Literature DB >> 15928358

'Goodbye and good luck': the mental health needs and treatment experiences of British ex-service personnel.

Amy Iversen1, Claire Dyson, Naomi Smith, Neil Greenberg, Rebecca Walwyn, Catherine Unwin, Lisa Hull, Matthew Hotopf, Christopher Dandeker, John Ross, Simon Wessely.   

Abstract

BACKGROUND: Little is known about the psychological health or treatment experiences of those who have left the British armed forces. AIMS: To describe the frequency and associations of common mental disorders and help-seeking behaviours in a representative sample of UK veterans at high risk of mental health problems.
METHOD: A cross-sectional telephone survey of 496 'vulnerable' ex-service personnel selected from an existing epidemiological military cohort.
RESULTS: The response rate was 64%; 44% of these had a psychiatric diagnosis, most commonly depression. Those with a diagnosis were more likely to be of lower rank and divorced or separated. Just over half of those with self-reported mental health problems were currently seeking help, most from their general practitioners. Most help-seekers received treatment, usually medication; 28% were in touch with a service charity and 4% were receiving cognitive-behavioural therapy.
CONCLUSIONS: Depression is more common than post-traumatic stress disorder in UK ex-service personnel. Only about half of those who have a diagnosis are seeking help currently, and few see specialists.

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Year:  2005        PMID: 15928358     DOI: 10.1192/bjp.186.6.480

Source DB:  PubMed          Journal:  Br J Psychiatry        ISSN: 0007-1250            Impact factor:   9.319


  28 in total

1.  Assessing the performance of the short screening scale for post‐traumatic stress disorder in a large nationally‐representative survey.

Authors:  Kipling M Bohnert; Naomi Breslau
Journal:  Int J Methods Psychiatr Res       Date:  2011-03       Impact factor: 4.035

2.  Recognition and treatment of psychological disorders during military service in the UK armed forces: a study of war pensioners.

Authors:  Chris R Brewin; Bernice Andrews; Jennie Hejdenberg
Journal:  Soc Psychiatry Psychiatr Epidemiol       Date:  2012-04-11       Impact factor: 4.328

3.  Do stigma and other perceived barriers to mental health care differ across Armed Forces?

Authors:  Matthew Gould; Amy Adler; Mark Zamorski; Carl Castro; Natalie Hanily; Nicole Steele; Steve Kearney; Neil Greenberg
Journal:  J R Soc Med       Date:  2010-04       Impact factor: 5.344

4.  Consent, confidentiality, and the Data Protection Act.

Authors:  Amy Iversen; Kathleen Liddell; Nicola Fear; Matthew Hotopf; Simon Wessely
Journal:  BMJ       Date:  2006-01-21

5.  A non-inferiority trial of Prolonged Exposure for posttraumatic stress disorder: In person versus home-based telehealth.

Authors:  Ron Acierno; Rebecca Knapp; Peter Tuerk; Amanda K Gilmore; Carl Lejuez; Kenneth Ruggiero; Wendy Muzzy; Leonard Egede; Melba A Hernandez-Tejada; Edna B Foa
Journal:  Behav Res Ther       Date:  2016-11-22

6.  Attitudes to mental illness in the U.K. military: a comparison with the general population.

Authors:  Harriet J Forbes; Caroline F S Boyd; Norman Jones; Neil Greenberg; Edgar Jones; Simon Wessely; Amy C Iversen; Nicola T Fear
Journal:  Mil Med       Date:  2013-09       Impact factor: 1.437

7.  The prevalence of common mental disorders and PTSD in the UK military: using data from a clinical interview-based study.

Authors:  Amy C Iversen; Lauren van Staden; Jamie Hacker Hughes; Tess Browne; Lisa Hull; John Hall; Neil Greenberg; Roberto J Rona; Matthew Hotopf; Simon Wessely; Nicola T Fear
Journal:  BMC Psychiatry       Date:  2009-10-30       Impact factor: 3.630

Review 8.  Prevalence estimates of combat-related post-traumatic stress disorder: critical review.

Authors:  Lisa K Richardson; B Christopher Frueh; Ronald Acierno
Journal:  Aust N Z J Psychiatry       Date:  2010-01       Impact factor: 5.744

9.  A prospective study of depression following combat deployment in support of the wars in Iraq and Afghanistan.

Authors:  Timothy S Wells; Cynthia A LeardMann; Sarah O Fortuna; Besa Smith; Tyler C Smith; Margaret A K Ryan; Edward J Boyko; Dan Blazer
Journal:  Am J Public Health       Date:  2010-01       Impact factor: 9.308

10.  Suicide after leaving the UK armed forces--a cohort study.

Authors:  Navneet Kapur; David While; Nick Blatchley; Isabelle Bray; Kate Harrison
Journal:  PLoS Med       Date:  2009-03-03       Impact factor: 11.069

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