Psychological sequelae following the Gulf War. Factors associated with subsequent morbidity and the effectiveness of psychological debriefing.
| Autor: | Deahl MP; Medical College, St Bartholomew's Hospital, West Smithfield, London., Gillham AB, Thomas J, Searle MM, Srinivasan M |
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| Jazyk: | angličtina |
| Zdroj: | The British journal of psychiatry : the journal of mental science [Br J Psychiatry] 1994 Jul; Vol. 165 (1), pp. 60-5. |
| DOI: | 10.1192/bjp.165.1.60 |
| Abstrakt: | Background: The aim was to study the effect of brief counselling and psychological debriefing following a trauma on subsequent morbidity. Method: We investigated psychological morbidity in 62 British soldiers whose duties included the handling and identification of dead bodies of allied and enemy soldiers during the Gulf War. Of these soldiers, 69% received a psychological debriefing on completion of their duties. The subjects completed by post a demographic questionnaire, the General Health Questionnaire (GHQ-28) and the Impact of Events Scale. Results: After nine months 50% had evidence of some psychological disturbance suggestive of posttraumatic stress disorder (PTSD); 18% had sought professional help; 26% reported relationship difficulties. Neither prior training nor the psychological intervention appeared to make any difference to subsequent psychiatric morbidity. Morbidity at nine months was more likely in those with a history of psychological problems and those who believed their lives had been in danger in the Gulf. Conclusions: These findings show that a psychological debriefing following a series of traumatic events or experiences does not appear to reduce subsequent psychiatric morbidity and highlights the need for further research in military and civilian settings. |
| Databáze: | MEDLINE |
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