Melvin Blanchard
Melvin Blanchard
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We're still not sure whether CMI is due to a single disease or pathological process. But this study has identified an intriguing association between CMI risk and diagnosis of depression and anxiety disorders prior to military service.
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History of psychiatric conditions prior to service appears to place veterans at a significantly increased risk of CMI. This should not be taken as an indication that CMI is all in the veteran's head: the condition has physical manifestations that are very real, including objectively defined conditions such as metabolic syndrome.
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The military is trying to take better care of the soldiers' mental health in the field and that may have some bearing on the outcome, but I still expect to see CMI in those soldiers who are in Iraq now when they return.