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      Examination of military personnel's changed psychological states during long-term deployment in a war zone Translated title: Examen de los cambios en el estado psicológico de los militares durante el despliegue de larga duración en una zona militar

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          Abstract

          Abstract Examining military personnel's psychological states is an effective way to prevent negative mental health consequences during their deployment in a war zone. The present study identifies changes in the psychological states of military personnel (n= 192) during a 6-month deployment in a war zone in eastern Ukraine. The results confirmed both of our proposed hypotheses. First, with regard to time limits on military personnel's deployment on the front lines in eastern Ukraine on the basis of examined psychological states, the estimated recommended deployment duration was three months. Second, we found significant differences in the dynamics of the psychological states of service members with versus without previous deployment experience. The results also substantiate that military personnel's psychological states should be monitored during deployment in order to prevent negative mental health consequences and to ensure that military units successfully accomplish their tasks.

          Translated abstract

          Resumen Una de las formas más eficaces para prevenir las consecuencias negativas del despliegue en la zona militar para la salud mental de los militares es diagnosticar su estado psicológico. En el presente estudio se determinan las particularidades de los cambios en el estado psicológico de los militares (n= 192) durante el despliegue de seis meses en la zona militar en el este de Ucrania. Los resultados obtenidos confirmaron ambas hipótesis formuladas: en cuanto a la posibilidad de determinar, sobre la base del diagnóstico del estado psicológico, el plazo recomendado para el despliegue de los militares en la línea de demarcación en el este de Ucrania, que es de tres meses. Así como también sobre las posibles diferencias significativas en la dinámica del estado psicológico de los militares que tienen y no tienen experiencia en el despliegue. Asimismo, se argumenta la necesidad de monitorear el estado psicológico de los militares durante el despliegue con el propósito de prevenir oportunamente las consecuencias negativas para su salud mental y para la ejecución exitosa de las tareas de la subunidad militar.

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          Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002-2008.

          We sought to investigate longitudinal trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans. We determined the prevalence and predictors of mental health diagnoses among 289,328 Iraq and Afghanistan veterans entering Veterans Affairs (VA) health care from 2002 to 2008 using national VA data. Of 289,328 Iraq and Afghanistan veterans, 106,726 (36.9%) received mental health diagnoses; 62,929 (21.8%) were diagnosed with posttraumatic stress disorder (PTSD) and 50 432 (17.4%) with depression. Adjusted 2-year prevalence rates of PTSD increased 4 to 7 times after the invasion of Iraq. Active duty veterans younger than 25 years had higher rates of PTSD and alcohol and drug use disorder diagnoses compared with active duty veterans older than 40 years (adjusted relative risk = 2.0 and 4.9, respectively). Women were at higher risk for depression than were men, but men had over twice the risk for drug use disorders. Greater combat exposure was associated with higher risk for PTSD. Mental health diagnoses increased substantially after the start of the Iraq War among specific subgroups of returned veterans entering VA health care. Early targeted interventions may prevent chronic mental illness.
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            Posttraumatic stress disorder post Iraq and Afghanistan: prevalence among military subgroups.

            A large body of research has been produced in recent years investigating posttraumatic stress disorder (PTSD) among military personnel following deployment to Iraq and Afghanistan, resulting in apparent differences in PTSD prevalence. We compare prevalence estimates for current PTSD between military subgroups, providing insight into how groups may be differentially affected by deployment. Systematic literature searches using the terms PTSD, stress disorder, and acute stress, combined with terms relating to military personnel, identified 49 relevant papers. Studies with a sample size of less than 100 and studies based on data for treatment seeking or injured populations were excluded. Studies were categorized according to theatre of deployment (Iraq or Afghanistan), combat and noncombat deployed samples, sex, enlistment type (regular or reserve and [or] National Guard), and service branch (for example, army, navy, and air force). Meta-analysis was used to assess PTSD prevalence across subgroups. There was large variability in PTSD prevalence between studies, but, regardless of heterogeneity, prevalence rates of PTSD were higher among studies of Iraq-deployed personnel (12.9%; 95% CI 11.3% to 14.4%), compared with personnel deployed to Afghanistan (7.1%; 95% CI 4.6% to 9.6%), combat deployed personnel, and personnel serving in the Canadian, US, or UK army or the navy or marines (12.4%; 95% CI 10.9% to 13.4%), compared with the other services (4.9%; 95% CI 1.4% to 8.4%). Contrary to findings from within-study comparisons, we did not find a difference in PTSD prevalence for regular active-duty and reserve or National Guard personnel. Categorizing studies according to deployment location and branch of service identified differences among subgroups that provide further support for factors underlying the development of PTSD.
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              Postdeployment threat-related attention bias interacts with combat exposure to account for PTSD and anxiety symptoms in soldiers.

              Recent studies suggest that assessment of threat-related attention bias may be useful in identifying soldiers at risk for clinical symptoms. The present study assessed the degree to which soldiers experienced combat events and showed attentional threat avoidance affected their reported levels of post-traumatic stress disorder (PTSD) and anxiety symptoms.
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                Author and article information

                Journal
                ap
                Anales de Psicología
                Anal. Psicol.
                Universidad de Murcia (Murcia, Murcia, Spain )
                0212-9728
                1695-2294
                April 2022
                : 38
                : 1
                : 191-200
                Affiliations
                [1] Kyiv orgnameG.S. Kostiuk Institute of Psychology of National Academy of Educational Sciences of Ukraine Ukraine
                [2] Kyiv orgnameResearch Centre of Humanitarian Problem of Armed Forces of Ukraine Ukraine
                Article
                S0212-97282022000100020 S0212-9728(22)03800100020
                10.6018/analesps.475041
                b300a09e-e201-4ae0-86bf-51abf2c42336

                This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

                History
                : 19 September 2021
                : 30 March 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 42, Pages: 10
                Product

                SciELO Spain

                Categories
                Multidisciplinary

                Military personnel,Combat stressors,Deployment,Psychological state,Mental health,Militares,Factores estresantes de combate,Despliegue,Estado psicológico,Salud psíquica

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