Post-traumatic growth amongst UK armed forces personnel who were deployed to Afghanistan and the role of combat injury, mental health and pain: the ADVANCE cohort study

Psychological Medicine, Год журнала: 2022, Номер 53(11), С. 5322 - 5331

Опубликована: Авг. 22, 2022

Abstract Background Post-traumatic growth (PTG) is a positive psychological consequence of trauma. The aims this study were to investigate whether combat injury was associated with deployment-related PTG in cohort UK military personnel who deployed Afghanistan, and post-traumatic stress disorder (PTSD), depression pain mediate relationship. Methods 521 physically injured ( n = 138 amputation; 383 non-amputation injury) 514 frequency-matched uninjured completed questionnaires including the Post-Traumatic Growth Inventory (DPTGI). DPTGI scores categorised into tertiles of: no/low (score 0–20), moderate 21–34) or large (35–63) degree PTG. Analysis using generalised structural equation modelling. Results A reported by 28.0% 140) group, 36.9% 196) overall 45.4% 62) amputee 34.1% 134) non-amputee subgroups. Combat had direct effect on reporting [Relative risk ratio (RRR) 1.59 (95% confidence interval (CI) 1.17–2.17)] compared sustaining no injury. Amputation injuries also significant [RRR 2.18 CI 1.24–3.75)], but did not 1.35 0.92–1.93)]. PTSD, partially relationship, though mediation differed depending subtype. PTSD curvilinear relationship PTG, whilst negative association association. Conclusions injury, particular resulting traumatic amputation,

Язык: Английский

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Relationship between combat-related traumatic injury and ultrashort term heart rate variability in a UK military cohort: findings from the ADVANCE study

BMJ Military Health, Год журнала: 2023, Номер 170(e2), С. e122 - e127

Опубликована: Март 29, 2023

Combat-related traumatic injury (CRTI) has been linked to an increased cardiovascular disease (CVD) risk. The long-term impact of CRTI on heart rate variability (HRV)-a robust CVD risk marker-has not explored. This study investigated the relationship between CRTI, mechanism and severity HRV.

Язык: Английский

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Recent aspects of medical rehabilitation for combat trauma

Russian Journal of Physiotherapy Balneology and Rehabilitation, Год журнала: 2024, Номер 22(2), С. 115 - 127

Опубликована: Янв. 7, 2024

The realities of the new times determine need to update approaches organisation and actualise conduct rehabilitation measures for military personnel civilians injured during combat operations. article presents a review modern views on peculiarities trauma dynamics nature type injuries over past few decades, basic principles comprehensive wounded, including medical, professional socio-psychological aspects. importance personalisation programmes, use multidisciplinary approach, involvement patient's family in process is reflected. main disorders arising persons with are characterised categories International Classification Functioning. analysis means methods medical rehabilitation: physical training virtual reality environment innovative technologies based principle biofeedback, robotic mechanotherapy, hydrokinesiotherapy other physiotherapeutic methods, role remote telemedicine controlling effectiveness safety highlighted. An integrated approach rehabilitation, taking into account trauma, makes it possible ensure maximum measures, reduce number persistent dysfunctions, prevent psycho-emotional promote social integration wounded.

Язык: Английский

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Association of serum biomarkers with radiographic knee osteoarthritis, knee pain and function in a young, male, trauma-exposed population – findings from the ADVANCE study

Osteoarthritis and Cartilage, Год журнала: 2024, Номер 32(12), С. 1636 - 1646

Опубликована: Авг. 3, 2024

The ArmeD SerVices TrAuma RehabilitatioN OutComE (ADVANCE) study is investigating long-term combat-injury outcomes; this sub-study aims to understand the association of osteoarthritis (OA) biomarkers with knee radiographic OA (rOA), pain and function in high-risk population for post-traumatic OA.

Язык: Английский

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The Impact of Relationships Within Combat Units on Post-Deployment Suicide Risk

Behavioral Sciences, Год журнала: 2024, Номер 14(11), С. 1040 - 1040

Опубликована: Ноя. 5, 2024

Multiple deployment factors may affect suicidality in combat veterans. The relationships between deployments and are complex not completely understood. Studies of stress the military psychological effects actions mostly focused on stressors relating to operations. However, many studies suggest that interactions within units post-deployment psychiatric conditions, suicidal ideation, behavior. goal this article is review discuss how influence suicide risk. generally two aspects: unit cohesion harassment/abuse. Considerable evidence suggests service members who report strong have a lower risk disorders examining sexual non-sexual harassment abuse found veterans experience during at heightened Sound social support efficient treatment mitigate associated with adverse units. Improvements units' prevention harassment/abuse necessary reduce pathology, including

Язык: Английский

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ADVANCE-TBI study protocol: traumatic brain injury outcomes in UK military personnel serving in Afghanistan between 2003 and 2014 – a longitudinal cohort study

BMJ Open, Год журнала: 2023, Номер 13(3), С. e069243 - e069243

Опубликована: Март 1, 2023

Introduction Outcomes of traumatic brain injury (TBI) are highly variable, with cognitive and psychiatric problems often present in survivors, including an increased dementia risk the long term. Military personnel at occupational TBI, high rates complex polytrauma TBI characterising UK campaign Afghanistan. The ArmeD SerVices TrAuma RehabilitatioN OutComE (ADVANCE)-TBI substudy will describe patterns, associations long-term outcomes established ADVANCE cohort. Methods analysis cohort comprises 579 military exposed to major battlefield trauma requiring medical evacuation, 566 matched without trauma. exposure has been captured baseline using a standardised interview registry data, be refined first follow-up visit Ohio State Method (a National Institute Neurological Disorders Stroke common data element). Participants undergo blood sampling, MRI detailed neuropsychological assessment longitudinally as part their visits every 3–5 years over 20-year period. Biomarkers injury, neuroinflammation degeneration quantified blood, polygenic scores calculated for neurodegeneration. Age-matched healthy volunteers recruited controls analyses. We across cohort, consider any relationship advanced biomarkers clinical performance, neuropsychiatric symptom burden function. influence genotype assessed. This research explore between head outcomes, providing insights into underlying disease mechanisms informing prevention interventions. Ethics dissemination ADVANCE-TBI received favourable opinion from Ministry Defence Research Committee (ref: 2126/MODREC/22). Findings disseminated via publications peer-reviewed journals presentations conferences.

Язык: Английский

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Cohort Profile: The China Severe Trauma Cohort (CSTC)

Journal of Epidemiology, Год журнала: 2022, Номер 34(1), С. 41 - 50

Опубликована: Дек. 23, 2022

We sought to establish a prospective hospital-based cohort, featuring detailed multidimensional data of trauma patients with active follow-ups, which can be reliable source for all studies focusing on the effects or underlying mechanistic pathways environmental and biological factors multiple interested trauma-related outcomes, particularly incidence trajectory psychopathology, in Chinese population.

Язык: Английский

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ЕФЕКТИВНІСТЬ ПСИХОЛОГІЧНОЇ ПІДТРИМКИ У ВІЙСЬКОВИХ: АНАЛІЗ ВПЛИВУ НА ПОДОЛАННЯ ПОСТТРАВМАТИЧНОГО СТРЕСОВОГО РОЗЛАДУ

Перспективи та інновації науки, Год журнала: 2024, Номер 3(37)

Опубликована: Март 28, 2024

ЕФЕКТИВНІСТЬ ПСИХОЛОГІЧНОЇ ПІДТРИМКИ У ВІЙСЬКОВИХ: АНАЛІЗ ВПЛИВУ НА ПОДОЛАННЯ ПОСТТРАВМАТИЧНОГО СТРЕСОВОГО РОЗЛАДУАнотація.Військові потребують індивідуальної психологічної підтримки для ефективного подолання посттравматичного стресового розладу (ПТРС).Лікування ПТРС зосереджено на психологічній терапії (з або без фармакологічного втручання), протоколів когнітивно-поведінкової терапії, з фокусом травмі, терапевтичних методах десенсибілізації та ерготерапії.Військовослужбовці високим рівнем витривалості мають менший ризик ПТСР, депресії інших психіатричних симптомів після бойових дій.Встановлено, що військовослужбовці із бойовим стресом, втомою травмою частіше за все професійної підтримки.Крім того, вони індивідуального підходу до відновлення встановлення психологічного добробуту надзвичайно високих стресових переживань.Основний вид допомоги спрямовано здорових сил.Це можна досягти якщо зосередитися ефективних техніках підтримки.Формами обслуговування є стаціонарна, санаторна, амбулаторна поліклінічна.Вибір конкретної програми військовослужбовців базується складанні персоніфікованої анкети встановленням психологічних показників, дозволяє віднести пацієнтів відповідних груп корекції

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Suicidal ideation in male UK military personnel who sustained a physical combat injury in Afghanistan and the mediating role of leaving service: The ADVANCE cohort study

International Journal of Social Psychiatry, Год журнала: 2024, Номер 70(7), С. 1279 - 1288

Опубликована: Июль 31, 2024

Background/aims: Suicidal Ideation (SI) is a risk factor for suicide, leading cause of death amongst young men globally. In this study we assess whether sustaining serious physical combat injury associated with SI and leaving service mediates association. Methods: We analysed data from male UK Armed Forces personnel who sustained in Afghanistan frequency-matched comparison group did not sustain such an (the ADVANCE cohort). was measured the Patient Health Questionnaire-9 item ‘thoughts that you would be better off dead or hurting yourself some way’. Results: Approximately, 11.9% ( n = 61) uninjured group, 15.3% 83) overall injured 8.5% 13) Amputation (AI) subgroup 17.6% 70) Non-Amputation Injury (NAI) reported past 2 weeks. The NAI greater likelihood (Relative Risk Ratio (RR) 1.44, 95% confidence interval (CI) [1.04, 2.00]) compared to whereas (RR 1.23, CI [0.90, 1.68]) AI 0.65, [0.36, 1.18]) not. Leaving fully mediated association between (natural direct effect RR 1.08, [0.69, 1.69]). Conclusions: military significantly higher rates demographically similar personnel, while those AIs no significant difference. both SI.

Язык: Английский

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The Changing Face of Clinical Medicine in Major Trauma

Cambridge University Press eBooks, Год журнала: 2024, Номер unknown, С. 89 - 98

Опубликована: Янв. 11, 2024

The survival rate of 90% among wounded UK troops in Afghanistan (2004–2014) was the highest history warfare. Foremost these were severely disabled amputees, who emerged as an unexpected cohort survivors critical injuries. Soldiers would have died from injuries earlier wars kept alive thanks to fellow soldiers highly trained trauma medicine, paramedics accompanied helicopters, and care that later received hospital. We discuss our experience learning warfare, what made a difference, how new knowledge could be used improve physical injury mental health related UK. For sake sacrifice fallen injured for benefit future NHS patients, obligation rests with allow lessons learned past conflicts future.

Язык: Английский

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