Literature Review
According to World Health Organization (WHO), Depression is a common Illness that affect over 300 million people in the world. Depression remains the leading cause of disability worldwide and a major root cause of disease (WHO, 2017)
In 2014 about 15.7 Million adults in the US from age 18 and above had experienced at least one major depressive disorder in the past year this represent about 6.7 percent of all adult in the US. (ADA). Also according to Center for Disease Control, (CDC) in 2009 – 2012, 7.6percent of Americans age 12 and over had depression of different types which range from major depressive symptoms and moderate symptoms. Americans living below the poverty level were 2.5 times more likely to have depression than those above the poverty. About 43% of persons with major depressive symptoms reported serious difficulties at work, home, and social activities. Only about 35 percent of those with severe symptoms have seek medical attention.
This literature review will focus on
¥ Impact of depression on family of deployed military personnel
¥ Managing Stress associated with deployment
¥ Diagnosis and treatment of depression for military families
Impact of depression on family of deployed military personnel
Military personnel in the US deployed in support of various missions around the world are subjected to multiple mental health issues. The mental health issue can in form of stress, depression, anxiety, PTSD. As a result of frequent deployment
Over the last decade, the wars in Afghanistan and Iraq have drastically increased the need for effective mental health services and treatment for U.S. veterans and service members, especially those suffering from Posttraumatic Stress Disorder (PTSD). Nearly 1.5 million American service members have been deployed in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) since the attack on the Twin Towers in September 2001 (Price, Gros, Strachan, Ruggiero, & Acierno, 2013). Approximately 25% of soldiers and wounded warriors returning home from OEF/OIF present with mental illness due to combat-related violence and other trauma exposure (Steinberg & Eisner, 2015). According to Price and colleagues (2013), OEF/OIF soldiers and veterans are at greater risk for developing mental illness compared to others who served in past military operations.
The main problem discovered is military members are experiencing psychological problems from stressors due to deployments and not seeking help for their discomforts. Many of the military members returning
PTSD, depression, and the lack of treatment should all be taken into consideration when thinking about the military. Depression in soldiers can be caused by the length of deployment because they don’t see their families or friends for months.
“Recent data estimate the overall prevalence of depression at about 11.1% of the American population, or nearly 35 million individuals (Centers for Disease Control and Prevention, 2011). A predictive models suggest that up to 50% of the population will experience at least one episode of depression during their lives” (Life Extension, 2014). Depression has negatively affected the lives of many individuals throughout the world. Look around you there may even be someone close to you that is demonstrating signs of its stifling affects. Depression does not discriminate with its suffocating
Military service members who are and have been deployed to the middle east show high levels of emotional distress and post traumatic stress disorder (PTSD). Both active duty and reserve component soldiers who have experienced combat have been exposed to high levels of traumatic stress. As a consequence, many have gone on to develop a wide range of mental health problems such as PTSD. “According to researchers, PTSD is a long-term reaction to war-zone exposure that can last up to a few minutes, hours, several weeks, and for some a lifetime.” Common symptoms include: emotional numbing, anxiety, feelings of guilt, and depression. If the disorder turns chronic veterans may experience functional impairment (Friedman, M. J. et al., 1994, p.
Even though there is a high risk of mental health problems among veterans returning from Iraq and Afghanistan, there has been no systematic studies of mental health care utilization among these veterans after deployment (Hoge, Auchterlonie, and Milliken, 2006). Such studies are an important part of measuring the mental health burden of the current war and ensuring that there are adequate resources to meet the mental health care needs of veterans returning from Iraq and Afghanistan (Hoge, Auchterlonie, and Milliken, 2006). When a person is in the military, he or she may experience a lot of traumatic events; therefore, PTSD becomes more prevalent in their lives post-war. There was a research conducted after other military conflicts that has shown that deployment stressors and exposure to combat result in considerable risks of mental health problems, including post-traumatic stress disorder (PTSD), major depression, substance abuse, impairment in social functioning and in the ability to work, and the increased use of health care services (Hoge, Castor, Messer, McGurk, Cotting, & Koffman, 2004).Veterans in America have a history of mental illness, thus it is important that there are a variety of treatment options available for veterans. Most veterans with mental health problems refused to go in for services because
Mental illness is very common among men and women who serve in our military. According to American Psychiatric Association (2015), military men and women face unique challenges, including actively participating in war, being separated from their families and friends, and various other stressors that come with being deployed. These stresses can lead to anxiety, posttraumatic stress disorder (PTSD), depression and substance abuse following their return back home. Addition to mental health illnesses, military personnel during combat may also have encountered traumatic brain injury or multiple concussions. While few Veterans who experience traumatic brain injury do recover, others face long -term consequences that impair their physical and mental health (Department of Veterans Affairs, 2015).
The military serves as a major component in our nation 's security. Everyone around the country continues to rely on them each day to defend our freedom. Undeniably, the responsibilities of military members comes along with large amounts of anxiety, self-less service, and occasionally terrifying events that can have a negative influence on the individuals life. Post-traumatic Stress Disorder (PTSD) is a serious illness among the men in our military. Gates et al. (2012) defines PTSD as, "a psychiatric condition that is experienced by a subset of individuals after exposure to an event that involved life threat and elicited feelings of fear, helplessness, and/or horror in the individual" (p.361). In some environments, this is a
There is a growing concern for the rising mental health and cognitive impairments many service members are developing, particularly post-deployment. Although it is recognized as a significant challenge, the military and Veterans
Depression can be dangerous. It is one of the most common mental health problems in the United States. It is reported that as many as one in every 33 children and one in eight adolescents may have depression (Center for Mental Health Services, 1998).
The U.S. military shows a surprising sensitivity and openness to the emotional difficulties of being stationed abroad, especially in a conflict zone, and it is making great efforts towards preventing/easing depression and post-traumatic stress disorder (PTSD) among its members (although it varies by branch). Group therapy is made available at Veteran's Administration hospitals and the Department of Veteran Affairs is connected to the National Center for Post-traumatic Stress Disorder, which provides many helpful resources including literature that speaks openly about "private," "domestic," and "relational" issues. This is in shocking contrast with the
T. Stecker, J. Fortney, F. Hamilton, and I. Ajzen, 2007, address that mental health symptoms have the likelihood to increase within post deployment for military veterans, especially for the ones who have seen combat. An estimated quarter of recent war veterans who are currently receiving care in the Department of Veteran Affairs (VA) Health Care System have reported mental health problems. Soldiers who have served in Iraq come home suffering from depression, anxiety, and posttraumatic stress disorder (PTSD). The Statistics of Iraq soldiers meeting the criteria for depression, anxiety, and posttraumatic stress disorder (PTSD) is greater than the soldiers who served in Afghanistan. The mental health symptom rates for soldiers who served in Iraq were as high as 20% for PTSD, 18% for anxiety, and 15% for depression.
A service member’s emotional and psychological issues are not like malfunctions of a piece of equipment and must not be treated as a troubleshooting problem in a technical manual. And yet this seems to be the only way the military, as a whole, knows how to address the issue of a service members mental health. It requires a holistic approach that is not currently embraced by the military. Historically, the military has been ill-equipped to handle the shifting nature of the psychological issues created by introducing a service member to the battlefield.
Deployment and integration are one the greatest challenges military families and children have to face on a daily basis. When a family member deploys or reintegrates within the entire family, it not only affects the service member but it affects the entire family. Deployment can often lead to families and children, experiencing a negative mental health outcomes and compromised wellbeing. Bello (2015) found that most families and children (80.5% required less than one month to adjust to the return of their deployed parent (Bello, 2015). Accordingly, the families and children are often quick to adjust to having their family member back in the home. Interestingly, discoveries are surprising in light of the fact that when contrasted to another family, the discoveries are definitely unique. Boberiene (2014) found that three out of every four families feel that reintegration after the first three months is the most stressful phase of a deployment (Boberiene, 2014). This is because the family experiences many emotions while the member is away.
More people suffer from depression than you might think. People of all ages, backgrounds, lifestyles, and nationalities get clinical depression. An estimated 35 to 40 million Americas living today will suffer from major depression at some time during their lives. (4) This is about 13 to 20 percent of all Americans. (1) About half of these individuals will experience recurring depression. (3) Despite being what authorities call "the nation's leading mental health problem" (6), depression is often misdiagnosed or undiagnosed, and therefore not treated. (4) Often as a result, about 25 percent of these people attempt suicide to end their