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Military Medicine

ISSN 1930-613X, 0026-4075

28 papers in the library · 188 citations · publishing 1991-2026

Papers

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Comorbidity of Nightmares in U.S. Military Personnel With Insomnia, Obstructive Sleep Apnea, or Co-Morbid Insomnia and Obstructive Sleep Apnea.

Military Medicine July 2, 2026 Kristi E. Pruiksma, Courtney J Bolstad, Matthew S. Brock et al.

Introduction: Insomnia and obstructive sleep apnea (OSA) are the most prevalent sleep disorders in military personnel. People with both sleep problems (co-morbid insomnia and sleep apnea [COMISA]) experience higher rates of medical and psychiatric comorbidities. Few studies have examined the comorbidity of nightmares among those with insomnia, OSA, or COMISA. This secondary data analysis of...

Mindfulness in Military Medicine: A Mixed-Methods Analysis of Army Medical Specialist Corps Officers’ Mindfulness Competency, Beliefs, and Tendencies

Military Medicine July 2, 2026 Alyssa D Frazier, Brian T Gregg, Elaina J DaLomba et al.

Abstract Introduction Mindfulness-based interventions (MBIs) are formally endorsed within Army Holistic Health and Fitness doctrine to enhance mental readiness, cognitive performance, and psychological resilience. Despite growing empirical support for MBIs across civilian and military populations, provider preparedness for implementation within Army Medical Specialist Corps (SP) populations has...

Mindfulness Intervention for Navigating and Decreasing Stress (MINDS-V): Effectiveness of a Tailored Trauma-Informed Mental Health Intervention for Australian Veterans.

Military Medicine 2026 Wendy Wen Li, Marc Chao, Jennifer Gaskin et al.

Veterans face unique mental health challenges, including elevated rates of post-traumatic stress disorder (PTSD), depression, and anxiety, compounded by cultural barriers to traditional therapies. Mindfulness-Based Stress Reduction (MBSR) offers a trauma-informed, non-pharmacological intervention tailored to align with military values. This study employed a repeated-measures design with 4 time...

Treating Post-Traumatic Stress Disorder in Canadian Special Operation Forces Command With Ketamine Plus Cervical Sympathetic Blockade.

Military Medicine February 27, 2025 Eugene Lipov, Hunter Rolain, Troy Neufeld 1 citation

Canadian Special Operation Forces Command (CANSOFCOM) operators have been extensively deployed in recent conflicts. They are at risk of trauma and blast exposure as well as the development of post-traumatic stress disorder (PTSD) and blast traumatic brain injury (bTBI). Current psychotherapy and pharmacological approaches provide suboptimal resolution of PTSD and bTBI symptoms. Prior research...

DOI: 10.1093/milmed/usaf051 (opens in new tab) Full text (opens in new tab) PTSD-Treatment Military-medicine Ketamine-therapy Combat-trauma +1

Beliefs and Perceived Barriers Regarding Psychedelic-assisted Therapy in a Pilot Study of Service Members and Veterans With a History of Traumatic Brain Injury

Military Medicine December 24, 2022 Joshua C. Gray, Mikela A. Murphy, Sierra Carter et al. 10 citations

ABSTRACT Introduction Posttraumatic stress disorder (PTSD) and depression are common in service members and veterans, and the response to currently available treatments is often modest at best. Recent studies suggest potential benefit with psychedelic-assisted therapies (PATs), particularly 3,4-methylenedioxymethamphetamine-assisted therapy for PTSD and psilocybin-assisted therapy for...

DOI: 10.1093/milmed/usac400 (opens in new tab) Full text (opens in new tab) Service member Military medicine Navy Military service +3

Therapeutic and Safety Outcomes of Intravenous Ketamine for Treatment-refractory Depression in a Veteran Population: A Case Series.

Military Medicine December 20, 2022 Grace Vitek, R. Langenfeld, R. Walters et al.

INTRODUCTION Major depressive disorder is a serious, recurrent, and disabling psychiatric illness. Despite many proven treatments with multiple medications or therapies, approximately 30% of patients fail to achieve remission and are considered to have treatment-refractory depression (TRD). Recently, there has been a growing interest in the use of intravenous (IV) ketamine for the treatment of...

Translation, Cross-Cultural Adaptation and Preliminary Validation of a French Version of the Trauma-Related Nightmare Survey (TRNS-FR) in a PTSD Veteran Population.

Military Medicine April 26, 2022 E. Saguin, Lieutenant Jean Hulot, Jean-Baptiste Roseau et al.

INTRODUCTION In the military population, trauma-related nightmares (TRNs) are highly associated with deployments and combat-related events. Trauma-related nightmares are also correlated with severity, treatment resistance, and chronicity of Post-Traumatic Stress Disorder (PTSD). However, to date, no specific measure of TRNs has been validated for use in the French language. This study aimed to...

Is PTSD an Evolutionary Survival Adaptation Initiated by Unrestrained Cytokine Signaling and Maintained by Epigenetic Change?

Military Medicine April 21, 2022 Stephan Rudzki 7 citations

ABSTRACT Introduction Treatment outcomes for PTSD with current psychological therapies are poor, with very few patients achieving sustained symptom remission. A number of authors have identified physiological and immune disturbances in Post Traumatic Stress Disorder (PTSD) patients, but there is no unifying hypothesis that explains the myriad features of the disorder. Materials and Methods The...

DOI: 10.1093/milmed/usac095 (opens in new tab) Full text (opens in new tab) Epigenetics Immune system Cytokine Cholinergic +2

Interventional Study of Dextromethorphan Abuse Within the U.S. Military Community in Okinawa, Japan

Military Medicine August 14, 2020 Cody Armstrong, Michelle R Kapolowicz

Abstract: Dextromethorphan, a common over-the-counter cough suppressant, has potential for abuse. In the present commentary, we summarize findings to suggest extensive dextromethorphan overuse/abuse within the U.S. military community residing in Okinawa, Japan. We first compared sales of dextromethorphan-containing medications within the U.S. military community of Okinawa, Japan with sales...

Adapting Mindfulness Training for Military Service Members With Chronic Pain.

Military Medicine October 17, 2019 Carrie E Brintz, Shari Miller, Kristine L. Rae Olmsted et al.

INTRODUCTION Rates of chronic pain in military personnel are disproportionately high. Chronic pain is often associated with mental health and substance use disorders as comorbid conditions, making treatment of chronic pain complex. Mindfulness-based interventions (MBIs) are a promising behavioral approach to managing chronic pain and psychosocial sequelae. The unique nature of the military...

Effectiveness of Acceptance and Commitment Therapy in Increasing Resilience and Reducing Attrition of Injured US Navy Recruits

Military Medicine March 6, 2018 Christopher J Udell, Julie L Ruddy, Philip Procento 15 citations

INTRODUCTION: US Navy recruits who have injuries preventing them from participating in intense physical conditioning are pulled out of boot camp training and receive treatment that includes daily physical therapy, pain medications, and psychoeducational groups. Graduation from boot camp for these recruits requires not only recovering from their injuries but also passing a required Physical...

Impact of In-Person and Virtual World Mindfulness Training on Symptoms of Post-Traumatic Stress Disorder and Attention Deficit and Hyperactivity Disorder.

Military Medicine March 1, 2018 Valerie J Rice, Baoxia Liu, Paul J Schroeder

Mindfulness meditation training has been shown to reduce stress and improve short-term memory for military personnel. However, no studies have investigated the effects of in-person and virtual world (VW) mindfulness training on Post-Traumatic Stress Disorder (PTSD) or Attention Deficit Hyperactivity Disorder (ADHD) symptoms. In this study, U.S. military active duty service members and veterans...

PHIT for Duty, a Mobile Application for Stress Reduction, Sleep Improvement, and Alcohol Moderation.

Military Medicine March 1, 2018 Paul N Kizakevich, Randall Eckhoff, Janice Brown et al.

Post-traumatic stress and other problems often occur after combat, deployment, and other military operations. Because techniques such as mindfulness meditation show efficacy in improving mental health, our team developed a mobile application (app) for individuals in the armed forces with subclinical psychological problems as secondary prevention of more significant disease. Based on the...

The Transcendental Meditation Program's Impact on the Symptoms of Post-traumatic Stress Disorder of Veterans: An Uncontrolled Pilot Study.

Military Medicine 2018 Robert E Herron, Brian Rees

Current treatments for post-traumatic stress disorder (PTSD) are only partially effective. This study evaluated whether an extensively researched stress reduction method, the Transcendental Meditation (TM) technique, can reduce the PTSD symptoms of veterans. Previous research suggested that TM practice can decrease veterans' PTSD symptoms. A one-group pretest-posttest design was used to...

Chronic Pain and Suicide: Is There a Role for Ketamine?

Military Medicine October 31, 2017 Madeleine Baldwin, Henry Boilini, Georgine Lamvu 7 citations

In the United States, the suicide rate is climbing and was reported at 13 per 100,000, the highest in 28 years. 1 Suicide is now considered as the 10th leading cause of death, and the rate has been increasing every year from 2000 to 2014 among both women and men and in every age group except those 75 and older. 1 The suicide rate among the veteran population is reportedly higher than the...

The Emerging Role of Mindfulness Meditation as Effective Self-Management Strategy, Part 2: Clinical Implications for Chronic Pain, Substance Misuse, and Insomnia.

Military Medicine September 2016 Marina A Khusid, Meena Vythilingam

Mindfulness-based interventions have been increasingly utilized in the management of chronic pain since 1982. This second review of a two-part series evaluates the efficacy, mechanism, and safety of mindfulness meditation for chronic pain, substance use disorder, tobacco use disorder, and insomnia frequently co-occurring after return from deployment. Standard databases were searched until...

Mindfulness-Based Stress Reduction for Military Women With Chronic Pelvic Pain: A Feasibility Study.

Military Medicine September 2016 Carol D Crisp, Marie Hastings-Tolsma, Karen R Jonscher

One of the most common reasons women seek gynecologic health care services is for chronic pelvic pain (CPP) and women in the military are no exception. For women diagnosed with CPP, the burden can be difficult as they struggle to perform military obligations. A chronic low-grade systemic disease believed triggered by inflammation, CPP is difficult to diagnose and treat. With limited treatment...

The Emerging Role of Mindfulness Meditation as Effective Self-Management Strategy, Part 1: Clinical Implications for Depression, Post-Traumatic Stress Disorder, and Anxiety.

Military Medicine September 1, 2016 Marina A Khusid, Meena Vythilingam

Mindfulness-based interventions (MBIs) have been increasingly utilized in the management of mental health conditions. This first review of a two-part series evaluates the efficacy, mechanism, and safety of mindfulness meditation for mental health conditions frequently seen after return from deployment. Standard databases were searched until August 4, 2015. 52 systematic reviews and randomized...

Impact of Transcendental Meditation on Psychotropic Medication Use Among Active Duty Military Service Members With Anxiety and PTSD.

Military Medicine 2016 Vernon A Barnes, Andrea Monto, Jennifer J Williams et al.

The purpose of the study was to determine whether the regular practice of Transcendental Meditation (TM) decreased the need for psychotropic medications required for anxiety and post-traumatic stress disorder (PTSD) management and increased psychological wellbeing. The sample included 74 military Service Members with documented PTSD or anxiety disorder not otherwise specified (ADNOS), 37 that...

Mindfulness-Based Stress Reduction for Veterans Exposed to Military Sexual Trauma: Rationale and Implementation Considerations

Military Medicine June 1, 2015 Autumn M Gallegos, Wendi F. Cross, Wilfred R Pigeon 28 citations

Military sexual trauma (MST) represents a significant public health concern among military personnel and Veterans and is associated with considerable morbidity and suicide risk. It is estimated that 22% of Veteran women and 1% of Veteran men experienced sexual assault or repeated, threatening sexual harassment during their military service. Exposure to traumatic stress has detrimental effects...

Combat near-death experiences: an exploratory study.

Military Medicine October 1, 2014 Tracy H. Goza, Janice Holden, Lee Kinsey

The purpose of this study was to add to the professional literature regarding combat near-death experiences (cNDEs) and to help clinicians and experiencers (cNDErs) recognize this phenomenon as an experience that is not indicative of mental illness. cNDErs were military personnel whose NDEs occurred during active combat or sequelae. Sixty-eight self-reported survivors of combat-related close...

The ketamine analog methoxetamine: a new designer drug to threaten military readiness.

Military Medicine September 29, 2014 Cassandra Craig, George H Loeffler 22 citations

Recent years have seen the emergence and proliferation of "legal highs" or "designer drugs," compounds purposefully designed as legal alternatives to controlled substances of abuse. This article describes methoxetamine, a dissociative drug belonging to the arylcyclohexylamine class including phencyclidine and ketamine. Methoxetamine acts principally on the glutamatergic N-methyl-D-aspartate...

Clinical case series: treatment of PTSD with transcendental meditation in active duty military personnel.

Military Medicine July 1, 2013 Vernon A Barnes, John L Rigg, Jennifer J Williams

Active duty U.S. Army Service Members previously diagnosed with post-traumatic stress disorder (PTSD) were selected from review of patient records in the Traumatic Brain Injury Clinic at the Department of Defense Eisenhower Army Medical Center at Fort Gordon in Augusta, Georgia. Patients agreed to practice the Transcendental Meditation (TM) technique for 20 minutes twice a day for the duration...

Cristalius: a case in designer drugs.

Military Medicine July 2013 Jared Lenz, Jaime Brown, Seth Flagg et al.

Among recreational drug users, there is a new wave of designer drugs being marketed as "bath salts" and "plant food," which mimic the effects of cocaine/amphetamines and ecstasy (MDMA [3,4-methylenedioxy-N-methamphetamine]). Presented is the case of a patient who snorted a bath salt called Cristalius. A 22-year-old male Soldier was seen in an emergency department for syncope, agitation,...