The epidemiology of mental disorders in the US Navy: The psychoses

As the first in a series of studies examining the military course and outco me of hospitalization for a mental disorder, we provide a comprehensive ove rview of psychoses among active duty Navy enlisted personnel with a first h ospitalization between 1980 and 1988. Patients' military service and medica l histories were tracked through 1992 to provide at least 4 years of follow -up data. Incidence rates varied greatly over time and across gender, age, race, and diagnostic groups. A large increase in the rate of affective psyc hosis for women was in sharp contrast to marked declines in rates for drug psychoses, schizophrenia, and other nonorganic psychoses and to the relativ ely stable rates for alcohol psychoses and paranoid states. Psychoses had a very significant negative impact on naval careers.