Academic Centre for Defence Mental Health, King's College London, London, United Kingdom.
J Consult Clin Psychol. 2012 Jun;80(3):331-41. doi: 10.1037/a0027664. Epub 2012 Mar 12.
Combat exposure can increase the risk of subsequent psychological ill-health in armed forces (AF) personnel. A U.S. postdeployment psycho-educational intervention, Battlemind, showed a beneficial effect on mental health in U.S. military personnel exposed to high combat levels. We evaluated the effectiveness of an anglicized version of postdeployment Battlemind.
Battlemind was adapted for the United Kingdom. The main amendments were to sections about carrying weapons, driving, and alcohol misuse. The anglicized Battlemind was compared with the U.K. standard postdeployment brief in a cluster randomized controlled trial. At baseline, 2,443 U.K. AF personnel returning from Afghanistan via Cyprus completed questionnaires about their combat experiences and mental health. Of these, 1,616 (66%) completed 6-month follow-up questionnaires. We used the Posttraumatic Stress Disorder Checklist (PCL-C) to measure probable posttraumatic stress disorder and the General Health Questionnaire (GHQ-12) to measure common mental disorders. Secondary outcomes included alcohol misuse, assessed with the Alcohol Use Disorders Identification Test (AUDIT), and binge drinking. Mixed-effects models were used to account for possible cluster effects.
We did not find a difference in mental health or overall AUDIT score. Those who received Battlemind versus the standard brief were less likely to report binge drinking, although the effect size was small (adjusted odds ratio = 0.73, 95% CI [0.58, 0.92]).
The anglicized Battlemind did not improve mental health but had a modest impact on the reporting of binge drinking. Alcohol misuse is problematic in military populations; therefore, an intervention that reduces binge drinking may be helpful.
战斗暴露会增加武装部队（AF）人员随后心理健康不良的风险。美国部署后心理教育干预措施“Battlemind”显示对暴露于高战斗水平的美军人员的心理健康有益。我们评估了部署后“Battlemind”的英文版本的有效性。
Battlemind 适用于英国。主要的修改是关于携带武器、驾驶和酗酒的部分。经过英国化改编的 Battlemind 与英国标准部署后简介在一项集群随机对照试验中进行了比较。在基线时，2443 名从阿富汗经塞浦路斯返回的英国 AF 人员完成了关于他们的战斗经历和心理健康的问卷。其中，1616 名（66%）完成了 6 个月的随访问卷。我们使用创伤后应激障碍检查表（PCL-C）来衡量可能的创伤后应激障碍，使用一般健康问卷（GHQ-12）来衡量常见的精神障碍。次要结果包括酗酒，使用酒精使用障碍识别测试（AUDIT）评估，以及狂饮。混合效应模型用于解释可能的聚类效应。
我们没有发现心理健康或总体 AUDIT 评分的差异。与标准简介相比，接受 Battlemind 的人报告狂饮的可能性较低，尽管效果大小较小（调整后的优势比=0.73，95%置信区间[0.58, 0.92]）。
英国化的 Battlemind 并未改善心理健康，但对狂饮的报告有适度影响。酗酒在军事人群中是一个问题；因此，减少狂饮的干预措施可能会有所帮助。
