The present study aimed to describe the demographic and occupational characteristics, comorbidities, and psychotropic medication receipt associated with posttraumatic stress disorder (PTSD) diagnosis during pregnancy among a sample of active duty U.S. military servicewomen. Data from the U.S. Department of Defense Birth and Infant Health Research program were used to identify pregnancies in active duty servicewomen from 2007 through 2014. Demographic and occupational data were linked with electronic medical and pharmacy records to capture mental health diagnoses and medication receipt dates. Cases of PTSD were identified by the presence of ICD-9-CM Diagnostic Code 309.81 on maternal records from 1 year before the date of the last menstrual period through the end of pregnancy. Of 134,244 identified pregnancies among active duty servicewomen, 2,240 (1.7%) met the case criteria for PTSD. Women with a PTSD diagnosis compared to those without a PTSD diagnosis were more likely to be White non-Hispanic (51.3% vs. 47.4%), unmarried (33.3% vs. 28.2%), in the Army (49.6% vs. 35.8%) or Marine Corps (10.9% vs. 8.0%), in a service and supply occupation (18.2% vs. 13.6%), and to have a junior enlisted rank (56.3% vs. 50.1%) and have been previously deployed (51.2% vs. 39.6%), RRs = 1.15–1.75. Among PTSD cases, the most common mental health comorbidities were depressive disorder (60.9%), adjustment disorder (43.4%), and anxiety disorder (39.3%). During pregnancy, 44.2% of PTSD cases and 7.2% of noncases received psychotropic medications. Demographic and occupational characteristics, comorbidities, and psychotropic medication use differed substantially among PTSD cases and noncases in this large records-based study.

中文翻译：

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一组怀孕的现役美国军人的创伤后应激障碍

本研究旨在描述与美国现役军人样本在怀孕期间的创伤后应激障碍 (PTSD) 诊断相关的人口统计学和职业特征、合并症和精神药物接受情况。美国国防部出生和婴儿健康研究项目的数据用于确定 2007 年至 2014 年现役军人的怀孕情况。人口统计和职业数据与电子医疗和药房记录相关联，以获取心理健康诊断和药物接收日期。通过ICD-9-CM的存在识别 PTSD 病例诊断代码 309.81 从末次月经日期前 1 年到怀孕结束的孕产妇记录。在 134,244 名现役军人中确定的怀孕中，有 2,240 名 (1.7%) 符合 PTSD 的病例标准。与没有 PTSD 诊断的女性相比，患有 PTSD 诊断的女性更有可能是非西班牙裔白人（51.3% 对 47.4%）、未婚（33.3% 对 28.2%）和军队（49.6% 对 35.8%） ) 或海军陆战队（10.9% 对 8.0%），从事服务和补给职业（18.2% 对 13.6%），并且拥有初级入伍军衔（56.3% 对 50.1%）并且之前曾被部署过（51.2 % 与 39.6%），RRs = 1.15–1.75。在 PTSD 病例中，最常见的心理健康共病是抑郁症 (60.9%)、适应障碍 (43.4%) 和焦虑症 (39.3%)。在怀孕期间，44.2% 的 PTSD 病例和 7.2% 的非病例接受了精神药物治疗。在这项基于记录的大型研究中，PTSD 病例和非病例的人口统计学和职业特征、合并症和精神药物使用差异很大。