King's Centre for Military Health Research, King's College London, London, SE5 9RJ, UK.
Faculty of Medicine, National Heart and Lung Institute, Imperial College London, London, SW3 6LR, UK.
J Psychiatr Res. 2024 Nov;179:167-174. doi: 10.1016/j.jpsychires.2024.09.017. Epub 2024 Sep 13.
Social support is a key determinant of mental health across multiple populations and contexts. Little is known about social support among UK (ex-)military personnel, especially those with combat injuries following deployment to Afghanistan. This study aimed to investigate the level of perceived social support and its associations with mental health among injured and uninjured UK (ex-)military personnel. An analysis of baseline data from the Armed Services Trauma Rehabilitation Outcome (ADVANCE) prospective cohort study was performed. A representative sample of male UK combat-injured personnel was compared with a frequency-matched sample of uninjured personnel. Validated questionnaires were completed including the Multidimensional Scale of Perceived Social Support (MSPSS). MSPSS score was transformed using linear splines with a knot at ≥ 55. Multivariable logistic regression analyses examined associations between perceived social support and mental health. In total, 521 combat-injured participants (137 with amputations) and 515 uninjured participants were included. Median MSPSS score was 65 (interquartile range [IQR] 54-74). Injured and uninjured participants reported similar MSPSS scores, as did those injured with amputations, and non-amputation injured participants. For each one unit increase in MSPSS score (for scores ≥55), the odds of post-traumatic stress disorder decreased (adjusted odds ratio [AOR] 0.93, 95% confidence interval [CI] 0.91 to 0.96). No such association was found with MSPSS scores below 55 (AOR 0.99, 95% CI 0.97 to 1.01). Similar results were observed for depression and anxiety. Perceived social support may be a target for intervention within this population, irrespective of injury status.
社会支持是多个群体和环境中心理健康的关键决定因素。人们对英国（前）军事人员的社会支持知之甚少，尤其是那些在部署到阿富汗后有战斗受伤的人员。本研究旨在调查受伤和未受伤的英国（前）军事人员的感知社会支持水平及其与心理健康的关系。对武装部队创伤康复结果（ADVANCE）前瞻性队列研究的基线数据进行了分析。将有代表性的英国战斗受伤人员样本与未受伤人员的频率匹配样本进行了比较。使用多维感知社会支持量表（MSPSS）完成了经过验证的问卷。使用线性样条进行 MSPSS 评分转换，在≥55 处有一个结。多变量逻辑回归分析检查了感知社会支持与心理健康之间的关联。共有 521 名战斗受伤参与者（137 名截肢者）和 515 名未受伤参与者被纳入研究。MSPSS 评分中位数为 65（四分位距[IQR] 54-74）。受伤和未受伤的参与者报告的 MSPSS 评分相似，截肢和非截肢受伤的参与者也是如此。MSPSS 评分每增加一个单位（评分≥55），创伤后应激障碍的几率降低（调整后的优势比[OR]0.93，95%置信区间[CI]0.91 至 0.96）。在 MSPSS 评分低于 55 时，没有发现这种关联（OR 0.99，95%CI 0.97 至 1.01）。对于抑郁和焦虑，也观察到了类似的结果。感知社会支持可能是该人群干预的目标，无论受伤状况如何。
