Cawkill P, Jones M, Fear N T, Jones N, Fertout M, Wessely S, Greenberg N
Human Systems Group, Defence Science and Technology Laboratory, Portsdown West PO17 6AD, UK.
King's Centre for Military Health Research, King's College London, Institute of Psychiatry, London SE5 9RJ, UK.
Occup Med (Lond). 2015 Mar;65(2):157-64. doi: 10.1093/occmed/kqu200. Epub 2015 Feb 17.
The mental health effects of deployment vary widely, and personnel in both combat and combat support roles, including medical personnel, may be adversely affected.
To compare the mental health of deployed UK military medical staff in both forward and rear locations and to compare these two groups with other deployed military personnel.
Participants were medics who had deployed to Iraq or Afghanistan and provided information about their deployed role, experiences during and on return from deployment and demographic and military factors. Health outcomes included common mental health problems (using 12-item General Health Questionnaire), post-traumatic stress disorder (PTSD, using 17-item Post-Traumatic Stress Disorder Checklist-Civilian Version), multiple physical symptoms and alcohol use (using 10-item Alcohol Use Disorders Identification Test).
The sample comprised 321 medical personnel. The response rate was 56%. The mental health outcomes for forward located medics (FMs) were no different than those for rear located medics (RLMs). When comparing FMs and RLMs against all other military roles, a small but significant increase in PTSD symptoms in FMs was found. FMs were more likely to rate their work while deployed as being above their skills and experience, report exposure to more combat experiences and report a more challenging homecoming experience than RLMs.
These results suggest that while the overall rates of self-reported mental health disorders were similar in FMs and RLMs, FMs reported more PTSD symptoms than all other roles, which may have been related to working in more hostile environments in more challenging roles while deployed and their experiences on returning home.
部署任务对心理健康的影响差异很大，作战人员和包括医务人员在内的作战保障人员都可能受到不利影响。
比较部署在前方和后方的英国军事医务人员的心理健康状况，并将这两组人员与其他部署的军事人员进行比较。
参与者为曾部署到伊拉克或阿富汗的医务人员，他们提供了有关其部署角色、部署期间及返回后的经历以及人口统计学和军事因素的信息。健康结果包括常见心理健康问题（使用12项一般健康问卷）、创伤后应激障碍（PTSD，使用17项创伤后应激障碍检查表-平民版）、多种身体症状和酒精使用情况（使用10项酒精使用障碍识别测试）。
样本包括321名医务人员。回复率为56%。前方医务人员（FMs）的心理健康结果与后方医务人员（RLMs）无异。在将FMs和RLMs与所有其他军事角色进行比较时，发现FMs的PTSD症状有小幅但显著的增加。与RLMs相比，FMs更有可能认为他们在部署期间的工作超出了自己的技能和经验，报告接触到更多的战斗经历，以及报告回家的经历更具挑战性。
这些结果表明，虽然FMs和RLMs自我报告的心理健康障碍总体发生率相似，但FMs报告的PTSD症状比所有其他角色都多，这可能与他们在部署期间在更具敌意的环境中担任更具挑战性的角色以及回家后的经历有关。
