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The long-term mental health impact of peacekeeping: prevalence and predictors of psychiatric disorder

  • David Forbes (a1), Meaghan O'Donnell (a2), Rachel M. Brand (a1), Sam Korn (a3), Mark Creamer (a4), Alexander C. McFarlane (a2), Malcolm R. Sim (a2), Andrew B. Forbes (a2) and Graeme Hawthorne (a2)...
Abstract
Background

The mental health outcomes of military personnel deployed on peacekeeping missions have been relatively neglected in the military mental health literature.

 Aims

To assess the mental health impacts of peacekeeping deployments.

 Method

In total, 1025 Australian peacekeepers were assessed for current and lifetime psychiatric diagnoses, service history and exposure to potentially traumatic events (PTEs). A matched Australian community sample was used as a comparator. Univariate and regression analyses were conducted to explore predictors of psychiatric diagnosis.

 Results

Peacekeepers had significantly higher 12-month prevalence of post-traumatic stress disorder (16.8%), major depressive episode (7%), generalised anxiety disorder (4.7%), alcohol misuse (12%), alcohol dependence (11.3%) and suicidal ideation (10.7%) when compared with the civilian comparator. The presence of these psychiatric disorders was most strongly and consistently associated with exposure to PTEs.

 Conclusions

Veteran peacekeepers had significant levels of psychiatric morbidity. Their needs, alongside those of combat veterans, should be recognised within military mental health initiatives.
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Copyright
COPYRIGHT: © The Royal College of Psychiatrists 2016
This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence (http://creativecommons.org/licenses/by/4.0/).
Corresponding author
David Forbes, Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne Level 3, Alan Gilbert Building, 161 Barry Street, Carlton, VIC 3053, Australia. Email: dforbes@unimelb.edu.au
Footnotes
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∗

Deceased.

Declaration of interest

None.

Footnotes
References
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1 Kulka, RA, Schlenger, WE, Fairbank, JA, Hough, RL, Jordan, BK, Marmar, CR, et al. Trauma and the Vietnam War Generation: Report of Findings from the Vietnam Veterans Readjustment Study. Brunner/Mazel, 1990.
2 O'Toole, BI, Catts, SV, Outram, S, Pierse, KR, Cockburn, J. The physical and mental health of Australian Vietnam veterans 3 decades after the war and its relation to military service, combat, and post-traumatic stress disorder. Am J Epidemiol 2009; 170: 318–30.
3 Ikin, JF, Sim, MR, Creamer, MC, Forbes, AB, McKenzie, DP, Kelsall, HL, et al. War-related psychological stressors and risk of psychological disorders in Australian veterans of the 1991 Gulf War. Br J Psychiatry 2004; 185: 116–26.
4 Stimpson, NJ, Thomas, HV, Weightman, AL, Dunstan, F, Lewis, G. Psychiatric disorder in veterans of the Persian Gulf War of 1991. Systematic review. Br J Psychiatry 2003; 182: 391–403.
5 Hoge, CW, Castro, CA, Messer, SC, McGurk, D, Cotting, DI, Koffman, RL. Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. N Engl J Med 2004; 351: 13–22.
6 Sim, MR, Abramson, MJ, Forbes, AB, Glass, DC, Ikin, JF, Kelsall, HL, et al. Australian Gulf War Veterans' Health Study 2003. Commonwealth Department of Veterans' Affairs, 2003.
7 Ikin, JF, Sim, MR, McKenzie, DP, Horsley, KWA, Wilson, EJ, Moore, MR, et al. Anxiety, post-traumatic stress disorder and depression in Korean War veterans 50 years after the war. Br J Psychiatry 2007; 190: 475–83.
8 McFarlane, AC, Hodson, SE, Van Hooff, M, Davies, C. Mental Health in the Australian Defence Force: 2010 ADF Mental Health and Wellbeing Study: Report. Department of Defence, 2011.
9 Sareen, J, Cox, BJ, Afifi, TO, Stein, MB, Belik, SL, Meadows, G, et al. Combat and peacekeeping operations in relation to prevalence of mental disorders and perceived need for mental health care – findings from a large representative sample of military personnel. Arch Gen Psychiatry 2007; 64: 843–52.
10 Henshaw, JH. Forces for peacekeeping, peace enforcement and humanitarian missions. In The American Military in the 21st Century (eds Belchman, BM, Durch, WJ, Graham, DR, Henshaw, JH, Reed, PL, Utgoff, VA). St Martin's Press, 1993.
11 Bartone, PT, Adler, AB, Vaitkus, MA. Dimensions in psychological stress in peacekeeping operations. Mil Med 1998; 163: 587–93.
12 Maguen, S, Litz, BT, Wang, JL, Cook, M. The stressors and demands of peacekeeping in Kosovo: predictors of mental health response. Mil Med 2004; 169: 198–206.
13 Litz, B. The psychological demands of peacekeeping for military personnel. National Centre PTSD Q 1996; 6: 1–8.
14 Sareen, J, Stein, MB, Thoresen, S, Belik, SL, Zamorski, M, Asmundson, GJG. Is peacekeeping peaceful? A systematic review. Can J Psychiatry 2010; 55: 464–72.
15 Souza, WF, Figueira, I, Mendlowicz, MV, Volchan, E, Portella, CM, Mendonca-de-Souza, ACF, et al. Posttraumatic stress disorder in peacekeepers: a meta-analysis. J Nerv Ment Dis 2011; 199: 309–12.
16 Slade, T, Johnston, A, Oakley-Browne, MA, Andrews, G, Whiteford, H. 2007 National Survey of Mental Health and Wellbeing: methods and key findings. Aust NZ J Psychiatry 2009; 43: 594–605.
17 Andrews, G, Peters, L. The psychometric properties of the Composite International Diagnostic Interview. Soc Psychiatry Psychiatr Epidemiol 1998; 33: 80–8.
18 World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. WHO, 1992.
19 Gray, MJ, Litz, BT, Hsu, JL, Lombardo, TW. Psychometric properties of the life events checklist. Assessment 2004; 11: 330–41.
20 Swann, J, Hodson, S. A Psychometric Analysis of the Traumatic Stress Exposure Scale-Revised. Department of Defence, 2004.
21 O'Toole, BI, Marshall, RP, Grayson, DA, Schureck, RJ, Dobson, M, Ffrench, M, et al. The Australian Vietnam veterans health study: III. Psychological health of Australian Vietnam veterans and its relationship to combat. Int J Epidemiol 1996; 25: 331–9.
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The long-term mental health impact of peacekeeping: prevalence and predictors of psychiatric disorder

  • David Forbes (a1), Meaghan O'Donnell (a2), Rachel M. Brand (a1), Sam Korn (a3), Mark Creamer (a4), Alexander C. McFarlane (a2), Malcolm R. Sim (a2), Andrew B. Forbes (a2) and Graeme Hawthorne (a2)...
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