Josefin Sundin, PhD, King's College London, Academic Centre for Defence Mental Health (ACDMH), London, UK; Richard K. Herrell, PhD, Charles W. Hoge, MD, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, US Army Medical Research and Materiel Command, Silver Spring, Maryland, USA; Nicola T. Fear, DPhil(Oxon), King's College London, King's Centre for Military Health Research (KCMHR), London, UK; Amy B. Adler, PhD, US Army Medical Research Unit-Europe, Walter Reed Army Institute of Research, US Army Medical Research and Materiel Command, Heidelberg, Germany; Neil Greenberg, MD, King's College London, Academic Centre for Defence Mental Health (ACDMH), London, UK; Lyndon A. Riviere, PhD, Jeffrey L. Thomas, PhD, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, US Army Medical Research and Materiel Command, Silver Spring, Maryland, USA; Simon Wessely, MD, King's College London, King's Centre for Military Health Research (KCMHR), London, UK; Paul D. Bliese, PhD, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, US Army Medical Research and Materiel Command, Silver Spring, Maryland, USA.
Br J Psychiatry. 2014 Mar;204(3):200-7. doi: 10.1192/bjp.bp.113.129569. Epub 2014 Jan 16.
Research of military personnel who deployed to the conflicts in Iraq or Afghanistan has suggested that there are differences in mental health outcomes between UK and US military personnel.
To compare the prevalence of post-traumatic stress disorder (PTSD), hazardous alcohol consumption, aggressive behaviour and multiple physical symptoms in US and UK military personnel deployed to Iraq.
Data were from one US (n = 1560) and one UK (n = 313) study of post-deployment military health of army personnel who had deployed to Iraq during 2007-2008. Analyses were stratified by high- and low-combat exposure.
Significant differences in combat exposure and sociodemographics were observed between US and UK personnel; controlling for these variables accounted for the difference in prevalence of PTSD, but not in the total symptom level scores. Levels of hazardous alcohol consumption (low-combat exposure: odds ratio (OR) = 0.13, 95% CI 0.07-0.21; high-combat exposure: OR = 0.23, 95% CI 0.14-0.39) and aggression (low-combat exposure: OR = 0.36, 95% CI 0.19-0.68) were significantly lower in US compared with UK personnel. There was no difference in multiple physical symptoms.
Differences in self-reported combat exposures explain most of the differences in reported prevalence of PTSD. Adjusting for self-reported combat exposures and sociodemographics did not explain differences in hazardous alcohol consumption or aggression.
对部署到伊拉克或阿富汗冲突地区的军人进行的研究表明，英国和美国军人的心理健康结果存在差异。
比较部署到伊拉克的美国和英国军人中创伤后应激障碍（PTSD）、危险饮酒、攻击行为和多种身体症状的患病率。
数据来自于 2007-2008 年期间部署到伊拉克的陆军军人在部署后的一项美国（n = 1560）和一项英国（n = 313）军事健康研究。分析根据高和低战斗暴露进行分层。
美国和英国军人的战斗暴露和社会人口统计学特征存在显著差异；控制这些变量解释了 PTSD 患病率的差异，但不能解释总症状水平评分的差异。危险饮酒（低战斗暴露：比值比（OR）= 0.13，95%CI 0.07-0.21；高战斗暴露：OR = 0.23，95%CI 0.14-0.39）和攻击性（低战斗暴露：OR = 0.36，95%CI 0.19-0.68）的水平在美国军人中显著低于英国军人。多种身体症状没有差异。
报告的战斗暴露差异解释了 PTSD 报告患病率差异的大部分。调整报告的战斗暴露和社会人口统计学特征并不能解释危险饮酒或攻击性的差异。
