Abstract

Objectives: To investigate the proportion of mental disorders and military-related factors among recruited inpatients. Methods: A retrospective study on 296 recruits treated in the Department of Psychiatry, Military Hospital 103 from 2022 to 2023 compared to 126 military recruiting-naïve participants obtained from community patients treated at the same department and during the same period. Diagnostic criteria were based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition of the American Psychiatric Association. Results: Most mental disorders had the onset within 6 months of recruitment (51.7%) and were more common in lower military rank (78.3%). Out of several main mental disorders, major depressive disorder and schizophrenia were prominent (22.6% and 17.9%, respectively). However, the proportion of schizophrenia in recruited inpatients was double lesser than in community inpatients (17.9% and 51.6%, respectively). Dissociative disorders and factitious disorders were unique in recruited inpatients compared with community inpatients with mental health disorders (13.5% and 13.9% vs 0.8% and 0%, respectively). Conclusion: In the military, the proportion of mental disorders of recruited inpatients compared with community control inpatients is different not only by a higher percentage of dissociative disorders and factitious disorders but also by a smaller percentage of schizophrenia.

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