Rajesh Y S, Bhat P S, Srivastava Kalpana, Kanitkar Madhuri
Graded Specialist (Surgery), Military Hospital Secunderabad, India.
Brig Med, HQ 3 Corps, C/o 99 APO, India.
Med J Armed Forces India. 2021 Oct;77(4):426-430. doi: 10.1016/j.mjafi.2020.06.002. Epub 2021 Jun 27.
The Indian Armed Forces are fighting the battle at extreme High Altitude, the most inhospitable terrain in the world, for the last thirty five years. The stress of being isolated under harsh environmental conditions on a daily basis can have an adverse effect on their mind. However, so far, no study has been undertaken to assess the psychological effects of deployment at extreme High Altitude.
Three hundred thirty-four troops selected for deployment were initially evaluated using the General Health Questionnaire-12 (GHQ-12) and Armed Forces Medical College Life Events Scale (AFMC LES) as screening tools to assess mental health status after obtaining ethical clearance and informed consent. On deinduction after a deployment for more than three months, they were reassessed. The data collected were statistically analysed.
As per GHQ-12 evaluation, after the deployment score increased from 0.2574 to 0.9162, but remained lower than the 'caseness' level of 2. Among the 79 troops with a score of 2 and more, the majority were married and had past history of tenures at high-altitude areas. There was statistically significant increase in the AFMC LES scores also on deployment.
Deployment at extremely high-altitude areas for even three months produces significant psychological morbidity among troops.
在过去35年里,印度武装部队一直在世界上最不适宜居住的极端高海拔地区作战。每天处于恶劣环境条件下的孤立压力可能会对他们的心理产生不利影响。然而,到目前为止,尚未开展任何研究来评估在极端高海拔地区部署的心理影响。
在获得伦理批准和知情同意后,使用一般健康问卷-12(GHQ-12)和武装部队医学院生活事件量表(AFMC LES)作为筛查工具,对334名被选中进行部署的部队进行初步评估,以评估心理健康状况。在部署三个多月后退役时,对他们进行重新评估。对收集到的数据进行统计分析。
根据GHQ-12评估,部署后得分从0.2574增加到0.9162,但仍低于“病例”水平2。在79名得分2及以上的部队中,大多数已婚且有在高海拔地区服役的过往经历。部署时AFMC LES得分也有统计学上的显著增加。
即使在极端高海拔地区部署三个月也会在部队中产生显著的心理发病率。