What explains post-traumatic stress disorder (PTSD) in UK service personnel: deployment or something else?

Abstract:

BACKGROUND:In previous studies an association between deployment to Iraq or Afghanistan and an overall increased risk for post-traumatic stress disorder (PTSD) in UK armed forces has not been found. The lack of a deployment effect might be explained by including, in the comparison group, personnel deployed on other operations or who have experienced traumatic stressors unrelated to deployment. METHODS:The sample comprised 8261 regular UK armed forces personnel who deployed to Iraq, Afghanistan or other operational areas or were not deployed. Participants completed the PTSD CheckList-Civilian Version (PCL-C) and provided information about deployment history, demographic and service factors, serious accidents and childhood experiences. RESULTS:Deployment to Iraq or Afghanistan [odds ratio (OR) 1.2, 95% confidence interval (CI) 0.6-2.2] or elsewhere (OR 1.1, 95% CI 0.6-2.0) was unrelated to PTSD although holding a combat role was associated with PTSD if deployed to Iraq or Afghanistan (OR 2.7, 95% CI 1.9-3.9). Childhood adversity (OR 3.3, 95% CI 2.1-5.0), having left service (OR 2.7, 95% CI 1.9-4.0) and serious accident (OR 2.1, 95% CI 1.4-3.0) were associated with PTSD whereas higher rank was protective (OR 0.3, 95% CI 0.12-0.76). CONCLUSIONS:For the majority of UK armed forces personnel, deployment whether to Iraq, Afghanistan or elsewhere confers no greater risk for PTSD than service in the armed forces per se but holding a combat role in those deployed to Iraq or Afghanistan is associated with PTSD. Vulnerability factors such as lower rank, childhood adversity and leaving service, and having had a serious accident, may be at least as important as holding a combat role in predicting PTSD in UK armed forces personnel.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

Jones M,Sundin J,Goodwin L,Hull L,Fear NT,Wessely S,Rona RJ

doi

10.1017/S0033291712002619

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

1703-12

issue

8

eissn

0033-2917

issn

1469-8978

pii

S0033291712002619

journal_volume

43

pub_type

杂志文章,随机对照试验
  • Does hypocortisolism predict a poor response to cognitive behavioural therapy in chronic fatigue syndrome?

    abstract:BACKGROUND:There is evidence that patients with chronic fatigue syndrome (CFS) have mild hypocortisolism. The clinical significance of this is unclear. We aimed to determine whether hypocortisolism exerted any effect on the response of CFS to cognitive behavioural therapy (CBT). METHOD:We measured 24-h urinary free co...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291709990390

    authors: Roberts AD,Charler ML,Papadopoulos A,Wessely S,Chalder T,Cleare AJ

    更新日期:2010-03-01 00:00:00

  • Investigating whether adverse prenatal and perinatal events are associated with non-clinical psychotic symptoms at age 12 years in the ALSPAC birth cohort.

    abstract:BACKGROUND:Non-clinical psychosis-like symptoms (PLIKS) occur in about 15% of the population. It is not clear whether adverse events during early development alter the risk of developing PLIKS. We aimed to examine whether maternal infection, diabetes or pre-eclampsia during pregnancy, gestational age, perinatal cardiop...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291708005126

    authors: Zammit S,Odd D,Horwood J,Thompson A,Thomas K,Menezes P,Gunnell D,Hollis C,Wolke D,Lewis G,Harrison G

    更新日期:2009-09-01 00:00:00

  • Bereavement, multimorbidity and mortality: a population-based study using bereavement as an indicator of mental stress.

    abstract:BACKGROUND:Mental stress is associated with higher mortality, but it remains controversial whether the association is causal or a consequence of a higher physical disease burden in those with a high mental stress load. Understanding causality is important when developing targeted interventions. We aimed to estimate the...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291717002380

    authors: Prior A,Fenger-Grøn M,Davydow DS,Olsen J,Li J,Guldin MB,Vestergaard M

    更新日期:2018-07-01 00:00:00

  • Psychological and physical morbidity in the aftermath of a cyclone.

    abstract::A Fijian community affected by a cyclone was compared with an unaffected but similar community. Two months after the cyclone both psychological and physical morbidity was 2-3 times greater in the affected community than in controls. By the third month morbidity had resolved to levels similar to those in the unaffected...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700010412

    authors: Fairley M,Langeluddecke P,Tennant C

    更新日期:1986-08-01 00:00:00

  • Driving us mad: the association of Toxoplasma gondii with suicide attempts and traffic accidents - a systematic review and meta-analysis.

    abstract::Unnatural causes of death due to traffic accidents (TA) and suicide attempts (SA) constitute a major burden on global health, which remained stable in the last decade despite widespread efforts of prevention. Recently, latent infection with Toxoplasma gondii (T. gondii) has been suggested to be a biological risk facto...

    journal_title:Psychological medicine

    pub_type: 杂志文章,meta分析

    doi:10.1017/S0033291719000813

    authors: Sutterland AL,Kuin A,Kuiper B,van Gool T,Leboyer M,Fond G,de Haan L

    更新日期:2019-07-01 00:00:00

  • Neuroanatomical abnormalities in first-episode psychosis across independent samples: a multi-centre mega-analysis.

    abstract:BACKGROUND:Neuroanatomical abnormalities in first-episode psychosis (FEP) tend to be subtle and widespread. The vast majority of previous studies have used small samples, and therefore may have been underpowered. In addition, most studies have examined participants at a single research site, and therefore the results m...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291719003568

    authors: Vieira S,Gong Q,Scarpazza C,Lui S,Huang X,Crespo-Facorro B,Tordesillas-Gutierrez D,de la Foz VO,Setien-Suero E,Scheepers F,van Haren NEM,Kahn R,Reis Marques T,Ciufolini S,Di Forti M,Murray RM,David A,Dazzan P,McGuire

    更新日期:2019-12-20 00:00:00

  • Non-presentation at hospital following a suicide attempt: a national survey.

    abstract:BACKGROUND:A few previous studies suggest that a large number of individuals do not present at hospital following a suicide attempt, complicating recurrence prevention and prevalence estimation. METHODS:Data were extracted from a regular phone survey in representative samples of the French population aged 18-75 years ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291720002305

    authors: Jollant F,Hawton K,Vaiva G,Chan-Chee C,du Roscoat E,Leon C

    更新日期:2020-07-03 00:00:00

  • Potential influence of socioeconomic status on genetic correlations between alcohol consumption measures and mental health.

    abstract:BACKGROUND:Frequency and quantity of alcohol consumption are metrics commonly used to measure alcohol consumption behaviors. Epidemiological studies indicate that these alcohol consumption measures are differentially associated with (mental) health outcomes and socioeconomic status (SES). The current study aims to eluc...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291719000357

    authors: Marees AT,Smit DJA,Ong JS,MacGregor S,An J,Denys D,Vorspan F,van den Brink W,Derks EM

    更新日期:2020-02-01 00:00:00

  • Obstetric complications, treatment response and brain morphology in adult-onset and early-onset males with schizophrenia.

    abstract:BACKGROUND:Substantial variability in age at onset of illness and course of illness exists between patients with schizophrenia. Recent studies suggest that age at illness onset may be useful in defining biologically and clinically distinct subgroups of patients. METHODS:Two hundred and ten males with schizophrenia wer...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291797006405

    authors: Smith GN,Kopala LC,Lapointe JS,MacEwan GW,Altman S,Flynn SW,Schneider T,Falkai P,Honer WG

    更新日期:1998-05-01 00:00:00

  • The dynamic nature of depression: a new micro-level perspective of mental disorder that meets current challenges.

    abstract::The examination of moment-to-moment, 'micro-level' patterns of experience and behaviour using experience sampling methodology has contributed to our understanding of the 'macro-level' development of full-blown symptoms and disorders. This paper argues that the micro-level perspective can be used to identify the smalle...

    journal_title:Psychological medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S0033291713001979

    authors: Wichers M

    更新日期:2014-05-01 00:00:00

  • Should the diagnosis of major depression be made independent of or dependent upon the psychosocial context?

    abstract:BACKGROUND:The diagnosis of certain psychiatric syndromes (e.g. panic attacks, post-traumatic stress disorder) is crucially dependent on the psychosocial context in which they arise. For other syndromes (e.g. schizophrenia), the context is generally irrelevant. Should the diagnosis of major depression (MD) be made depe...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291709990845

    authors: Kendler KS,Myers J,Halberstadt LJ

    更新日期:2010-05-01 00:00:00

  • COVID-19 pandemic: study on simple, easy, and practical relaxation techniques while wearing medical protective equipment.

    abstract:BACKGROUND:No studies have reported on how to relieve distress or relax in medical health workers while wearing medical protective equipment in coronavirus disease 2019 (COVID-19) pandemic. The study aimed to establish which relaxation technique, among six, is the most feasible in first-line medical health workers wear...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291720003220

    authors: Zhang H,Li A,Zhu B,Niu Y,Ruan Z,Liu L,Gao X,Wang K,Yin L,Peng M,Xue Q,Leng H,Min B,Tian Q,Wang C,Yang Y,Zhu Z,Si T,Li W,Shangguan F,Hong X,Chang H,Song H,Li D,Jia L,Dong H,Wang Y,Cosci F,Wang H

    更新日期:2020-08-24 00:00:00

  • An attention and interpretation bias for illness-specific information in chronic fatigue syndrome.

    abstract:BACKGROUND:Studies have shown that specific cognitions and behaviours play a role in maintaining chronic fatigue syndrome (CFS). However, little research has investigated illness-specific cognitive processing in CFS. This study investigated whether CFS participants had an attentional bias for CFS-related stimuli and a ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291716002890

    authors: Hughes AM,Chalder T,Hirsch CR,Moss-Morris R

    更新日期:2017-04-01 00:00:00

  • Precursors and metabolites of 5-hydroxytryptamine and dopamine in the ventricular cerebrospinal fluid of psychiatric patients.

    abstract::Tryptophan and 5-hydroxyindoleacetic acid (precursor and metabolite respectively of 5-hydroxytryptamine) were determined in ventricular CSF of psychiatric patients undergoing stereotactic subcaudate tractotomy. Tyrosine and homovanillic acid (precursor and metabolite respectively of dopamine) were also determined. Res...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s003329170001583x

    authors: Bridges PK,Bartlett JR,Sepping P,Kantamaneni BD,Curzon G

    更新日期:1976-08-01 00:00:00

  • Quantitative review of the efficacy of slow-frequency magnetic brain stimulation in major depressive disorder.

    abstract:BACKGROUND:Slow-frequency repetitive transcranial magnetic stimulation (rTMS) to the frontal cortex has been suggested as a safer and better tolerable alternative to fast-frequency rTMS in the treatment of major depressive disorder (MDD). The aim of the present study was to examine the efficacy of slow-frequency rTMS t...

    journal_title:Psychological medicine

    pub_type: 杂志文章,评审

    doi:10.1017/S003329171000005X

    authors: Schutter DJ

    更新日期:2010-11-01 00:00:00

  • Post-traumatic stress disorder: supportive evidence from an eighteenth century natural disaster.

    abstract::Post-traumatic stress disorder was first recognized as a diagnostic category embracing reactions in response to overwhelming environmental stress 'outside the range of usual human experience' in DSM-III (APA, 1980). Such abnormal stressors are by no means a product of the twentieth century but have featured, sporadica...

    journal_title:Psychological medicine

    pub_type: 历史文章,杂志文章

    doi:10.1017/s0033291700026799

    authors: Parry-Jones B,Parry-Jones WL

    更新日期:1994-02-01 00:00:00

  • Treating severe and enduring anorexia nervosa: a randomized controlled trial.

    abstract:BACKGROUND:There are no evidence-based treatments for severe and enduring anorexia nervosa (SE-AN). This study evaluated the relative efficacy of cognitive behavioral therapy (CBT-AN) and specialist supportive clinical management (SSCM) for adults with SE-AN. METHOD:Sixty-three participants with a diagnosis of AN, who...

    journal_title:Psychological medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1017/S0033291713000949

    authors: Touyz S,Le Grange D,Lacey H,Hay P,Smith R,Maguire S,Bamford B,Pike KM,Crosby RD

    更新日期:2013-12-01 00:00:00

  • Emotional factors in forgetting.

    abstract::Levinger & Clarke (1961) found that subjects tended to forget more word associations to emotional rather than neutral words. Kline (1981) regarded this study as providing 'irrefutable evidence for the Freudian concept of repression'. On the other hand, results from Kleinsmith & Kaplan (1964) suggested that this effect...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700017669

    authors: Bradley BP,Baddeley AD

    更新日期:1990-05-01 00:00:00

  • Pituitary volume and clinical trajectory in young relatives at risk for schizophrenia.

    abstract:BACKGROUND:Stress and vulnerability likely interact to play a major role in psychosis. While much has been written about the neural diathesis-stress model in psychosis and its clinical risk states, little is known about HPA axis biomarkers in non-help-seeking individuals at familial high risk (FHR). We sought to prospe...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S003329171500077X

    authors: Shah JL,Tandon N,Howard ER,Mermon D,Miewald JM,Montrose DM,Keshavan MS

    更新日期:2015-10-01 00:00:00

  • Costing mental health services.

    abstract::In this paper four principal topics are addressed: (a) the policy and political contexts in which demands arise for cost information; (b) the nature and phasing of those demands; (c) the basic rules of empirical costs research for meeting those demands; and (d) concomitant implications for the design, execution and in...

    journal_title:Psychological medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s003329170003659x

    authors: Knapp M,Beecham J

    更新日期:1990-11-01 00:00:00

  • Bipolar depression: relationship between episode length and antidepressant treatment.

    abstract:BACKGROUND:The role of antidepressant medications in bipolar depression remains controversial, mainly due to a lack of research in this area. In this study the authors examined the episode length in bipolar depression and the relationship between antidepressant therapy and episode length. METHOD:A retrospective chart ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291702006165

    authors: Frankle WG,Perlis RH,Deckersbach T,Grandin LD,Gray SM,Sachs GS,Nierenberg AA

    更新日期:2002-11-01 00:00:00

  • Psychiatrists' diagnoses of subthreshold depression in old age: frequency and correlates.

    abstract:BACKGROUND:Depressive syndromes not fulfilling the criteria for specified disorders (subthreshold depression, SD) may be clinically important. We aimed to study SD in old and very old age, in comparison with subjects with no depressive symptoms (NDS) and subjects with major depression (MD). METHODS:A community-based r...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291799002883

    authors: Geiselmann B,Linden M,Helmchen H

    更新日期:2001-01-01 00:00:00

  • Divergent subcortical activity for distinct executive functions: stopping and shifting in obsessive compulsive disorder.

    abstract:BACKGROUND:There is evidence of executive function impairment in obsessive compulsive disorder (OCD) that potentially contributes to symptom development and maintenance. Nevertheless, the precise nature of these executive impairments and their neural basis remains to be defined. METHOD:We compared stopping and shiftin...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291715002330

    authors: Morein-Zamir S,Voon V,Dodds CM,Sule A,van Niekerk J,Sahakian BJ,Robbins TW

    更新日期:2016-03-01 00:00:00

  • Visual and graphic abilities of the idiot savant artist.

    abstract::Five idiots savants whose artistic output was judged to be at art school entrance standard were matched for performance and verbal IQ with control subjects who had no special artistic talent. Each subject was given tests of reproductive skill with both concrete pictures and unfamiliar and unnameable geometric designs....

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700013003

    authors: O'Connor N,Hermelin B

    更新日期:1987-02-01 00:00:00

  • Physical activity and prevalence and incidence of mental disorders in adolescents and young adults.

    abstract:BACKGROUND:Although positive effects of physical activity on mental health indicators have been reported, the relationship between physical activity and the development of specific mental disorders is unclear. METHOD:A cross-sectional (12-month) and prospective-longitudinal epidemiological study over 4 years in a comm...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S003329170700089X

    authors: Ströhle A,Höfler M,Pfister H,Müller AG,Hoyer J,Wittchen HU,Lieb R

    更新日期:2007-11-01 00:00:00

  • Factors affecting the success of community placement: the TAPS project 26.

    abstract::Long-stay patients who were discharged from Friern and Claybury hospitals during the 6-year period between September 1985 and August 1991 were followed up for at least 1 year and the details of all readmissions were recorded. Of the 615 hospital leavers, some 178 (29%) were readmitted at some time during the follow-up...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700035595

    authors: Gooch C,Leff J

    更新日期:1996-05-01 00:00:00

  • Cost-effectiveness of electroconvulsive therapy compared to repetitive transcranial magnetic stimulation for treatment-resistant severe depression: a decision model.

    abstract:BACKGROUND:Electroconvulsive therapy (ECT) is widely applied to treat severe depression resistant to standard treatment. Results from previous studies comparing the cost-effectiveness of this technique with treatment alternatives such as repetitive transcranial magnetic stimulation (rTMS) are conflicting. METHOD:We co...

    journal_title:Psychological medicine

    pub_type: 杂志文章,meta分析

    doi:10.1017/S0033291714002554

    authors: Vallejo-Torres L,Castilla I,González N,Hunter R,Serrano-Pérez P,Perestelo-Pérez L

    更新日期:2015-05-01 00:00:00

  • Individualized prediction of dispositional worry using white matter connectivity.

    abstract:BACKGROUND:Excessive worry is a defining feature of generalized anxiety disorder and is present in a wide range of other psychiatric conditions. Therefore, individualized predictions of worry propensity could be highly relevant in clinical practice, with respect to the assessment of worry symptom severity at the indivi...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291718002763

    authors: Feng C,Cui Z,Cheng D,Xu R,Gu R

    更新日期:2019-09-01 00:00:00

  • Insight, psychosis and ethnicity: a case-note study.

    abstract::Recent literature on insight has paid little attention to patients' social backgrounds and cultures. Discharge summaries from 357 patients with a psychotic illness were examined to investigate factors associated with insight. A highly significant association was found between British white ethnic origin and being thou...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700035406

    authors: Johnson S,Orrell M

    更新日期:1996-09-01 00:00:00

  • Equivalency of the diagnostic accuracy of the PHQ-8 and PHQ-9: a systematic review and individual participant data meta-analysis.

    abstract:BACKGROUND:Item 9 of the Patient Health Questionnaire-9 (PHQ-9) queries about thoughts of death and self-harm, but not suicidality. Although it is sometimes used to assess suicide risk, most positive responses are not associated with suicidality. The PHQ-8, which omits Item 9, is thus increasingly used in research. We ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291719001314

    authors: Wu Y,Levis B,Riehm KE,Saadat N,Levis AW,Azar M,Rice DB,Boruff J,Cuijpers P,Gilbody S,Ioannidis JPA,Kloda LA,McMillan D,Patten SB,Shrier I,Ziegelstein RC,Akena DH,Arroll B,Ayalon L,Baradaran HR,Baron M,Bombardier

    更新日期:2020-06-01 00:00:00