{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:57:34Z","timestamp":1791219454281,"version":"4.1.0"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Returned & Services League of Australia, Queensland"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Polypharmacy is a growing concern among veterans due to high rates of multi-morbidity and its complex pharmacologic management. This study examined the prevalence and predictors of polypharmacy among Australian Defence Force (ADF) veterans transitioning from military to civilian life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort analysis was conducted using electronic medical records from 1210 ADF veterans attending a medical service. General polypharmacy was defined as \u22655 medications, and psychotropic and other N-class polypharmacy as \u22652 medications within those classes. Multivariable logistic regression identified demographic and clinical predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      General polypharmacy occurred in 19.1% of veterans, psychotropic polypharmacy in 9.8% and other N-class polypharmacy in 14.6%. Veterans with post-traumatic stress disorder (PTSD) had significantly higher rates of psychotropic (25.9% vs 4.5%) and general polypharmacy (33.7% vs 14.4%) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001). Psychiatric comorbidity burden was the strongest predictor of psychotropic polypharmacy (OR 1.91), while PTSD independently doubled the odds (OR 2.07). General polypharmacy was primarily associated with medical (OR 1.51) and psychiatric comorbidities (OR 1.41).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Polypharmacy is common among Australian veterans transitioning from military to civilian life, particularly those with PTSD and multiple comorbidities, highlighting the need for early medication review and deprescribing strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261455779","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T03:45:22Z","timestamp":1780285522000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence and predictors of polypharmacy and psychotropic use among Australian Defence Force veterans transitioning from military to civilian life"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8198-5291","authenticated-orcid":false,"given":"Rebecca","family":"Mellor","sequence":"first","affiliation":[{"name":"Veteran Mental Health, Gallipoli Medical Research"},{"name":"The University of Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1750-5243","authenticated-orcid":false,"given":"Andrew","family":"Cronin","sequence":"additional","affiliation":[{"name":"Australian Veteran Health Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8919-6158","authenticated-orcid":false,"given":"Sanket B.","family":"Raut","sequence":"additional","affiliation":[{"name":"Veteran Mental Health, Gallipoli Medical Research"},{"name":"The University of Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,31]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"Mental health in the Australian defence Force: 2010 ADF mental health and wellbeing study: full report","author":"McFarlane AC","year":"2011","unstructured":"McFarlane AC, Hodson SE, Van Hooff M, et al. 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