first","affiliation":[{"name":"Leidos Inc. , San Diego, CA 92121, USA"},{"name":"Biobehavioral Sciences Lab, Warfighter Performance Department, Naval Health Research Center , San Diego, CA 92106, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Leidos Inc. , San Diego, CA 92121, USA"},{"name":"Biobehavioral Sciences Lab, Warfighter Performance Department, Naval Health Research Center , San Diego, CA 92106, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus K","family":"Taylor","sequence":"additional","affiliation":[{"name":"Biobehavioral Sciences Lab, Warfighter Performance Department, Naval Health Research Center , San Diego, CA 92106, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,9,11]]},"reference":[{"issue":"S1","key":"2023033100474476900_","doi-asserted-by":"crossref","first-page":"S53","DOI":"10.1089\/neu.2016.4709","article-title":"Characterization of differences in functional connectivity associated with close-range blast exposure","volume":"34","author":"Robinson","year":"2017","journal-title":"J Neurotrauma"},{"key":"2023033100474476900_","doi-asserted-by":"crossref","first-page":"2010","DOI":"10.1212\/WNL.0000000000004616","article-title":"Effect of concussion and blast exposure on symptoms after military deployment","volume":"89","author":"Tsao","year":"2017","journal-title":"Neurology"},{"issue":"19","key":"2023033100474476900_","doi-asserted-by":"crossref","first-page":"1620","DOI":"10.1089\/neu.2012.2683","article-title":"Serum brain biomarker level, neurocognitive performance, and self-reported symptom changes in soldiers repeatedly 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