Pain after combat injury in male UK military personnel deployed to Afghanistan

British Journal of Anaesthesia, Год журнала: 2024, Номер 132(6), С. 1285 - 1292

Опубликована: Март 23, 2024

BackgroundChronic pain after injury poses a serious health burden. As result of advances in medical technology, ever more military personnel survive severe combat injuries, but long-term outcomes are unknown. We aimed to assess rates representative sample UK with and without injuries.MethodsWe used data from the ADVANCE cohort study (ISRCTN57285353). Individuals deployed as armed forces Afghanistan were recruited include those physical frequency-matched uninjured comparison group. Participants completed self-reported questionnaires, including 'overall' intensity self-assessment post-traumatic stress disorder, anxiety, depression.ResultsA total 579 participants injury, 161 amputations, 565 included analysis (median 8 yr since injury/deployment). Frequency moderate or was 18% (n=202), higher injured group (n=140, 24%) compared (n=62, 11%, relative risk: 1.1, 95% confidence interval [CI]: 1.0–1.2, P<0.001), lower amputation subgroup (n=31, 19%) non-amputation (n=109, 26%, 0.9, CI: 0.9–1.0, P=0.034). Presence at least associated (RR: 3.7, 2.7–5.0), anxiety 3.2, 2.4–4.3), depression 3.4, 2.7–4.5) accounting for injury.ConclusionCombat not amputation, frequency this cohort, adverse mental outcomes.

Язык: Английский

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Association of dust exposure with anxiety and depression in the occupational population: The important role of sleep duration

BMC Public Health, Год журнала: 2025, Номер 25(1)

Опубликована: Янв. 29, 2025

Mental health issues, particularly anxiety and depression, are increasingly prevalent among the occupational population. Environmental factors, such as dust exposure, may contribute to worsening of these symptoms. While previous studies have examined association between exposure mental health, moderating effect sleep duration on this link in settings remains under-explored. This study was conducted from July October 2023 at The Fifth People's Hospital Ningxia recruited dust-expose d workers different coal enterprises. After a series screening 1274 valid subjects were finally included. Binary logistic regression used explore with depression. Generalized additive models (GAM) constructed nonlinear relationships duration, outcomes. Mediating variable contributions isolated using Karlson-Holm-Breen (KHB) method mediated effects fitted. prevalence depression found be 6.44% 4.24%, respectively. Dust positively associated both while stratification by monthly income level had no significant effect. contribution indirect accounted for 21.76% 43.54% total scores, A relationship observed scores In mediation analysis, shorter explained 12.87% scores. them. Changes effectively influence problems occupationally dust-exposed populations.

Язык: Английский

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Incidence of mental disorders in soldiers deployed to Afghanistan who have or have not experienced a life-threatening military incident—a quasi-experimental cohort study

Frontiers in Public Health, Год журнала: 2024, Номер 12

Опубликована: Фев. 22, 2024

Introduction There is very good international research on deployment-related mental disorders in military personnel. The incidence rates show a wide range. A new strategy therefore proposed order to achieve better standardization and thus comparability of the studies. In addition non-deployed comparison group, we propose compare deployed soldiers with without critical incidents during deployment. This additional distinction makes it possible differentiate between influencing variables actual threat general deployment stress. Methods N = 358 male combat Afghanistan were included study. Clinical interviews conducted several days before after Of them, n 80 suffered life-threatening incident deployment, whereas 278 did not. Odds ratios (OR) calculated for groups onset PTSD, anxiety depressive disorders. Results When comparing both groups, found significantly higher 1-year group incidents: 6.4% vs. 1.1% (OR 6.2) post-traumatic stress disorder (PTSD); 7.0% 6.5) depression; 15.9% 2.8% 6.6) rate multimorbidity (PTSD or depression) was 4.8% 0.4% 12.0). Discussion These results indicate that are important health. As different levels various missions taken into account, predictors could be determined more precisely further research.

Язык: Английский

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Post-traumatic stress disorder (PTSD) symptom clusters associated with an indicator of heart rate variability: The ADVANCE cohort study

Journal of Affective Disorders, Год журнала: 2025, Номер unknown

Опубликована: Янв. 1, 2025

Язык: Английский

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Development and validation of a prediction model for the depressive symptom risk in commercial airline pilots

The EPMA Journal, Год журнала: 2025, Номер unknown

Опубликована: Апрель 3, 2025

Язык: Английский

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The underlying mechanisms by which PTSD symptoms are associated with cardiovascular health in male UK military personnel: The ADVANCE cohort study

Journal of Psychiatric Research, Год журнала: 2023, Номер 159, С. 87 - 96

Опубликована: Янв. 17, 2023

Post-Traumatic Stress Disorder (PTSD) has been identified as an independent risk factor for cardiovascular disease, but the mechanisms of this relationship are not well understood. This study investigates associations between PTSD symptom clusters (hyperarousal, intrusive thoughts, avoidance behaviours and emotional numbing) disease including cardiometabolic effects, inflammation, haemodynamic functioning. In ADVANCE cohort UK male military personnel, 1111 participants were assessed via questionnaire venous blood sampling, pulse wave analysis dual energy x-ray absorptiometry 2015 2020. Variable selection procedures conducted to assess which if any associated with outcomes. Associations confirmed robust regression modelling. Avoidance greater systolic Blood Pressure (BP) (Adjusted Coefficient (AC) 0.640 (95% Confidence Interval (CI) 0.065, 1.149). Emotional numbing was estimated glucose disposal rate (AC -0.021 (95%CI -0.036, −0.005). Hyperarousal levels (log)triglycerides (exponentiated-AC 1.009 1.002, 1.017). Intrusive thoughts visceral adipose tissue 0.574 0.020, 1.250). Nonlinear relationships observed heart BP. Limited evidence is present lipoproteins velocity. No high sensitivity c-reactive protein, diastolic BP, total cholesterol, or haemoglobin fasting glucose. conclusion, increased functioning mechanisms, inflammation.

Язык: Английский

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Personalising veteran healthcare: recognising barriers to access for minority and under-represented groups of veterans

BMJ Military Health, Год журнала: 2024, Номер 170(5), С. 446 - 450

Опубликована: Июнь 19, 2024

Veterans are not a demographically homogenous group, yet minority groups continue to be under-represented in research and report feeling less able access clinical services seek support. While veteran-specific healthcare has responded the needs of majority, success veteran mental health is contingent on serving whole population. Key personalisation question need address specific inequalities barriers help-seeking behaviour. In this paper, we explore issues at three levels: those common all veterans; relevant veterans. Stigma, military attitudes culture (eg, stoicism), professionals with knowledge universal across groups. Minority heightening these barriers, alongside being �othered� care settings, lack representation them or their experiences service descriptions advertising, professional cultural competencies issue, environment potentially retraumatising. Finally, individual discussed. Attending essential developing holistic approaches personalised that meets

Язык: Английский

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The Nature of Combat Stress Development During Military Operations and Psychotherapy in Extreme Situations

The Journal of Nervous and Mental Disease, Год журнала: 2024, Номер unknown

Опубликована: Март 13, 2024

Abstract The purpose of the research work is theoretical and empirical analysis study nature combat stress in military personnel assessment psychotherapeutic methods providing psychological assistance extreme situations. authors used following to achieve this goal: method synthesis, hermeneutic method, testing comparative generalization method. results have revealed meaning traumatic stress, trauma, mental explained concept dynamics its growth. findings identified factors posttraumatic syndrome prevalence, tracked down psychoemotional disorders, importance selection determination readiness. established main tasks a staff psychologist working with personnel, conducted an military, observed tools for prevention negative states conditions, investigated self-regulation techniques emotional, physical, health. practical significance scientific lies modern coverage phenomenon classification effective that will ensure sustainable preparation soldiers

Язык: Английский

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Exploratory analysis of spontaneous versus paced breathing on heart rate variability in veterans with combat‐related traumatic injury

PM&R, Год журнала: 2024, Номер 16(10), С. 1079 - 1087

Опубликована: Апрель 18, 2024

Respiration is a crucial determinant of autonomic balance and heart rate variability (HRV). The comparative effect spontaneous versus paced breathing on HRV has been almost exclusively explored in healthy adults never investigated an injured military cohort.

Язык: Английский

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The uncounted casualties of war: suicide in combat veterans

QJM, Год журнала: 2023, Номер unknown

Опубликована: Окт. 16, 2023

Military conflicts are ubiquitous. There a lot of combat veterans around the world. Suicidality in is large and important issue. In this article, author discusses some aspects The environment characterized by violence, physical strains, separation from loved ones other hardships. Combat deployment may lead to multiple emotional, cognitive, psychosomatic symptoms, suicidal ideation behavior. Pre-deployment, post-deployment adversities increase suicide risk veterans. act killing stressor which raise risk. Combat-related injuries associated with increased Post-deployment difficulties reintegrating into civilian life depression suicidality. Studies suggest that behavior have neurobiological basis. Prevention among should include pre-deployment screening exclude individuals psychiatric disorders; psychological support prevention harassment and/or abuse during deployment; psychosocial after diagnosing treating medical disorders including neurological frequent screening; education mental non-mental health clinicians, war veterans, their families friends regarding signs/symptoms suicidality; restriction access lethal means. We need study specific psychobiology understand how develop effective interventions for population.

Язык: Английский

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