Abstract:
OBJECTIVE:The Beck Depression Inventory-II (BDI-II) is widely used as a screening instrument for depressive symptomatology in clinical settings. The factor structure has been researched in a variety of settings with results ranging from a single factor to a five-factor structure. The purpose of this study was to examine several identified factor structures when applied to a mixed polytrauma sample. METHOD:A sample of 310 veterans was used for this study. All subjects were administered the BDI-II screening measure as part of an evaluation in an outpatient polytrauma clinic. Confirmatory factor analysis was used to determine the best model. RESULTS:Confirmatory factor analysis revealed that a three-factor model provided a best fit. A model previously identified for individuals in residential treatment for substance abuse provided a best fit for this sample. CONCLUSIONS:The BDI-II may provide additional information for clinicians when examining the three-factor model with veterans in polytrauma settings.
journal_name
Mil Medjournal_title
Military medicineauthors
Palmer GA,Happe MC,Paxson JM,Jurek BK,Graca JJ,Olson SAdoi
10.7205/MILMED-D-14-00048subject
Has Abstractpub_date
2014-08-01 00:00:00pages
879-84issue
8eissn
0026-4075issn
1930-613Xjournal_volume
179pub_type
杂志文章abstract:BACKGROUND:Transfusion of freshly collected blood products (FCBP) is sometimes necessary to save service member (SM) lives in austere deployed environments. Recipients of FCBPs are administratively tracked and offered serial serologic testing via the Armed Services Blood Program "Blood Look Back" (BLB) program to assur...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00512
更新日期:2016-09-01 00:00:00
abstract::Despite two decades of concerted federal government effort and the expenditure of billions of dollars, the war on cancer, as judged by mortality, is not going well. However, the mortality yardstick by which progress against cancer is often measured should be reassessed based upon current concepts of carcinogenesis. Th...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::The use of the pneumococcal 7-valent conjugate vaccine (PCV7 [Prevnar], Wyeth Lederle Vaccines), and the impact it is likely to have on pneumococcal disease are reviewed. Pneumococcal disease in infants and young children is a major health care burden, and the increase in antibiotic resistance among pneumococci has co...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2002-08-01 00:00:00
abstract::The federal government is the largest single employer of clinically active physician assistants (PAs) in the United States, with > 3,000 PAs in 2008. PAs are present within the Departments of Defense, Veterans Affairs, Health and Human Services, Justice, and Homeland Security. Most are civil servants or hold a commiss...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.173.9.895
更新日期:2008-09-01 00:00:00
abstract:INTRODUCTION:Dengue fever, caused by any of the four dengue viruses (DENV1-4), is endemic in more than 100 countries around the world. Each year, up to 400 million people get infected with dengue virus. It is one of the most important arthropod-borne viral diseases. Dengue's global presence poses a medical threat to de...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa553
更新日期:2021-01-11 00:00:00
abstract::The federal initiative for electronic health record (EHR) interoperability began in 2000 and set the stage for the establishment of the 2004 Executive Order for EHR interoperability by 2014. This article discusses the chronology from the 2001 e-Government Consolidated Health Informatics (CHI) initiative through the cu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-03-9708
更新日期:2009-05-01 00:00:00
abstract::Hearing damage induced by blast exposure is a common injury in military personnel involved in most operation activities. Personal hearing protection devices such as earplugs come as a standard issue for Service members; however, it is not clear how to accurately evaluate the protection mechanisms of different hearing ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy299
更新日期:2019-03-01 00:00:00
abstract:INTRODUCTION:Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz451
更新日期:2020-08-14 00:00:00
abstract::Four cases of splenic infarction/sequestration in sickle cell trait (SCT) patients are presented. All four patients were undergoing moderate exercise at elevations ranging from 5,500 to 12,000 feet. The patients include two African-American males, a Hispanic male, and a white female. All four presented with the acute ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1999-03-01 00:00:00
abstract::The Assessment of Recruit Motivation and Strength (ARMS) project evaluated whether active duty Army enlistees who exceeded weight and body-fat standards but were able to pass the ARMS physical fitness test were at elevated risk of early attrition relative to the traditional recruit population. Attrition among 1146 ove...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-02-7508
更新日期:2009-07-01 00:00:00
abstract::In order to identify potential training to enhance comprehensive soldier fitness, this analysis searched MEDLINE via PubMed and elsewhere for 33 reasonably significant modalities, screening over 11,500 articles for relevance regarding soldier resilience. Evaluation of modalities that are exclusively educational or cog...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-11-00067
更新日期:2011-11-01 00:00:00
abstract:INTRODUCTION:Each year, a substantial proportion of trainees who enter the U.S. Air Force (USAF) Basic Military Training (BMT) are unable to complete training. Reentry to civilian life poses significant challenges, including finding employment, establishing a new career path, and paying for education. To our knowledge,...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa110
更新日期:2020-09-18 00:00:00
abstract::Little attention is given in psychiatry residency programs to preparing graduates to occupy division psychiatry slots. The first part of this paper discusses several guidelines: preparations to make before leaving for a new post; immediate steps to take upon arrival; the place of the Division Mental Health Service in ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract::Tuberculous spondylitis (Pott's disease) is an uncommon complication of Mycobacterium tuberculosis infection that may have serious consequences if the diagnosis is missed or delayed. A case of tuberculous spondylitis in a military dependent is presented. Clinical presentation, radiologic findings, laboratory findings,...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract:Objective:To quantitatively measure tissue composition and hemodynamics during resuscitative endovascular balloon occlusion of the aorta (REBOA) in two tissue compartments using non-invasive two-channel broadband diffuse optical spectroscopy (DOS). Methods:Tissue concentrations of oxy- and deoxyhemoglobin (HbO2 and Hb...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx163
更新日期:2018-03-01 00:00:00
abstract::Self-directed violence (SDV), which includes suicidal ideation with and without intent, suicidal preparatory behaviors and attempts with and without harm, non-suicidal self-directed violence, and completed suicide, has been a rising concern in the military. Military shipboard personnel may represent a unique subset of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00257
更新日期:2016-04-01 00:00:00
abstract::AFR 35-11, dated 10 April 1985, included standards for physical fitness performance tests with the option of a 1.5-mile run or a 3-mile walk. Since that time, ANG units have begun initial physical fitness testing of all personnel. This program brought with it new responsibilities for ANG medical units including the sc...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract::In open, intra-articular distal humerus fracture caused by gunshot injury, full functional recovery is difficult to obtain. Three basic treatment methods are available: minimal internal fixation, open reduction-internal fixation, and external fixation. In Gülhane Military Medical Academy Department of Orthopedics and ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract:INTRODUCTION:This study is the first to our knowledge to examine associations of survey-reported dietary supplement use with medical record diagnoses, rather than retrospective self-reported supplement use at the time of the medical encounter or case reports of adverse events. Dietary supplement (DS) use and adverse ev...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz053
更新日期:2019-10-01 00:00:00
abstract:INTRODUCTION:Positioning of implant components for total hip arthroplasty (THA) is important for polyethylene liner wear, prosthesis joint stability, and range of motion. The introduction of fluoroscopy for the direct anterior approach has been shown to improve physician accuracy for component positioning. Few studies ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa415
更新日期:2020-11-24 00:00:00
abstract::In March-May 1988, we collected data on enrollment of 1,445 Army families with grade school children in the Active Duty Dependents Dental Insurance Plan at two Army posts. We also surveyed their reactions to the plan. Results show that, although nearly two-thirds of families are enrolled in the plan, most consider the...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-06-01 00:00:00
abstract::Internal stenting (sutureless plication) for intestinal adhesions was performed operatively in 16 patients. Subsequent recurrent obstruction occurred in four patients. Other complications occurred in three patients and included retained tube, jejunostomy-site abscess, and intestinal fistulization. Four patients died f...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::Breast infections caused by Mycobacterium tuberculosis, although rare in western countries, should not be forgotten as a cause of a breast lump presenting clinically and radiologically as a carcinoma in the older patient who gives a history of previous tuberculosis. We report the case of an 84-year-old woman with a br...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Foot friction blisters in military personnel lessen a soldier's mobility, concentration, and critical decision-making skills. OBJECTIVE:To determine the prevalence of and factors associated with friction blisters during deployment in all military personnel who nonurgently presented to the 28th Combat Suppor...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00325
更新日期:2012-02-01 00:00:00
abstract::In high-performance aircraft, the need for total environmental awareness coupled with high-g loading (often with abrupt onset) creates a predilection for cervical spine injury while the pilot is performing routine movements within the cockpit. In this study, the prevalence and severity of cervical spine injury are ass...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::Over the last decade, demand for services from military treatment facilities (MTFs) has frequently exceeded capacity resulting in increased usage of off-base civilian Tricare providers (OCTP). This capacity shortage has been particularly acute for mental health care. At many installations, OCTPs are the main source of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00229
更新日期:2015-09-01 00:00:00
abstract::The authors describe the case of a giant osteochondroma emanating from the L5 vertebral body and extending into the retroperitoneum of a 40-year-old man, causing low back pain. Osteochondromas are benign bony tumors that typically occur within the appendicular skeleton, although in the sporadic form, up to 4% occur in...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00239
更新日期:2015-01-01 00:00:00
abstract::The purpose of this study was to determine the incidence of Clostridium perfringens-associated vomiting and diarrhea in canine and feline patients at the Okinawa Branch Veterinary Service and to establish a relationship between dietary indiscretion and the presence of clostridial enterotoxemia. Stool samples were obta...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Combat casualties have endured an increase in traumatic lower extremity amputations secondary to improvised explosive devices. Often surgical control of the proximal vasculature is required. We evaluate the safety profile of exploratory laparotomy (EXLAP) for proximal control (PC) in combat-injured patients....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00155
更新日期:2016-05-01 00:00:00
abstract::Over 20 yr have elapsed since the end of the First Gulf War, yet approximately one-third of the veterans exhibit Gulf War Illness (GWI) symptoms, particularly depression and memory impairments. Exposure to organophosphate (OP) compounds is implicated for GWI development. The role of calcium (Ca2+) signaling in learnin...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx148
更新日期:2018-03-01 00:00:00