Early Intervention for Post-Traumatic Stress Disorder, Depression, and Quality of Life in Mortuary Affairs Soldiers Postdeployment
| Autor: | Leming Wang, Carol S. Fullerton, Douglas F. Zatzick, James E. McCarroll, Nicole M. Dacuyan, Quinn M. Biggs, Xian Liu, Robert J. Ursano |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Warfare 050103 clinical psychology medicine.medical_specialty Psychological intervention Life Change Events Stress Disorders Post-Traumatic Middle East 03 medical and health sciences 0302 clinical medicine Quality of life Risk Factors Intervention (counseling) Humans Medicine 0501 psychology and cognitive sciences Psychiatry Depression (differential diagnoses) Combat Disorders Depression business.industry 05 social sciences Stressor Public Health Environmental and Occupational Health Traumatic stress Attendance General Medicine United States 030227 psychiatry Death Patient Health Questionnaire United States Department of Veterans Affairs Military Personnel Quality of Life Female business Stress Psychological |
| Zdroj: | Military Medicine. 181:e1553-e1560 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.7205/milmed-d-15-00579 |
| Popis: | U.S. Army mortuary affairs (MA) soldiers experience stressors of deployment and exposure to the dead, increasing risk for post-traumatic stress and depression. This study examines Troop Education for Army Morale, a postdeployment early intervention based on Psychological First Aid. MA soldiers (N = 126) were randomized to intervention or comparison groups 1-month postdeployment. Intervention sessions were held at 2, 3, 4, and 7 months. Assessments of post-traumatic stress disorder (PTSD), depression, and quality of life (QOL) were conducted at 1, 2, 3, 4, 7, and 10 months for both groups. At baseline, 25.0% of the total sample had probable PTSD (17-item PTSD Checklist M = 35.4, SD = 16.9) and 23.6% had probable depression (9-item Patient Health Questionnaire Depression Scale M = 7.8, SD = 6.9). Over 10 months, PTSD and depression symptoms decreased and QOL improved for the total sample. At study conclusion, intervention and comparison groups were not different. Intervention group males showed a transient symptom increase at 2 to 3 months. Males attended fewer intervention sessions than females. Lower attendance was associated with more symptoms and lower QOL. Higher attendance was associated with greater intervention benefits. Findings highlight the need for better understanding postdeployment interventions and facilitating attendance. Further intervention for MA soldiers is indicated. |
| Databáze: | OpenAIRE |
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