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Are common mental disorders more prevalent in the UK serving military compared to the general working population?

Published online by Cambridge University Press:  21 January 2015

L. Goodwin*
Affiliation:
King's Centre for Military Health Research, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
S. Wessely
Affiliation:
King's Centre for Military Health Research, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
M. Hotopf
Affiliation:
Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
M. Jones
Affiliation:
King's Centre for Military Health Research, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
N. Greenberg
Affiliation:
Academic Centre for Defence Mental Health, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
R. J. Rona
Affiliation:
King's Centre for Military Health Research, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
L. Hull
Affiliation:
King's Centre for Military Health Research, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
N. T. Fear
Affiliation:
King's Centre for Military Health Research, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
*
*Address for correspondence: Dr L. Goodwin, King's Centre for Military Health Research, Department of Psychological Medicine, Institute of Psychiatry, King's College London, Weston Education Centre, 10 Cutcombe Road, London SE5 9RJ, UK. (Email: laura.goodwin@kcl.ac.uk)

Abstract

Background

Although the military is considered to be a stressful occupation, there are remarkably few studies that compare the prevalence of common mental disorder (CMD) between the military and the general population. This study examined the prevalence of probable CMD in a serving UK military sample compared to a general population sample of employed individuals.

Method

Data for the general population was from the 2003 and 2008 collections for the Health Survey for England (HSE) and for the serving military from phases 1 (2004–2006) and 2 (2007–2009) of the King's Centre for Military Health Research (KCMHR) cohort study. Probable CMD was assessed by the General Health Questionnaire (GHQ-12). The datasets were appended to calculate the odds of CMD in the military compared to the general population.

Results

The odds of probable CMD was approximately double in the military, when comparing phase 1 of the military study to the 2003 HSE [odds ratio (OR) 2.4, 95% confidence interval (CI) 2.1–2.7], and phase 2 to the 2008 HSE (OR 2.3, 95% CI 2.0–2.6) after adjustment for sex, age, social class, education and marital status.

Conclusions

Serving military personnel are more likely to endorse symptoms of CMD compared to those selected from a general population study as employed in other occupations, even after accounting for demographic characteristics. This difference may be partly explained by the context of the military study, with evidence from previous research for higher reports of symptoms from the GHQ in occupational compared to population studies, in addition to the role of predisposing characteristics.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2014 

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References

Bowling, A (2005). Mode of questionnaire administration can have serious effects on data quality. Journal of Public Health 27, 281291.Google Scholar
Carder, M, Turner, S, McNamee, R, Agius, R (2009). Work-related mental ill-health and ‘stress’ in the UK (2002–05). Occupational Medicine 59, 539544.Google Scholar
Clark, C, Caldwell, T, Power, C, Stansfeld, SA (2010). Does the influence of childhood adversity on psychopathology persist across the lifecourse? A 45-year prospective Epidemiologic Study. Annals of Epidemiology 20, 385394.CrossRefGoogle ScholarPubMed
Fear, N, Seddon, R, Jones, N, Greenberg, N, Wessely, S (2012). Does anonymity increase the reporting of mental health symptoms? BMC Public Health 12, 797.Google Scholar
Fear, NT, Jones, M, Murphy, D, Hull, L, Iversen, AC, Coker, B, Machell, L, Sundin, J, Woodhead, C, Jones, N, Greenberg, N, Landau, S, Dandeker, C, Rona, RJ, Hotopf, M, Wessely, S (2010). What are the consequences of deployment to Iraq and Afghanistan on the mental health of the UK armed forces? A cohort study. Lancet 375, 17831797.Google Scholar
Ford, E, Clark, C, McManus, S, Harris, J, Jenkins, R, Bebbington, P, Brugha, T, Meltzer, H, Stansfeld, SA (2010). Common mental disorders, unemployment and welfare benefits in England. Public Health 124, 675681.Google Scholar
Goldberg, DP, Gater, R, Sartorius, N, Ustun, TB, Piccinelli, M, Gureje, O, Rutter, C (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine 27, 191197.Google Scholar
Goodwin, L, Ben-Zion, I, Fear, NT, Hotopf, M, Stansfeld, SA, Wessely, S (2013). Are reports of psychological stress higher in occupational studies? A systematic review across occupational and population based studies. PLoS ONE 8, e78693.Google Scholar
Hardy, GE, Shapiro, DA, Haynes, CE, Rick, JE (1999). Validation of the General Health Questionnaire-12: using a sample of employees from England's health care services. Psychological Assessment 11, 159165.CrossRefGoogle Scholar
Health and Safety Commission (2001). Health and Safety Statistics 2000/01. Norwich, National Statistics Publication.Google Scholar
Hotopf, M, Hull, L, Fear, NT, Browne, T, Horn, O, Iversen, A, Jones, M, Murphy, D, Bland, D, Earnshaw, M, Greenberg, N, Hacker Hughes, J, Tate, AR, Dandeker, C, Rona, R, Wessely, S (2006). The health of UK military personnel who deployed to the 2003 Iraq war: a cohort study. Lancet 367, 17311741.Google Scholar
Iversen, A, van Staden, L, Hughes, J, Browne, T, Hull, L, Hall, J, Greenberg, N, Rona, R, Hotopf, M, Wessely, S, Fear, N (2009). The prevalence of common mental disorders and PTSD in the UK military: using data from a clinical interview-based study. BMC Psychiatry 9, 68.Google Scholar
Iversen, AC, Fear, NT, Simonoff, E, Hull, L, Horn, O, Greenberg, N, Hotopf, M, Rona, R, Wessely, S (2007). Influence of childhood adversity on health among male UK military personnel. British Journal of Psychiatry 191, 506511.Google Scholar
Jones, N, Mitchell, P, Clack, J, Fertout, M, Fear, NT, Wessely, S, Greenberg, N (2013). Mental health and psychological support in UK armed forces personnel deployed to Afghanistan in 2010 and 2011. British Journal of Psychiatry 204, 157162.Google Scholar
Li, C-Y, Sung, F-C (1999). A review of the healthy worker effect in occupational epidemiology. Occupational Medicine 49, 225229.CrossRefGoogle ScholarPubMed
McManus, S, Meltzer, H, Brugha, T, Bebbington, P, Jenkins, R (2009). Adult Psychiatric Morbidity in England, 2007: Results of a Household Survey. NHS Information Centre: London.Google Scholar
Mulligan, K, Jones, N, Davies, M, McAllister, P, Fear, NT, Wessely, S, Greenberg, N (2012). Effects of home on the mental health of British forces serving in Iraq and Afghanistan. British Journal of Psychiatry 201, 193198.Google Scholar
Muntaner, C, Eaton, WW, Miech, R, O'Campo, P (2004). Socioeconomic position and major mental disorders. Epidemiologic Reviews 26, 5362.CrossRefGoogle ScholarPubMed
Murphy, H, Lloyd, K (2007). Civil conflict in Northern Ireland and the prevalence of psychiatric disturbance across the United Kingdom: a population study using the British household panel survey and the Northern Ireland household panel survey. International Journal of Social Psychiatry 53, 397407.CrossRefGoogle ScholarPubMed
Riddle, JR, Smith, TC, Smith, B, Corbeil, TE, Engel, CC, Wells, TS, Hoge, CW, Adkins, J, Zamorski, M, Blazer, D (2007). Millennium Cohort: The 2001–2003 baseline prevalence of mental disorders in the U.S. military. Journal of Clinical Epidemiology 60, 192201.CrossRefGoogle ScholarPubMed
Sproston, K, Primatesta, P (2004). Health Survey for England 2003 Volume 1: Cardiovascular Disease. The Stationery Office: London.Google Scholar
Stansfeld, S, Head, J, Rasul, F, Singleton, N, Lee, A (2003). Occupation and Mental Health: Secondary Analyses of the ONS Psychiatric Morbidity Survey of Great Britain. Health & Safety Executive: London.Google Scholar
Stansfeld, SA, Pike, C, McManus, S, Harris, J, Bebbington, P, Brugha, T, Hassiotis, A, Jenkins, R, Meltzer, H, Moran, P, Clark, C (2013). Occupations, work characteristics and common mental disorder. Psychological Medicine 43, 961973.CrossRefGoogle ScholarPubMed
StataCorp (2009). Stata Statistical Software: Release 11 . Stata Corporation: College Station, TX.Google Scholar
Tourangeau, R, Rips, LJ, Rasinki, K (2000). The Psychology of Survey Response. pp. 295300. Cambridge University Press: Cambridge.Google Scholar