We thank the UK Ministry of Defence for their cooperation; in particular, we thank the Defence Medical Service Department, the Defence Analytical Services Agency, the Armed Forces Personnel Administrative Agency, and the Veterans Policy Unit. The baseline study was funded by the Defence Analytical Service Agency part of the UK Ministry of Defence. The follow-up study was funded by UK Ministry of Defence. Matthew Hotopf and Simon Wessely are partially funded by the South London and Maudsley NHS Foundation Trust/Institute of Psychiatry National Institute of Health Research (NIHR) Biomedical Research Centre.
The contribution of prior psychological symptoms and combat exposure to post Iraq deployment mental health in the UK military†
Article first published online: 14 JAN 2009
Copyright © 2009 International Society for Traumatic Stress Studies
Journal of Traumatic Stress
Volume 22, Issue 1, pages 11–19, February 2009
How to Cite
Rona, R. J., Hooper, R., Jones, M., Iversen, A. C., Hull, L., Murphy, D., Hotopf, M. and Wessely, S. (2009), The contribution of prior psychological symptoms and combat exposure to post Iraq deployment mental health in the UK military. J. Traum. Stress, 22: 11–19. doi: 10.1002/jts.20383
- Issue published online: 20 FEB 2009
- Article first published online: 14 JAN 2009
This study assessed the contribution of baseline psychological symptoms, combat exposure, and unit support in the etiology of posttraumatic stress disorder (PTSD), and psychological distress. From 2004–2006, 67% of a random sample of 2,820 participants who had been assessed for psychological symptoms in 2002 were reassessed. Baseline psychological symptoms, combat exposure, and unit support factors were associated with the outcomes and the effect sizes for combat exposure were marked for PTSD symptoms. Adjustment for baseline psychological symptoms did not modify the pattern of association of group cohesion and combat exposures. The authors concluded that combat exposure and group cohesion have an effect on mental health outcomes independent of previous mental health status, which explains why screening prior to deployment is ineffective.