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. Author manuscript; available in PMC: 2017 Mar 1.
Published in final edited form as: Mil Med. 2016 Sep;181(9):1021–1032. doi: 10.7205/MILMED-D-15-00211

Table 4.

Multivariate predictors of reasons for discontinuing mental health treatment among soldiers with a 30-day DSM-IV disorder who received treatment in the past 12 months (n=145)

Reason for discontinuing treatment
Predictors Low perceived need
(n=145)		 Any structural reason
(n=145)		 Any attitudinal reason
(n=145)
OR (95% CI) OR (95% CI) OR (95% CI)
I. Socio-demographic characteristics
  a. Gender
    Male 0.3 (0.0–1.9) 1.8 (0.1–28.9) 1.5 (0.2–9.8)
    Female 1.0 – 1.0 – 1.0 –
χ21 1.7 0.2 0.2
  b. Race/ethnicity
    Non-Hispanic White 1.0 – 1.0 – 1.0 –
    Non-Hispanic Black 1.6 (0.6–4.4) 0.5 (0.0–8.0) 1.5 (0.7–3.2)
    Hispanic 0.0 (0.0–1.7) 0.3 (0.0–2.5) 0.6 (0.3–1.6)
    Other 0.3 (0.1–2.1) – – 0.2* (0.1–1.0)
χ23 5.7 2.5 8.2*
  c. Marital status
    Currently married 3.9 (0.6–26.6) 2.3 (0.2–32.8) 0.9 (0.4–2.3)
    Previously married – – – – 2.3 (0.3–15.4)
    Never married 1.0 – 1.0 – 1.0 –
χ22 8.8 0.5 1.4
II. Army career characteristics
  a. Rank
    Lower-ranking enlisted (E1–E4) 0.0* (0.0–0.9) 0.3 (0.0–144.8) 0.2 (0.0–1.4)
    Higher-ranking enlisted (E5–E9) 0.0* (0.0–0.2) 0.0 (0.0–6.3) 0.2 (0.0–1.4)
    Officer (W1–5/O1–9) 1.0 – 1.0 – 1.0 –
χ22 10.1* 6.4* 2.8
  b. Number of deployments
    0 1.0 – 1.0 – 1.0 –
    1 4.6 (0.7–31.4) 1.1 (0.1–14.4) 0.7 (0.2–2.2)
    2 12.0* (1.1–133.9) 2.0 (0.0–79.2) 1.3 (0.2–6.4)
    3+ 7.4 (0.3–210.2) 1.0 (0.0–47.3) 1.1 (0.2–7.1)
χ23 7.7 0.3 1.4
  c. Command
    Forces Command (FORSCOM) 0.8 (0.0–21.9) 0.4 (0.0–6.2) 0.2 (0.0–5.0)
    Area Commands1 1.0 – 1.0 – 1.0 –
    Special Operations Command (USASOC) – – – – 1.6 (0.0–57.9)
    Medical Command (MEDCOM) 0.4 (0.0–12.0) 0.3 (0.0–10.0) 0.2 (0.0–6.4)
    Training and Doctrine Command (TRADOC) 0.9 (0.0–39.9) 1.2 (0.0–57.8) 0.2 (0.0–8.2)
    All other Commands2 1.2 (0.1–26.4) – – 0.1 (0.0–1.4)
χ25 12.9* 1.4 13.4*
III. Mental disorder characteristics
  a. Internalizing disorders
    Major depressive disorder (MDD) 0.4 (0.2–1.2) 0.9 (0.1–8.2) 0.8 (0.2–2.8)
    Bipolar disorder (BPD) 0.5 (0.0–5.5) 1.1 (0.1–8.6) 0.7 (0.2–2.6)
    Generalized anxiety disorder (GAD) 0.9 (0.1–8.6) 33.9* (3.6–341.4) 4.5* (1.6–12.0
    Panic disorder (PD) 1.3 (0.2–8.4) 3.0 (0.3–31.4) 0.9 (0.4–2.0)
    Post-traumatic stress disorder (PTSD) 1.4 (0.4–5.3) 4.0 (0.5–33.7) 1.4 (0.6–3.1)
χ25 5.0 18.0* 16.8*
  b. Externalizing disorders
    Attention-deficit/hyperactivity disorder (ADHD) 0.9 (0.2–3.7) 0.1* (0.0–0.9) 0.6 (0.2–1.4)
    Intermittent explosive disorder (IED) 1.1 (0.3–4.4) 4.6 (0.5–39.0) 1.6 (0.7–3.6)
    Substance use disorder 5.6 (0.9–35.9) 4.5 (0.5–41.3) 2.4 (0.7–8.2)
χ23 3.6 7.8 4.6
  c. Duration of disorder
    8–12 months 0.6 (0.1–4.6) 0.5 (0.0–29.4) 0.5 (0.1–2.4)
    5–7 months 0.6 (0.0–26.1) 0.0* (0.0–1.0) 0.1* (0.0–0.9)
    1–4 months 1.0 – 1.0 – 1.0 –
χ22 0.2 7.0* 6.6*
  d. Severity of impairment
    Severe role impairment 1.1 (0.2–8.0) 5.3 (0.8–32.6) 1.7 (0.9–3.4)
    Not severe 1.0 – 1.0 – 1.0 _
χ21 0.0 3.2 2.4
1

Area Commands include Africa (USARAF), Central (USARCENT), North (USARNORTH), South (USARSO), Europe (USAREUR), and Pacific (USARPAC).

2

Other Commands include Materials Command (AMC), all other Service Component Commands (ASCC), and all other Direct Reporting Units (DRU).

See http://www.army.mil/info/organization/ for a complete description of the U.S. Army Command Structure.

*

p<0.05, two-sided test.