Abstract:
INTRODUCTION:Veterans with mental illness tend to have shorter life spans and suboptimal physical health because of a variety of factors. These factors include poor nutrition, being overweight, and smoking cigarettes. Nonphysical contributors that may affect quality of life are the stigma associated with mental illness, social difficulties, and spiritual crises. Current mental health treatment focuses primarily on the delivery of medication and evidence-based psychotherapies, which may not affect all the above areas of a Veteran's life as they focus primarily on improving psychological symptoms. Clinicians may find greater success using integrative, comprehensive, multifaceted programs to treat these problems spanning the biological, psychological, social, and spiritual domains. These pilot studies test an adjunctive, holistic, behavioral approach to treat mental illness. This pilot work explores the hypotheses that engagement in a greater number of therapeutic lifestyle changes (TLCs) leads to improvement in quality of life, reduction of psychiatric symptoms, and weight loss. MATERIALS AND METHODS:Institutional Review Boards for human subjects at the Veterans Affairs (VA) Greater Los Angeles and Long Beach Healthcare Systems approved pilot study activities at their sites. Pilot Study 1 was a prospective survey study of Veterans with mental illness, who gained weight on an atypical antipsychotic medication regimen, participating in a weight management study. At each session of the 1-year study, researchers asked a convenience sample of 55 Veterans in the treatment arm whether they engaged in each of the eight TLCs: exercise, nutrition/diet, stress management and relaxation, time in nature, relationships, service to others, religious or spiritual involvement, and recreation. Pilot Study 2 applied the TLC behavioral intervention and examined 19 Veterans with mental illness, who attended four classes about TLCs, received individual counseling over 9 weeks, and maintained journals to track TLC practice. Besides weekly journals, researchers also collected prospective data on quality of life, psychiatric symptoms, vitals, and anthropometric measurements. In both studies, investigators tested for main effects of the total number of TLCs practiced and study week using mixed-effects linear models with independent intercepts by participant. RESULTS:In Study 1, engagement in more TLC behaviors was significantly associated with higher ratings of quality of life, as well as greater weight loss for each additional type of TLC practiced. In Study 2, TLC practice increased significantly over 9 weeks, and was significantly associated with improvements in quality of life and diastolic blood pressure. CONCLUSION:Counseling Veterans to practice TLCs provides a holistic adjunct to current treatments for mental illness. TLCs may confer multiple benefits upon Veterans with mental illness, enhancing quality of life and well-being along with weight management efforts. As these were pilot studies, the samples sizes were relatively small and a control group was lacking. Our findings may have broader implications supporting a holistic approach in both primary and mental health care settings. Future research will expand this work to address its weaknesses and examine the cost differential between this holistic approach and traditional mental health treatment.
journal_name
Mil Medjournal_title
Military medicineauthors
Tessier JM,Erickson ZD,Meyer HB,Baker MR,Gelberg HA,Arnold IY,Kwan C,Chamberlin V,Rosen JA,Shah C,Hellemann G,Lewis MM,Nguyen C,Sachinvala N,Amrami B,Pierre JM,Ames Ddoi
10.7205/MILMED-D-16-00405subject
Has Abstractpub_date
2017-09-01 00:00:00pages
e1738-e1744issue
9eissn
0026-4075issn
1930-613Xjournal_volume
182pub_type
杂志文章abstract::Chaplains play a unique role in the Veterans Affairs (VA) health care systems and have numerous responsibilities. Compassion satisfaction (CS), compassion fatigue (CF), and burnout (BO) are three major phenomenons that have been documented in other helping professions, but little is known about VA Chaplains' professio...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00021
更新日期:2013-06-01 00:00:00
abstract::The impact of a pharmacy officer on patient compliance and blood pressure control on a deployed nuclear-powered aircraft carrier for a 2-week at-sea period was evaluated. Before any counseling by a pharmacy officer, 43 crewmembers on chronic medications anonymously completed a compliance questionnaire. The pharmacy of...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract:INTRODUCTION:Youth with autism spectrum disorder (ASD) face high rates of unemployment, with unique challenges for military-dependent and -connected youth with ASD. This paper reports preliminary findings from Year One of a randomized waitlist controlled trial investigating the efficacy of the Project SEARCH + ASD Supp...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.1093/milmed/usz224
更新日期:2020-01-07 00:00:00
abstract::A prospective study of obstetrical patients from enrollment as outpatients until postpartum discharge was formulated at Madigan Army Medical Center. The control group included uncomplicated obstetrical patients from March 1 to August 31, 1994. The study group included uncomplicated obstetrical patients from March 1 to...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract::The two articles presented previously in this volume provide state-of-the-art reviews of the etiology, epidemiology, screening and treatment of substance use disorder (SUD). This article identifies next steps in research and development for understanding and treating SUD in Operation Enduring Freedom/Operation Iraqi F...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed-d-12-00126
更新日期:2012-08-01 00:00:00
abstract:INTRODUCTION:This study evaluates a large cohort of college students after the 2009-2010 pandemic H1N1 influenza season. The objective was to assess influenza vaccination status, influenzalike illnesses (ILIs), and other characteristics associated with attaining immunizations. METHODS:This study was conducted during t...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz257
更新日期:2020-01-07 00:00:00
abstract::The rate of war-related amputations in current U.S. military personnel is now twice that experienced by military personnel in previous wars. We reviewed the literature for health outcomes following war-related amputations and 17 studies were retrieved with evidence that (a) amputees are at a significant risk for devel...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-00-0608
更新日期:2009-06-01 00:00:00
abstract::This retrospective study examined spinal-related hospitalizations of U.S. Army soldiers deployed to Afghanistan and Iraq. Spinal cord injuries (SCI) and vertebral column injuries (VCI) were identified using International Classification of Disease, 9th Revision, Clinical Modification diagnosis codes. In our study, spin...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00061
更新日期:2015-02-01 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:OBJECTIVE:The objective of this project was to evaluate the use of preprocedural mouth rinses in Army dental clinics. MATERIALS AND METHODS:Three hundred six-question surveys were distributed to 10 Army dental organizations throughout the United States and Germany during the period from March 2001 to March 2002. Two h...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.8.600
更新日期:2004-08-01 00:00:00
abstract::Yellow fever is a mosquito-transmitted hemorrhagic viral disease that is endemic to tropical regions in South America and Africa. It remains a significant health concern for deploying military personnel, accordingly vaccination is frequently performed on troops. Although the vaccine is generally administered with only...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00304
更新日期:2012-04-01 00:00:00
abstract:INTRODUCTION:Interventions that encourage good nutrition-related behaviors in the dining environment can potentially influence the health of large numbers of military personnel. Thus, the Army has studied the effectiveness of implementing nutrition education and dining facility (DFAC) changes that included healthier re...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa522
更新日期:2020-11-30 00:00:00
abstract::Stress fractures are caused by repetitive low-impact activities. It is important to have a high index of suspicion in diagnosing and treating stress fractures early for remodeling to occur. This is a case report of a 19-year-old female military recruit with stress fractures of the right foot. The patient had an extend...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00087
更新日期:2011-01-01 00:00:00
abstract:INTRODUCTION:The severity of exertional heat illnesses (EHI) ranges from relatively minor heat exhaustion to potentially life-threatening heat stroke. Epidemiological surveillance of the types of and trends in EHI incidence depends on application of the appropriate International Classification of Disease, 9th Revision ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00429
更新日期:2017-09-01 00:00:00
abstract:Background:Return to play and risk factors for functional limitations have been widely reported among athletes following anterior cruciate ligament reconstruction (ACLR) but has not been well studied in the military population. Methods:We conducted a retrospective review of all active duty service members who underwen...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx007
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The Medical College Admissions Test (MCAT) is a high-stakes test required for entry to most U. S. medical schools; admissions committees use this test to predict future accomplishment. Although there is evidence that the MCAT predicts success on multiple choice-based assessments, there is little information ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00550
更新日期:2015-04-01 00:00:00
abstract:INTRODUCTION:Dietary intake of military initial entry trainees is often inadequate because of the structured food environment, lack of snacking, and limited time for meals. Inadequate intake during training increases risk for injury, poor performance, and attrition from training. A performance nutrition initiative was ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00451
更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION:Attention deficit hyperactive disorder (ADHD) is prevalent in 5.9-7.1% of children and adolescents, and 5% of adults. It results in poor academic, occupational, and social functioning. Pharmacotherapy improves core symptoms; however, average adherence levels are low and decrease at 16-17 years of age, just...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy161
更新日期:2018-09-01 00:00:00
abstract::The Military Health Services System is undergoing tremendous changes paralleling those seen in the civilian health care system. Many of the same problems and frustrations are being encountered in the military as it builds TRICARE, one of the largest managed care systems in the country. This paper describes how a team ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract:INTRODUCTION:Service members (SMs) who are injured on deployment are at risk for myriad long-term health problems that may be ancillary to their physical injury, including high rates of depression and posttraumatic stress disorder, and poor health behaviors (e.g., problem drinking, cigarette and tobacco use, poor sleep...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa242
更新日期:2020-10-02 00:00:00
abstract:OBJECTIVES:The current treatment options for neuropathic pain due to nerve injuries are limited and largely unsatisfactory. Mesenchymal stem cell transplantation (MSC) has shown promise as an emerging therapy for neuropathic pain. However, a number of critical parameters, including the sources of cells, the number of c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00096
更新日期:2017-03-01 00:00:00
abstract::This article describes the circumstances surrounding an intense, constant pain in the temporal region (visual analog scale 9-10) experienced by a 22-year-old combat officer in the Israel Defense Forces following a mild facial injury. The officer's wound included penetration of shrapnel particles into the facial skin, ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.12.1284
更新日期:2007-12-01 00:00:00
abstract::Deep water running (DWR) has become a well-recognized from of cardiovascular conditioning for injured athletes and has been used successfully to maintain running performance. DWR provides for decreased stress and weightbearing to injured tissue and joints, allows for maintenance of cardiovascular fitness and a trainin...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-03-01 00:00:00
abstract::Several sub-Saharan militaries have large percentages of troops with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. With the arrival of avian influenza in Africa, the potential exists that some of those soldiers might also become infected with H5N1, the virus responsible for the disease. Two po...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.172.7.753
更新日期:2007-07-01 00:00:00
abstract::The potential of dental emergencies to reduce combat effectiveness is a major concern of military planners. The dental fitness classification is teh primary measure of an airman's dental readiness. A dental class 3 identification means that the airman has a dental condition that is likely to cause a dental emergency w...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
abstract:UNLABELLED:Ranger training includes strenuous physical activities and despite heat mitigations strategies, numerous cases of serious exertional heat illness (EHI) occur. We developed an Arm Immersion Cooling (AIC) system that is not logistically burdensome and may be easily employed in training environments. PURPOSE:T...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00727
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:This study describes and categorizes the cultural frictions and conflicts within a successfully implemented Internal Medicine Patient-Centered Medical Home (PCMH) clinic at the National Naval Medical Center, and provides lessons learned for combating these concerns. METHODS:A semistructured interview protoco...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00146
更新日期:2013-02-01 00:00:00
abstract::Prior to recent advances in the field of molecular biology, prenatal diagnosis of hemoglobinopathies was accomplished by direct analysis of the gene product(s) in samples obtained by fetoscopy or, more recently, percutaneous umbilical blood sampling. The use of the polymerase chain reaction enables quicker diagnosis t...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
abstract::As a result of Operation Desert Storm, a neurology service was established in the Fort Leonard Wood MEDDAC. Between January 1 and April 30, 1991, a total of 315 new neurology patients were seen in consultation. This number plus all the follow-up visits add up to a total of 750 clinical encounters during that period. T...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::Personality characteristics associated with successful adaptation to military life are often described in gender-related terms. However, valid, reliable measures of gender-related personality characteristics have not been established for military populations. The purpose of this study was to validate an instrument for...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00