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Effects of home on the mental health of British forces serving in Iraq and Afghanistan

机译:家庭对在伊拉克和阿富汗服役的英军心理健康的影响

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Background: Most studies of the mental health of UK armed forces focus on retrospective accounts of deployment and few sample personnel while they are deployed. Aims: This study reports the results of a survey of deployed personnel, examining the perceived impact of events at home and military support for the family on current mental health during the deployment. Method: Surveys were conducted with 2042 British forces personnel serving in Iraq and Afghanistan. Prevalence of common mental disorders was assessed with the 12-item General Health Questionnaire (GHQ-12) and post-traumatic stress disorder (PTSD) was assessed with the PTSD Checklist - Civilian version (PCL-C). Results: The prevalence of common mental disorders was 17.8% and of probable PTSD was 2.8%. Perceived home difficulties significantly influenced the mental health of deployed personnel; the greater the perception of negative events in the home environment, the greater the reporting of adverse mental health effects. This finding was independent of combat exposure and was only partially mitigated by being well led and reporting subjectively good unit cohesion; however, the effect of the totality of home-front events was not improved by the latter. Poor perceived military support for the family had a detrimental impact on deployment mental health. Conclusions: The armed forces offer many support services to the partners and families of deployed personnel and ensuring that the efforts being made on their behalf are well communicated might improve the mental health of deployed personnel.
机译:背景:有关英国武装部队心理健康的大多数研究都集中于对部署的回顾性描述,并且在部署人员时几乎没有样本人员。目的:本研究报告了对部署人员的调查结果,调查了部署中家庭事件和军事支持对家庭当前心理健康的感知影响。方法:对在伊拉克和阿富汗服役的2042名英军人员进行了调查。常见精神障碍的患病率由12个项目的《一般健康问卷》(GHQ-12)评估,创伤后应激障碍(PTSD)则由PTSD清单-平民版本(PCL-C)评估。结果:常见精神障碍的患病率为17.8%,可能的PTSD患病率为2.8%。感觉到的家庭困难严重影响了部署人员的心理健康;对家庭环境中的负面事件的认知程度越高,则对不良心理健康影响的报告也就越大。这一发现与战斗暴露无关,只有得到良好的领导和主观上的良好单位凝聚力才能部分缓解。但是,家庭活动的总体效果并未得到后者的改善。人们对家庭的军事支持差,对心理健康的部署产生了不利影响。结论:武装部队向部署人员的伙伴和家人提供许多支持服务,并确保代表他们所做的努力得到良好沟通,可能会改善部署人员的心理健康。

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