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Nursing Research, Enlisted Soldiers Mental Thesis

VII. Statistical Issues

A. Sample Size

To detect an effect with a power of 0.95 at a 0.05 level of significance, given the size of the study population, a sample size of 385 participants would be required. Given the sampling techniques which were discussed earlier the study will therefore aim to sample at least 250 past or present inpatients of the psychiatric unit and 250 control participants. This will account for rejection of participation by 25% of those approached to participate.

B. Approach to Analysis

Chi-squared tests will be used to determine whether there are different rates of discharge for mental health between the different groups identified. Chi-squared testing and other non-parametric tests will also be used to test whether other demographic and health factors have any impact on discharge differences between the sample and control groups.

References

Bisson, J. (2006). Adjustment disorders. Psychiatry, 5(7): 240-242.

Brosschot, J.F., Pieper, S. & Thayer, J.F. (2005). Expanding stress theory: Prolonged activation and preservative cognition. Psychoneuroendocrinology, 30(10): 1043-1049.

Elonheimo, H., Niemla, S., Parkkola, K., Multimaki, P., Helenius, H., Nuutila, a.-M. & Sourander, a. (2007). Police-registered offenses and psychiatric disorders among young males. Social Psychiatry and Psychiatric Epidemiology, 42(6): 477-484.

Hoge, C.W., Castro, C.A., Messer, S.C., McGurk, D., Cotting, D.I. & Koffman, R.L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. The New England Journal of Medicine, 351: 13-22.

Hoge, C.W., Auchterlonie,...

& Milliken, C.S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. JAMA, 295(9): 1023-1032.
Kang, H.K. & Hyams, K.C. (2005). Mental health care needs among recent war veterans. The New England Journal of Medicine, 352: 1289.

Maecker, a., Forstmeier, S., Enzler, a., Krusi, G., Horler, E., Maier, C. & Ehlert, U. (2008). Adjustment disorders, posttraumatic stress disorder, and depressive disorders in old age: Findings from a community survey. Comprehensive Psychiatry, 49(2): 113-120.

Portzky, G., Audenaert, K., van Heeringen, K. (2005). Adjustment disorder and the course of the suicidal process in adolescents. Journal of Affective Disorders, 87(2-3): 265-270.

PsyWeb (No date). Retrieved on December 18, 2008, at http://psyweb.com/Mdisord/jsp/adjd.jsp.

Rona, R.J., Hooper, R., Jones, M., Hull, L., Browne, T., Horn, O., Murphy, D., Hotopf, M. & Wessely, S. (2006). Mental health screening in armed forces before the Iraq war and prevention of subsequent psychological morbidity: Follow-up study. BMJ, 333: 991.

Seal, K.H., Bertenthal, D., Miner, C.R., Sen, S. & Marmar, C. (2007). Bringing the war back home: Mental disorders among 103-788 U.S. veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities. Archives of Internal Medicine, 167(5): 476-482.

Turner, M.A., Kleman, M.D., McKechamie, a.G., Finch, P.J., McManus, F.B. & Neal, L.A. (2005). Acute military psychiatric casualties from the war in Iraq. British Journal of Psychiatry, 186: 476-479.

Nursing Study Outline

Sources used in this document:
References

Bisson, J. (2006). Adjustment disorders. Psychiatry, 5(7): 240-242.

Brosschot, J.F., Pieper, S. & Thayer, J.F. (2005). Expanding stress theory: Prolonged activation and preservative cognition. Psychoneuroendocrinology, 30(10): 1043-1049.

Elonheimo, H., Niemla, S., Parkkola, K., Multimaki, P., Helenius, H., Nuutila, a.-M. & Sourander, a. (2007). Police-registered offenses and psychiatric disorders among young males. Social Psychiatry and Psychiatric Epidemiology, 42(6): 477-484.

Hoge, C.W., Castro, C.A., Messer, S.C., McGurk, D., Cotting, D.I. & Koffman, R.L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. The New England Journal of Medicine, 351: 13-22.
PsyWeb (No date). Retrieved on December 18, 2008, at http://psyweb.com/Mdisord/jsp/adjd.jsp.
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