{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:54:51Z","timestamp":1777521291319,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2016,3,16]],"date-time":"2016-03-16T00:00:00Z","timestamp":1458086400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The purpose of this study was to estimate the contribution of the mission in Afghanistan to the burden of mental health problems in the Canadian Armed Forces (CAF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Data were obtained from the 2013 Canadian Forces Mental Health Survey, which assessed mental disorders using the World Health Organization\u2019s Composite International Diagnostic Interview. The sample consisted of 6696 Regular Force (RegF) personnel, 3384 of whom had deployed in support of the mission. We estimated the association of past-year mental health problems with Afghanistan deployment status, adjusting for covariates using logistic regression; population attributable fractions (PAFs) were also calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Indication of a past-year mental disorder was identified in 18.4% (95% confidence interval [CI], 17.0% to 19.7%) of Afghanistan deployers compared with 14.6% (95% CI, 13.3% to 15.8%) in others. Afghanistan-related deployments contributed to the burden of a past-year disorder (PAF = 8.7%; 95% CI, 3.0% to 14.2%), with the highest PAFs being seen for panic disorder (34.7%) and posttraumatic stress disorder (32.1%). The PAFs for individual alcohol use disorders and suicide ideation were not different from zero. Child abuse, however, had a much greater PAF for any past-year disorder (28.7%; 95% CI, 23.4% to 33.7%) than did the Afghanistan mission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The mission in Afghanistan contributed significantly to the burden of mental disorders in the CAF RegF in 2013. However, the much stronger contribution of child abuse highlights the need for strong military mental health systems, even in peacetime, and the need to target the full range of determinants of mental health in prevention and control efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0706743716628857","type":"journal-article","created":{"date-parts":[[2016,3,16]],"date-time":"2016-03-16T16:28:15Z","timestamp":1458145695000},"page":"64S-76S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":35,"title":["Contribution of the Mission in Afghanistan to the Burden of Past-Year Mental Disorders in Canadian Armed Forces Personnel, 2013"],"prefix":"10.1177","volume":"61","author":[{"given":"David","family":"Boulos","sequence":"first","affiliation":[{"name":"Canadian Forces Health Services Group Headquarters, Ottawa, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Zamorski","sequence":"additional","affiliation":[{"name":"Canadian Forces Health Services Group Headquarters, Ottawa, Ontario"},{"name":"Department of Family Medicine, University of Ottawa, Ottawa, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,3,16]]},"reference":[{"key":"bibr1-0706743716628857","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa040603"},{"key":"bibr2-0706743716628857","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.9.1023"},{"key":"bibr3-0706743716628857","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2008.155432"},{"key":"bibr4-0706743716628857","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39430.638241.AE"},{"key":"bibr5-0706743716628857","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60672-1"},{"key":"bibr6-0706743716628857","doi-asserted-by":"publisher","DOI":"10.3109\/09540261.2011.558833"},{"key":"bibr7-0706743716628857","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-009-1117-3"},{"key":"bibr8-0706743716628857","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200412000-00007"},{"key":"bibr9-0706743716628857","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-006-0058-y"},{"issue":"4","key":"bibr10-0706743716628857","first-page":"3","volume":"17","author":"Armed Forces Health Surveillance Center","year":"2010","journal-title":"MSMR"},{"issue":"4","key":"bibr11-0706743716628857","first-page":"10","volume":"17","author":"Armed Forces Health Surveillance Center","year":"2010","journal-title":"MSMR"},{"issue":"4","key":"bibr12-0706743716628857","first-page":"16","volume":"17","author":"Armed Forces Health Surveillance Center","year":"2010","journal-title":"MSMR"},{"key":"bibr13-0706743716628857","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.031308.100147"},{"key":"bibr14-0706743716628857","unstructured":"Statistics Canada. 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