Dominic Murphy1,2, Rachel Ashwick1, Emily Palmer1, Walter Busuttil1. 1. Combat Stress, Leatherhead, UK and. 2. King's Centre for Military Health Research, Department of Psychological Medicine, King's College London, London, UK.
Abstract
Background: Evidence suggests that veterans with mental health issues have poorer treatment outcomes than civilian counterparts. Understanding the difficulties faced by veterans could help focus treatments and improve outcomes.Aims: To survey a representative sample of treatment-seeking veterans to explore their mental health needs. Methods: A random sample of UK veterans who had engaged with a national mental health charity in the UK was drawn. Individuals completed questionnaires about their health, military experiences and pre-enlistment vulnerabilities. Results: Four hundred and three out of six hundred (67.2%) participants returned completed questionnaires. PTSD was the most commonly endorsed mental health difficulty (82%), followed by problems with anger (74%), common mental health difficulties (72%) and alcohol misuse (43%). Comorbidity was frequent; with 32% of those with PTSD meeting criteria for three other health outcomes versus only 5% with PTSD alone.Conclusions: Results indicate the complexity of presentations within treatment seeking veterans. These difficulties may partly explain the poorer treatment outcomes reported in veterans in comparison to the general public. As such, it would be prudent for interventions targeted at veterans with mental health difficulties to attempt to address the range of issues faced by this population rather than focus on a particular presenting problem.
Background: Evidence suggests that veterans with mental health issues have poorer treatment outcomes than civilian counterparts. Understanding the difficulties faced by veterans could help focus treatments and improve outcomes.Aims: To survey a representative sample of treatment-seeking veterans to explore their mental health needs. Methods: A random sample of UK veterans who had engaged with a national mental health charity in the UK was drawn. Individuals completed questionnaires about their health, military experiences and pre-enlistment vulnerabilities. Results: Four hundred and three out of six hundred (67.2%) participants returned completed questionnaires. PTSD was the most commonly endorsed mental health difficulty (82%), followed by problems with anger (74%), common mental health difficulties (72%) and alcohol misuse (43%). Comorbidity was frequent; with 32% of those with PTSD meeting criteria for three other health outcomes versus only 5% with PTSD alone.Conclusions: Results indicate the complexity of presentations within treatment seeking veterans. These difficulties may partly explain the poorer treatment outcomes reported in veterans in comparison to the general public. As such, it would be prudent for interventions targeted at veterans with mental health difficulties to attempt to address the range of issues faced by this population rather than focus on a particular presenting problem.
Authors: Aaron F Alexander-Bloch; Armin Raznahan; Russell T Shinohara; Samuel R Mathias; Harini Bathulapalli; Ish P Bhalla; Joseph L Goulet; Theodore D Satterthwaite; Danielle S Bassett; David C Glahn; Cynthia A Brandt Journal: Proc Math Phys Eng Sci Date: 2020-07-01 Impact factor: 2.704
Authors: Laura Goodwin; Dominic Murphy; Daniel Leightley; Roberto J Rona; James Shearer; Charlotte Williamson; Cerisse Gunasinghe; Amos Simms; Nicola T Fear Journal: JMIR Res Protoc Date: 2020-10-02
Authors: Amy B Adler; Cynthia A LeardMann; Kimberly A Roenfeldt; Isabel G Jacobson; David Forbes Journal: BMC Public Health Date: 2020-07-27 Impact factor: 3.295
Authors: Mark Wheeler; Nicholas R Cooper; Leanne Andrews; Jamie Hacker Hughes; Marie Juanchich; Tim Rakow; Sheina Orbell Journal: PLoS One Date: 2020-11-25 Impact factor: 3.240