The long-term mental health impact of peacekeeping: prevalence and predictors of psychiatric disorder

Background The mental health outcomes of military personnel deployed on peacekeeping missions have been relatively neglected in the military mental health literature....

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Main Authors: David Forbes, Meaghan O'Donnell, Rachel M. Brand, Sam Korn, Mark Creamer, Alexander C. McFarlane, Malcolm R. Sim, Andrew B. Forbes, Graeme Hawthorne
Format: Article
Language:English
Published: Cambridge University Press 2016-01-01
Series:BJPsych Open
Online Access:https://www.cambridge.org/core/product/identifier/S2056472400001125/type/journal_article
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author David Forbes
Meaghan O'Donnell
Rachel M. Brand
Sam Korn
Mark Creamer
Alexander C. McFarlane
Malcolm R. Sim
Andrew B. Forbes
Graeme Hawthorne
author_facet David Forbes
Meaghan O'Donnell
Rachel M. Brand
Sam Korn
Mark Creamer
Alexander C. McFarlane
Malcolm R. Sim
Andrew B. Forbes
Graeme Hawthorne
author_sort David Forbes
collection DOAJ
description Background The mental health outcomes of military personnel deployed on peacekeeping missions have been relatively neglected in the military mental health literature. Aims To assess the mental health impacts of peacekeeping deployments. Method In total, 1025 Australian peacekeepers were assessed for current and lifetime psychiatric diagnoses, service history and exposure to potentially traumatic events (PTEs). A matched Australian community sample was used as a comparator. Univariate and regression analyses were conducted to explore predictors of psychiatric diagnosis. Results Peacekeepers had significantly higher 12-month prevalence of post-traumatic stress disorder (16.8%), major depressive episode (7%), generalised anxiety disorder (4.7%), alcohol misuse (12%), alcohol dependence (11.3%) and suicidal ideation (10.7%) when compared with the civilian comparator. The presence of these psychiatric disorders was most strongly and consistently associated with exposure to PTEs. Conclusions Veteran peacekeepers had significant levels of psychiatric morbidity. Their needs, alongside those of combat veterans, should be recognised within military mental health initiatives.
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spelling doaj.art-56e5ca11d4ed40f690037a83493b2f472023-03-09T12:28:36ZengCambridge University PressBJPsych Open2056-47242016-01-012323710.1192/bjpo.bp.115.001321The long-term mental health impact of peacekeeping: prevalence and predictors of psychiatric disorderDavid Forbes0Meaghan O'Donnell1Rachel M. Brand2Sam Korn3Mark Creamer4Alexander C. McFarlane5Malcolm R. Sim6Andrew B. Forbes7Graeme Hawthorne8Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, AustraliaMental Health Evaluation Unit, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, AustraliaPhoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, AustraliaCentre for Traumatic Stress Studies, University of Adelaide, South Australia, AustraliaMonash Centre for Occupational & Environmental Health, Department of Epidemiology & Preventive Medicine, Faculty of Medicine, Nursing & Health Sciences, Monash University, Melbourne, Victoria, AustraliaMental Health Evaluation Unit, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, AustraliaMental Health Evaluation Unit, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, AustraliaMental Health Evaluation Unit, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, AustraliaMental Health Evaluation Unit, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia Background The mental health outcomes of military personnel deployed on peacekeeping missions have been relatively neglected in the military mental health literature. Aims To assess the mental health impacts of peacekeeping deployments. Method In total, 1025 Australian peacekeepers were assessed for current and lifetime psychiatric diagnoses, service history and exposure to potentially traumatic events (PTEs). A matched Australian community sample was used as a comparator. Univariate and regression analyses were conducted to explore predictors of psychiatric diagnosis. Results Peacekeepers had significantly higher 12-month prevalence of post-traumatic stress disorder (16.8%), major depressive episode (7%), generalised anxiety disorder (4.7%), alcohol misuse (12%), alcohol dependence (11.3%) and suicidal ideation (10.7%) when compared with the civilian comparator. The presence of these psychiatric disorders was most strongly and consistently associated with exposure to PTEs. Conclusions Veteran peacekeepers had significant levels of psychiatric morbidity. Their needs, alongside those of combat veterans, should be recognised within military mental health initiatives. https://www.cambridge.org/core/product/identifier/S2056472400001125/type/journal_article
spellingShingle David Forbes
Meaghan O'Donnell
Rachel M. Brand
Sam Korn
Mark Creamer
Alexander C. McFarlane
Malcolm R. Sim
Andrew B. Forbes
Graeme Hawthorne
The long-term mental health impact of peacekeeping: prevalence and predictors of psychiatric disorder
BJPsych Open
title The long-term mental health impact of peacekeeping: prevalence and predictors of psychiatric disorder
title_full The long-term mental health impact of peacekeeping: prevalence and predictors of psychiatric disorder
title_fullStr The long-term mental health impact of peacekeeping: prevalence and predictors of psychiatric disorder
title_full_unstemmed The long-term mental health impact of peacekeeping: prevalence and predictors of psychiatric disorder
title_short The long-term mental health impact of peacekeeping: prevalence and predictors of psychiatric disorder
title_sort long term mental health impact of peacekeeping prevalence and predictors of psychiatric disorder
url https://www.cambridge.org/core/product/identifier/S2056472400001125/type/journal_article
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