Postdeployment Battlemind training for the U.K. armed forces: A cluster randomized controlled trial.

Mulligan, Kathleen; Fear, Nicola T.; Jones, Norman; Alvarez, Helen; Hull, Lisa; Naumann, Ulrike; Wessely, Simon; Greenberg, Neil

doi:10.1037/a0027664

Cited by 55 publications

(64 citation statements)

References 37 publications

(59 reference statements)

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“…A limited body of evidence examining psychoeducation approaches does not currently support the efficacy of these interventions in preventing PTSD . Battlemind, an intervention for military personnel exposed to combat trauma which was adapted from PD, found preliminary support from a study randomized at the platoon level but did not show an effect in another study (Adler et al, 2011;Mulligan et al, 2012). A study using an informational video designed for sexual assault survivors found reduced PTSD symptoms at 6 weeks only for women with a prior history of sexual assault, with the effect disappearing at 6 months (Resnick et al, 2007).…”

Section: Psychosocial Approachesmentioning

confidence: 93%

Prevention of Trauma and Stressor-Related Disorders: A Review

Howlett

Stein

2015

Neuropsychopharmacol

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Posttraumatic stress disorder (PTSD) is a common, frequently chronic, and disabling condition which, along with acute stress disorder (ASD), is categorized as a trauma-and stressor-related disorder by the DSM-5. These disorders are unique in requiring exposure to a severe stressor, which implies that potential sufferers could be identified and helped before developing a disorder. Research on prevention strategies for stress-related disorders has taken a number of avenues, including intervention before and after trauma and the use of both psychosocial and somatic approaches. Despite advances in neurobiological understanding of response to trauma, clinical evidence for preventive interventions remains sparse. This review provides an overview of prevention approaches and summarizes the existing literature on prevention of ASD and PTSD, including clinical and preclinical studies. Given the potential benefits to trauma survivors and society, the development of effective preventive interventions should be given greater priority. Resources should be directed to adequately test promising interventions in clinical trials, and research should be conducted according to translational research principles in which preclinical research informs the design of clinical studies.

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Section: Psychosocial Approachesmentioning

confidence: 93%

Prevention of Trauma and Stressor-Related Disorders: A Review

Howlett

Stein

2015

Neuropsychopharmacol

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“…It turned out that the range of mental health interventions implemented in different western armed forces is to a great extent similar (Vermetten et al 2014). This seems to be due to the fact that most mental health interventions draw on psychiatrist and psychologist models and the fact that the policies of different armies have influenced one another (see e.g., Boermans et al 2012;Mulligan et al 2012). As such, we can say that many contemporary western armed forces have developed what might be named a similar 'PTSD-infrastructure,' by which we refer to the structure of military interventions oriented toward PTSD.…”

Section: Literature Analysismentioning

confidence: 95%

“…The current intervention programs in western armed forces such as the US, UK, and Dutch armed forces draw on mainstream scientific understandings of PTSD (Mulligan et al 2012;Adler et al 2013;Steenkamp, Nash, and Litz 2013). The dominant PTSD-concept defines post-traumatic illness as a set of psychiatric symptoms that develop due to exposure to threatened or actual violence (American Psychiatric Association 2013).…”

Section: Introductionmentioning

confidence: 99%

Conflicting Notions on Violence and PTSD in the Military: Institutional and Personal Narratives of Combat-Related Illness

Molendijk

Kramer

Verweij

2015

Cult Med Psychiatry

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Research indicates that soldiers struggling with PTSD under-utilize mental health care. Quantitative studies of barriers to care point to the importance of soldiers' beliefs about mental health and mental health interventions in their care-seeking behavior, yet these studies still struggle to understand the particular beliefs involved and the ways they impact care-seeking behavior. This preliminary study makes a start in examining these questions through qualitative literature analysis. It maps out dominant messages surrounding PTSD in military mental health interventions, and explores how they can both shape and conflict with soldiers' personal notions. It does so by analyzing these messages and notions as institutional and personal (illness) narratives. Institutional military PTSD-narratives, which draw on mainstream scientific and clinical models, appear to communicate contradictory notions on the meanings of violence and its psychological consequences, often without acknowledging these contradictions. As such, these narratives seem to shape struggles of soldiers, both within themselves and with the military institution. The identified conflicts indicate, contrary to the individualizing and decontextualizing focus of dominant PTSD-understandings, that soldiers' struggles also have social and moral dimensions. This has important implications for both research into PTSD-interventions and understandings of PTSD as such.

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“…Boulos and Zamorski 54 Engelhard et al 60 Fear et al 10 (Afghanistan) Hoge et al 5 (Afghanistan) Hoge et al 22 (Afghanstan) Jones et al 64 Lapierre et al 67 (Afghanistan) Mulligan et al 72 Shen et al 79 have suggested this may be due to role distribution, but this finding is not universal. 13,[30][31][32][33][34] Recent research has also suggested that men and women can experience different stressors on deployment.…”

Section: Afghanistanmentioning

confidence: 96%

Posttraumatic Stress Disorder Post Iraq and Afghanistan: Prevalence among Military Subgroups

et al. 2014

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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 Iraqdeployed 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. W W W Le trouble de stress post-traumatique après l'Irak et l'Afghanistan : la prévalence dans les sous-groupes militairesUn vaste ensemble d'études ont été produites ces dernières années sur le trouble de stress post-traumatique (TSPT) au sein du personnel militaire suite au déploiement en Irak et en Afghanistan, et il en a résulté des différences apparentes de prévalence du TSPT. Nous comparons les estimations de prévalence du TSPT actuel entre les sous-groupes militaires, en tentant d'expliquer comment les groupes peuvent être affectés différemment par le déploiement. Des recherches systématiques de la littérature à l'aide des termes TSPT, trouble de stress, et stress aigu combinés à des termes relatifs au personnel militaire ont relevé 49 articles pertinents. Les études dont la taille d'échantillon était de moins de 100 ou qui étaient basées sur des données de recherche de traitement ou de populations blessées ont été exclues. Les études ont été catégorisées selon le théâtre du déploiement (Irak ou Afghanistan), les échantillons déployés de combat ou de non-combat, le sexe, le type d'enrôlement (régulier ou réserve, et [ou] Garde nationale) et branche de service (par exemple, armée, marine, et f...

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Postdeployment Battlemind training for the U.K. armed forces: A cluster randomized controlled trial.

Cited by 55 publications

References 37 publications

Prevention of Trauma and Stressor-Related Disorders: A Review

Prevention of Trauma and Stressor-Related Disorders: A Review

Conflicting Notions on Violence and PTSD in the Military: Institutional and Personal Narratives of Combat-Related Illness

Posttraumatic Stress Disorder Post Iraq and Afghanistan: Prevalence among Military Subgroups

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