Risk of depressive disorder following disasters and military deployment: systematic review with meta-analysis

J. P. Bonde; Nicolai Utzon-Frank; M. Bertelsen; M. Borritz; N. H. Eller; M. Nordentoft; K. Olesen; N. H. Rod; R. Rugulies

doi:10.1192/bjp.bp.114.157859

Risk of depressive disorder following disasters and military deployment: systematic review with meta-analysis

J. P. Bonde, Nicolai Utzon-Frank, M. Bertelsen, M. Borritz, N. H. Eller, M. Nordentoft, K. Olesen, N. H. Rod, R. Rugulies

Publikation: Bidrag til tidsskrift › Review › Forskning › peer review

112 Citationer (Scopus)

Abstract

BACKGROUND: Numerous studies describe the occurrence of post-traumatic stress disorder following disasters, but less is known about the risk of major depression.

AIMS: To review the risk of depressive disorder in people surviving disasters and in soldiers returning from military deployment.

METHOD: A systematic literature search combined with reference screening identified 23 controlled epidemiological studies. We used random effects models to compute pooled odds ratios (ORs).

RESULTS: The average OR was significantly elevated following all types of exposures: natural disaster OR = 2.28 (95% CI 1.30-3.98), technological disaster OR = 1.44 (95% CI 1.21-1.70), terrorist acts OR = 1.80 (95% CI 1.38-2.34) and military combat OR = 1.60 (95% CI 1.09-2.35). In a subset of ten high-quality studies OR was 1.41 (95% CI 1.06-1.87).

CONCLUSIONS: Disasters and combat experience substantially increase the risk of depression. Whether psychological trauma per se or bereavement is on the causal path is unresolved.

Originalsprog	Engelsk
Tidsskrift	The British journal of psychiatry : the journal of mental science
Vol/bind	208
Udgave nummer	4
Sider (fra-til)	330-336
Antal sider	7
ISSN	0007-1250
DOI	https://doi.org/10.1192/bjp.bp.114.157859
Status	Udgivet - apr. 2016

Adgang til dokumentet

10.1192/bjp.bp.114.157859

Citationsformater

Bonde, J. P., Utzon-Frank, N., Bertelsen, M., Borritz, M., Eller, N. H., Nordentoft, M., Olesen, K., Rod, N. H., & Rugulies, R. (2016). Risk of depressive disorder following disasters and military deployment: systematic review with meta-analysis. The British journal of psychiatry : the journal of mental science, 208(4), 330-336. https://doi.org/10.1192/bjp.bp.114.157859

Risk of depressive disorder following disasters and military deployment : systematic review with meta-analysis. / Bonde, J. P.; Utzon-Frank, Nicolai; Bertelsen, M.; Borritz, M.; Eller, N. H.; Nordentoft, M.; Olesen, K.; Rod, N. H.; Rugulies, R.

I: The British journal of psychiatry : the journal of mental science, Bind 208, Nr. 4, 04.2016, s. 330-336.

Publikation: Bidrag til tidsskrift › Review › Forskning › peer review

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abstract = "BACKGROUND: Numerous studies describe the occurrence of post-traumatic stress disorder following disasters, but less is known about the risk of major depression.AIMS: To review the risk of depressive disorder in people surviving disasters and in soldiers returning from military deployment.METHOD: A systematic literature search combined with reference screening identified 23 controlled epidemiological studies. We used random effects models to compute pooled odds ratios (ORs).RESULTS: The average OR was significantly elevated following all types of exposures: natural disaster OR = 2.28 (95% CI 1.30-3.98), technological disaster OR = 1.44 (95% CI 1.21-1.70), terrorist acts OR = 1.80 (95% CI 1.38-2.34) and military combat OR = 1.60 (95% CI 1.09-2.35). In a subset of ten high-quality studies OR was 1.41 (95% CI 1.06-1.87).CONCLUSIONS: Disasters and combat experience substantially increase the risk of depression. Whether psychological trauma per se or bereavement is on the causal path is unresolved.",

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author = "Bonde, {J. P.} and Nicolai Utzon-Frank and M. Bertelsen and M. Borritz and Eller, {N. H.} and M. Nordentoft and K. Olesen and Rod, {N. H.} and R. Rugulies",

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doi = "10.1192/bjp.bp.114.157859",

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T1 - Risk of depressive disorder following disasters and military deployment

T2 - systematic review with meta-analysis

AU - Bonde, J. P.

AU - Utzon-Frank, Nicolai

AU - Bertelsen, M.

AU - Borritz, M.

AU - Eller, N. H.

AU - Nordentoft, M.

AU - Olesen, K.

AU - Rod, N. H.

AU - Rugulies, R.

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N2 - BACKGROUND: Numerous studies describe the occurrence of post-traumatic stress disorder following disasters, but less is known about the risk of major depression.AIMS: To review the risk of depressive disorder in people surviving disasters and in soldiers returning from military deployment.METHOD: A systematic literature search combined with reference screening identified 23 controlled epidemiological studies. We used random effects models to compute pooled odds ratios (ORs).RESULTS: The average OR was significantly elevated following all types of exposures: natural disaster OR = 2.28 (95% CI 1.30-3.98), technological disaster OR = 1.44 (95% CI 1.21-1.70), terrorist acts OR = 1.80 (95% CI 1.38-2.34) and military combat OR = 1.60 (95% CI 1.09-2.35). In a subset of ten high-quality studies OR was 1.41 (95% CI 1.06-1.87).CONCLUSIONS: Disasters and combat experience substantially increase the risk of depression. Whether psychological trauma per se or bereavement is on the causal path is unresolved.

AB - BACKGROUND: Numerous studies describe the occurrence of post-traumatic stress disorder following disasters, but less is known about the risk of major depression.AIMS: To review the risk of depressive disorder in people surviving disasters and in soldiers returning from military deployment.METHOD: A systematic literature search combined with reference screening identified 23 controlled epidemiological studies. We used random effects models to compute pooled odds ratios (ORs).RESULTS: The average OR was significantly elevated following all types of exposures: natural disaster OR = 2.28 (95% CI 1.30-3.98), technological disaster OR = 1.44 (95% CI 1.21-1.70), terrorist acts OR = 1.80 (95% CI 1.38-2.34) and military combat OR = 1.60 (95% CI 1.09-2.35). In a subset of ten high-quality studies OR was 1.41 (95% CI 1.06-1.87).CONCLUSIONS: Disasters and combat experience substantially increase the risk of depression. Whether psychological trauma per se or bereavement is on the causal path is unresolved.

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