Rona Roberto J, Burdett Howard, Bull Samantha, Jones Margaret, Jones Norman, Greenberg Neil, Wessely Simon, Fear Nicola T
King's Centre for Military Health Research, King's College London, Weston Education Centre, 10 Cutcombe Rd, London, SE5 9RJ, UK.
University of Manchester, Section of Clinical & Health Psychology, Manchester, UK.
BMC Psychiatry. 2016 Sep 22;16(1):333. doi: 10.1186/s12888-016-1038-8.
US studies have shown an increase of posttraumatic stress disorder (PTSD) and depression, but not alcohol misuse related to time of assessment since returning from deployment. We assessed if similar trends occur in the UK Armed Forces.
We selected UK studies based on our data base of King's Centre for Military Health Research publications from 2006 until January 2016 with at least one of the following measures: PTSD checklist-civilian version (PCL-C), the General Health Questionnaire (GHQ-12) and the Alcohol Use Disorders Identification Test (AUDIT). The studies included personnel assessed for these outcomes after their most recent deployment. A search in Medline, Psycho-Info and Embase confirmed that no relevant publication was missed.
Twenty one thousand, seven hundred and forty-six deployed personnel from nine studies contributed to the meta-analyses by time since end of deployment in the PTSD analysis. The number of studies for period of time varied from two to four studies. The trend by time-category of questionnaire completion since returning from deployment were for PTSD β = 0.0021 (95 % CI -0.00046 to 0.0049, p = 0.12), for psychological distress β = 0.0123 (95 % CI 0.005 to 0.019, p = 0.002) and for alcohol misuse β = 0.0013 (-0.0079 to 0.0105, p = 0.77).
There was no evidence that the prevalence of PTSD and alcohol misuse changed according to time since the end of deployment over a three-year period, but there was evidence for an association with increasing psychological distress.
美国的研究表明，创伤后应激障碍（PTSD）和抑郁症有所增加，但与从部署地返回后的评估时间无关的酒精滥用情况并非如此。我们评估了英国武装部队中是否也出现类似趋势。
我们根据国王军事健康研究中心2006年至2016年1月的出版物数据库选择了英国的研究，这些研究至少采用了以下一种测量方法：创伤后应激障碍检查表-平民版（PCL-C）、一般健康问卷（GHQ-12）和酒精使用障碍识别测试（AUDIT）。这些研究包括对最近一次部署后这些结果进行评估的人员。在Medline、Psycho-Info和Embase中进行的搜索证实没有遗漏相关出版物。
在创伤后应激障碍分析中，来自9项研究的21746名部署人员按自部署结束后的时间对荟萃分析做出了贡献。不同时间段的研究数量从2项到4项不等。自部署返回后问卷完成时间类别的趋势为：创伤后应激障碍β=0.0021（95%可信区间-0.00046至0.0049，p=0.12），心理困扰β=0.0123（95%可信区间0.005至0.019，p=0.002），酒精滥用β=0.0013（-0.0079至0.0105，p=0.77）。
没有证据表明在三年时间里，创伤后应激障碍和酒精滥用的患病率会根据自部署结束后的时间而变化，但有证据表明与心理困扰加剧有关。
