Review: Screening for vulnerability to psychological disorders in the military: an historical survey

Jones, Edgar; Hyams, Kenneth C.; Wessely, Simon

doi:10.1258/096914103321610798

Cited by 61 publications

(48 citation statements)

References 55 publications

(48 reference statements)

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“…during recruit selection or pre/post operational deployment. [4][5][6] The acceptability of a screening programme to the target population has also previously been raised, [7][8][9] but the reasons for low acceptability from the perspective of those invited to participate has been infrequently addressed. Service personnel, like their civilian counterparts, are not passive recipients of healthcare, and if they do not accept or have confidence in the service being provided, the screening programme will not be effective.…”

mentioning

confidence: 99%

Screening for physical and psychological illness in the British Armed Forces: II: Barriers to screening – learning from the opinions of Service personnel

et al. 2004

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Objective: To identify any potential barriers to the effectiveness of a military health screening programme based on the beliefs of British Service personnel. Methods:As part of a pilot evaluation of the suitability of a new health screening questionnaire for the British Armed Forces, 73 men and women from the three Services, of various ranks and age, underwent a semi-structured interview after completing a screening questionnaire. Participants were asked about the veracity of their answers and their views regarding a screening questionnaire. Afterwards questionnaires were sent to 4496 randomly selected personnel from the three Services, which validated the main emerging themes. A constant comparative method of analysis was used to identify and categorise all ideas presented. Results:The main barriers to health screening were lack of trust, perceived low quality of healthcare, and perceived lack of concern within the institution about work environments and home life. The central issue was 'confidence' in military health care provision. Screening was considered worthwhile, but many confided that they would not honestly answer some items in the questionnaire. Lack of trust in medical confidentiality, stigmatisation and fears that the process would jeopardise career prospects were stressed. Many Service personnel admitted to seeking medical help outside the Armed Forces. Conclusions:Concerns raised by Service personnel may endanger the value of a screening programme and the provision of health services. Greater emphasis needs to be placed upon gaining the confidence of those targeted for health screening.

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confidence: 99%

Screening for physical and psychological illness in the British Armed Forces: II: Barriers to screening – learning from the opinions of Service personnel

et al. 2004

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“…It appears that, currently, applicants are not screened specifically for vulnerability to PTSD due to lack of evidence on screening for this purpose (Jones, Hyams, and Wessely 2003;Rona et al 2005). However, the screening instruments are used to filter out applicants with a current psychological disorder as well as those who seem to be unfit for military service for other reasons (Jones, Hyams, and Wessely 2003;Rona et al 2005).…”

Section: The Military Ptsd-infrastructure and Its Institutional Narramentioning

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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“…World War 1 onwards and found that the sensitivity and specificity of screening were low in relation to both future performance as a soldier and prediction of mental vulnerability 19 . In a questionnaire-based study of UK personnel deployed to the Iraq war, Rona et al…”

Section: 'Healthy Workers' and 'Less Healthy Leavers'mentioning

confidence: 99%

Long-Term Mental Health Outcomes of Military Service

Bergman¹,

Mackay²,

Smith³

et al. 2016

J. Clin. Psychiatry

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Review: Screening for vulnerability to psychological disorders in the military: an historical survey

Cited by 61 publications

References 55 publications

Screening for physical and psychological illness in the British Armed Forces: II: Barriers to screening – learning from the opinions of Service personnel

Screening for physical and psychological illness in the British Armed Forces: II: Barriers to screening – learning from the opinions of Service personnel

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

Long-Term Mental Health Outcomes of Military Service

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