The mental health of deployed UK maritime forces.

Autor:	Whybrow D; School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK., Jones N; Academic Department of Military Mental Health, King's College, London, UK., Evans C; Department of Community Mental Health, Defence Primary Health Care Service, Portsmouth, UK., Minshall D; Department of Community Mental Health, Defence Primary Health Care Service, Portsmouth, UK., Smith D; Department of Community Mental Health, Defence Primary Health Care Service, Faslane, UK., Greenberg N; Academic Department of Military Mental Health, King's College, London, UK.
Jazyk:	angličtina
Zdroj:	Occupational and environmental medicine [Occup Environ Med] 2016 Feb; Vol. 73 (2), pp. 75-82. Date of Electronic Publication: 2015 Aug 11.
DOI:	10.1136/oemed-2015-102961
Abstrakt:	Objectives: To establish the level of psychological symptoms and the risk factors for possible decreased mental health among deployed UK maritime forces. Methods: A survey was completed by deployed Royal Navy (RN) personnel which measured the prevalence of common mental disorder (CMD), post-traumatic stress disorder (PTSD) and potential alcohol misuse. Military and operational characteristics were also measured including exposure to potentially traumatic events, problems occurring at home during the deployment, unit cohesion, leadership and morale. Associations between variables of interest were identified using binary logistic regression to generate ORs and 95% CIs adjusted for a range of potential confounding variables. Results: In total, 41.2% (n=572/1387) of respondents reported probable CMD, 7.8% (n=109/1389) probable PTSD and 17.4% (n=242/1387) potentially harmful alcohol use. Lower morale, cohesion, leadership and problems at home were associated with CMD; lower morale, leadership, problems at home and exposure to potentially traumatic events were associated with probable PTSD; working in ships with a smaller crew size was associated with potentially harmful alcohol use. Conclusions: CMD and PTSD were more frequently reported in the maritime environment than during recent land-based deployments. Rates of potentially harmful alcohol use have reduced but remain higher than the wider military. Experiencing problems at home and exposure to potentially traumatic events were associated with experiencing poorer mental health; higher morale, cohesion and better leadership with fewer psychological symptoms. (Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/)
Databáze:	MEDLINE
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