The following manuscripts have been published or are currently in press. Listings are in chronological order, unless otherwise noted.
| Title | Publication | Date/Location |
|---|---|---|
| Individual and Military Factors That Modify the Association Between Recent Sexual Trauma and Health Outcomes Among U.S. Service Members and Veterans | Journal of Interpersonal Violence | 2023 Sep | doi: 10.1177/08862605231173909 |
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Seelig AD, Rivera AC, LeardMann CA, Daniel SM, Jacobson IG, Stander VA, Moore BL, Millard DC, Boyko EJ; Millennium Cohort Team Experiencing recent sexual trauma was associated with PTSD, depression, and multiple somatic symptoms (e.g. physical complaints, bodily distress). These associations remained relatively stable across demographic and military factors but varied in the presence of protective (e.g., social support) and risk factors (e.g., childhood trauma). These findings underscore the complex interplay of trauma and resilience in understanding adverse health outcomes. |
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| Individual Augmentee Deployment and Newly Reported Mental Health Morbidity | Journal of Occupational and Environmental Medicine | 2012 May;54(5):615-620 |
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Granado NS, Zimmermann L, Smith B, Jones KA, Wells TS, Ryan MAK, Slymen DL, Koffman RL, Smith TC, for the Millennium Cohort Study Team Individual augmentees (IAs), who presumably have lower social support or unit cohesion, were not at increased risk for PTSD or mental health symptoms following deployment compared with non-IA deployers. It is likely that social isolation was not highly influential among Navy IAs in this study. |
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| Is Military Deployment a Risk Factor for Maternal Depression? | Journal of Women's Health | 2013 Jan; 22(1):9-18 |
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Nguyen S, LeardMann CA, Smith B, Conlin AMS, Slymen DJ, Hooper TI, Ryan MAK, Smith TC, for the Millennium Cohort Study Team This study found that military women who recently gave birth and then deployed with combat experience had an increased risk for depression. Combat experience primarily increased the risk for depression, rather than childbirth itself. In addition, deployment without combat experience was not significantly associated with maternal depression among women who recently gave birth. |
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| Lifetime Traumatic Brain Injury and Risk of Post-Concussive Symptoms in the Millennium Cohort Study | Journal of Neurotrauma | 2024 March | doi: 10.1089/neu.2022.0213 |
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Jannace K, Pompeii L, Gimeno Ruiz de Porras D, Perkison WB, Yamal JM, Trone DW, Rull RP TBI was associated with greater risk of post-concussive symptoms (e.g., fatigue, poor concentration, memory loss) among active-duty service members with risk being greater as number of lifetime TBIs increased. |
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| Linking Exposures and Health Outcomes to a Large Population-Based Longitudinal Study: the Millennium Cohort Study | Military Medicine | 2011 Jul;176(7 Suppl):56-63 |
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Smith TC, for the Millennium Cohort Study Team Linking Millennium Cohort prospective data to individual-level exposure data is critical for understanding and quantifying any long-term health outcomes potentially associated with unique military occupational exposures. |
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| Longitudinal Assessment of Gender Differences in the Development of PTSD Among US Military Personnel Deployed in Support of the Operations in Iraq and Afghanistan | Journal of Psychiatric Research | 2015;68:30-36 |
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Jacobson IG, Donoho CJ, Crum-Cianflone NF, Maguen S Using prospective data from Millennium Cohort Study participants, a propensity score matching technique was used to match 1 male with each female using demographic, military, and behavioral factors including baseline sexual assault. After stratifying by combat experience and adjusting for sexual assault at follow-up, findings revealed no significant gender differences for new-onset postdeployment PTSD among men and women including among those who experienced combat. |
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| Longitudinal Assessment of Mental Disorders, Smoking, and Hazardous Drinking Among a Population-Based Cohort of US Service Members | Journal of Addiction Medicine | 2014 Jul-Aug;8(4):271-281 |
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Smith TC, LeardMann CA, Smith B, Jacobson IG, Miller SC, Wells TS, Boyko EJ, Ryan MAK This study investigated mental disorders in association with hazardous drinking and cigarette smoking. These prospective data highlight the inter-related nature of these symptoms and behaviors and the potentially complex bi-directional causal pathway. Military health professionals should consider the constellation of potential behaviors and symptoms during the treatment of specific mental health illnesses and negative health behaviors. |
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| Longitudinal Assessment of Self-Reported Recent Back Pain and Combat Deployment in the Millennium Cohort Study | Spine | 2016;41:1754–1763 |
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Granado NS, Pietrucha A, Ryan M, Boyko EJ, Hooper TI, Smith B, Smith TC Among military personnel, back pain is among the most frequent reasons for medical visits and lost duty time, and has been associated with pain-related disability. This study found that 15.5% of participants reported recent back pain at follow-up. Our study confirmed the high burden of this condition in the military, showing that deployers with combat experiences had a 38% higher odds of reporting back pain at follow-up, and 27% higher odds of repeated back pain, compared with deployers without combat experiences. Additionally, exposures associated with a physically demanding work environment were related to a higher risk of back pain. This well-defined group of military personnel would potentially benefit from integrated prevention efforts focused on mitigating and eliminating back pain over time. |
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| Longitudinal Associations Among PTSD, Disordered Eating, and Weight Gain in Military Men and Women | American Journal of Epidemiology | 2016 Jul 1;184(1):33-47 |
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Mitchell KS, Porter B, Boyko EJ, Field AE This study examined longitudinal associations between PTSD, disordered eating, and weight change in Millennium Cohort data from U.S. military Service members who completed the baseline survey and first and second follow-up surveys. The association between PTSD and weight change from time 2 to time 3 was partially mediated by disordered eating symptoms measured at time 2, specifically compensatory behaviors (vomiting, laxative use, fasting, over-exercise). In stratified models, the association between PTSD and weight gain via compensatory behaviors was significant for men and for non-Hispanic white participants only. Results highlight potentially important demographic differences in these associations and emphasize the need for further investigation of eating disorders in military Service members. |
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| Longitudinal associations of military-related factors on self-reported sleep among U.S. service members | Sleep | 2021 Dec 10;44(12):zsab168 |
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Cooper AD, Kolaja CA, Markwald RR, Jacobson IG, Chinoy ED This study examined military factors in relation to the development and reoccurrence of short sleep duration (less than 5 hours or 6 hours) and insomnia symptoms (i.e., trouble falling asleep or staying asleep in the past month) over a 3-15 year follow-up period. Military factors consistently associated with an increased risk for development and/or reoccurrence of short sleep duration and insomnia symptoms included active duty service, Army or Marine Corps service, combat deployment, and longer than average deployment lengths. Officers and noncombat deployers had decreased risk for either poor sleep characteristic. Length of service and separation from the military were complex factors; each lowered risk for less than 5 hours of sleep but increased the risk for insomnia symptoms. Findings suggest that efforts to improve sleep prioritization and implement interventions targeting at-risk military populations, behaviors, and other significant factors are warranted. |
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