Murphy Dominic, Howard A, Forbes D, Busuttil W, Phelps A
Research Department, Combat Stress, Leatherhead, UK
King's Centre for Military Health Research, King's College London, London, UK.
BMJ Mil Health. 2022 Feb;168(1):38-42. doi: 10.1136/jramc-2019-001268. Epub 2019 Jul 18.
The aim of this study was to compare and contrast the profiles of military veterans seeking formal support for post-traumatic stress disorder (PTSD) in national treatment programmes in Australia and the UK to better understand the needs of this vulnerable population.
Data were extracted from 1926 participants in these treatment programmes. This consisted of 1230 from the UK who had accessed support between 2014 and early 2019, and 696 from Australia who had accessed support between 2014 and 2018. Comparison was made between a number of sociodemographic characteristics (age, sex and educational achievements), military factors (branch of military, time since leaving the military and whether participants were early service leavers or not) and health outcomes (PTSD, anger, alcohol misuse, anxiety and depression).
Small differences were observed, with those in the UK cohort appearing to be younger, having lower educational achievement, being more likely to be ex-Army, having longer periods of enlistment in the military and taking longer to seek help. Further, minor differences were reported in health outcomes, with those in the UK cohort reporting more severe symptoms of PTSD, anger, anxiety and depression.
Overall, the observed differences between the cohorts were modest, suggesting that treatment-seeking veterans from the Australian and UK cohorts reported similar presentations. This provides evidence to support the establishment of international cohorts of treatment-seeking veterans to improve knowledge within this field.
本研究的目的是比较和对比在澳大利亚和英国的国家治疗项目中寻求创伤后应激障碍(PTSD)正式支持的退伍军人的概况,以便更好地了解这一弱势群体的需求。
从这些治疗项目的1926名参与者中提取数据。其中包括1230名来自英国的参与者,他们在2014年至2019年初期间获得了支持;以及696名来自澳大利亚的参与者,他们在2014年至2018年期间获得了支持。对一些社会人口学特征(年龄、性别和教育程度)、军事因素(军种、退伍时间以及参与者是否为提前退伍者)和健康结果(PTSD、愤怒、酒精滥用、焦虑和抑郁)进行了比较。
观察到了一些细微差异,英国队列中的参与者似乎更年轻,教育程度较低,更有可能是前陆军人员,服役时间更长,寻求帮助的时间也更长。此外,在健康结果方面也报告了一些细微差异,英国队列中的参与者报告的PTSD、愤怒、焦虑和抑郁症状更为严重。
总体而言,两个队列之间观察到的差异不大,这表明来自澳大利亚和英国队列的寻求治疗的退伍军人表现相似。这为支持建立寻求治疗的退伍军人国际队列以增进该领域的知识提供了证据。