4.5 Article

Prevalence of mental health symptoms in Dutch military personnel returning from deployment to Afghanistan: A 2-year longitudinal analysis

Journal

EUROPEAN PSYCHIATRY
Volume 30, Issue 2, Pages -

Publisher

ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER
DOI: 10.1016/j.eurpsy.2014.05.003

Keywords

Longitudinal analysis; Prevalence; Mental health symptoms; Military personnel

Categories

Ask authors/readers for more resources

Objective: Recent studies in troops deployed to Iraq and Afghanistan have shown that combat exposure and exposure to deployment-related stressors increase the risk for the development of mental health symptoms. The aim of this study is to assess the prevalence of mental health symptoms in a cohort of Dutch military personnel prior to and at multiple time-points after deployment. Methods: Military personnel (n = 994) completed various questionnaires at 5 time-points; starting prior to deployment and following the same cohort at 1 and 6 months and 1 and 2 years after their return from Afghanistan. Results: The prevalence of symptoms of fatigue, PTSD, hostility, depression and anxiety was found to significantly increase after deployment compared with pre-deployment rates. As opposed to depressive symptoms and fatigue, the prevalence of PTSD was found to decrease after the 6-month assessment. The prevalence of sleeping problems and hostility remained relatively stable. Conclusions: The prevalence of mental health symptoms in military personnel increases after deployment, however, symptoms progression over time appears to be specific for various mental health symptoms. Comprehensive screening and monitoring for a wide range of mental health symptoms at multiple time-points after deployment is essential for early detection and to provide opportunities for intervention. Declaration of interest: This project was funded by the Dutch Ministry of Defence. (C) 2014 Elsevier Masson SAS. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Veterinary Sciences

Hair Cortisol in Service Dogs for Veterans with Post-traumatic Stress Disorder Compared to Companion Dogs (Canis Familiaris)

Emmy A. E. van Houtert, Nienke Endenburg, Eric Vermetten, T. Bas Rodenburg

Summary: This study investigated the difference in hair cortisol levels between service dogs and companion dogs, and found no significant difference. The stress levels of the service dog group were similar to those of the companion dog group.

JOURNAL OF APPLIED ANIMAL WELFARE SCIENCE (2023)

Article Psychology, Clinical

Long-term risk for mental health symptoms in Dutch ISAF veterans: the role of perceived social support

Sija J. van der Wal, Elbert Geuze, Eric Vermetten

Summary: This study examines the prevalence of various mental health symptoms in Dutch ISAF veterans before and up to 10 years after returning from deployment. The findings suggest a probable long-term impact of deployment on mental health, with significant increases in agoraphobia, anxiety, depression, and hostility symptoms observed at the 10-year mark. Lower perceived social support after deployment was identified as a risk factor for these mental health symptoms.

PSYCHOLOGICAL MEDICINE (2023)

Article Neurosciences

Enhancing Discovery of Genetic Variants for Posttraumatic Stress Disorder Through Integration of Quantitative Phenotypes and Trauma Exposure Information

Adam X. Maihofer, Karmel W. Choi, Jonathan R. Coleman, Nikolaos P. Daskalakis, Christy A. Denckla, Elizabeth Ketema, Rajendra A. Morey, Renato Polimanti, Andrew Ratanatharathorn, Katy Torres, Aliza P. Wingo, Clement C. Zai, Allison E. Aiello, Lynn M. Almli, Ananda B. Amstadter, Soren B. Andersen, Ole A. Andreassen, Paul A. Arbisi, Allison E. Ashley-Koch, S. Bryn Austin, Esmina Avdibegovic, Anders D. Borglum, Dragan Babic, Marie Baekvad-Hansen, Dewleen G. Baker, Jean C. Beckham, Laura J. Bierut, Jonathan Bisson, Marco P. Boks, Elizabeth A. Bolger, Bekh Bradley, Meghan Brashear, Gerome Breen, Richard A. Bryant, Angela C. Bustamante, Jonas Bybjerg-Grauholm, Joseph R. Calabrese, Jose M. Caldas-de-Almeida, Chia-Yen Chen, Anders M. Dale, Shareefa Dalvie, Jurgen Deckert, Douglas L. Delahanty, Michelle F. Dennis, Seth G. Disner, Katharina Domschke, Laramie E. Duncan, Alma Dzubur Kulenovic, Christopher R. Erbes, Alexandra Evans, Lindsay A. Farrer, Norah C. Feeny, Janine D. Flory, David Forbes, Carol E. Franz, Sandro Galea, Melanie E. Garrett, Aarti Gautam, Bizu Gelaye, Joel Gelernter, Elbert Geuze, Charles F. Gillespie, Aferdita Goci, Scott D. Gordon, Guia Guffanti, Rasha Hammamieh, Michael A. Hauser, Andrew C. Heath, Sian M. J. Hemmings, David Michael Hougaard, Miro Jakovljevic, Marti Jett, Eric Otto Johnson, Ian Jones, Tanja Jovanovic, Xue-Jun Qin, Karen-Inge Karstoft, Milissa L. Kaufman, Ronald C. Kessler, Alaptagin Khan, Nathan A. Kimbrel, Anthony P. King, Nastassja Koen, Henry R. Kranzler, William S. Kremen, Bruce R. Lawford, Lauren A. M. Lebois, Catrin Lewis, Israel Liberzon, Sarah D. Linnstaedt, Mark W. Logue, Adriana Lori, Bozo Lugonja, Jurjen J. Luykx, Michael J. Lyons, Jessica L. Maples-Keller, Charles Marmar, Nicholas G. Martin, Douglas Maurer, Matig R. Mavissakalian, Alexander McFarlane, Regina E. McGlinchey, Katie A. McLaughlin, Samuel A. McLean, Divya Mehta, Rebecca Mellor, Vasiliki Michopoulos, William Milberg, Mark W. Miller, Charles Phillip Morris, Ole Mors, Preben B. Mortensen, Elliot C. Nelson, Merete Nordentoft, Sonya B. Norman, Meaghan O'Donnell, Holly K. Orcutt, Matthew S. Panizzon, Edward S. Peters, Alan L. Peterson, Matthew Peverill, Robert H. Pietrzak, Melissa A. Polusny, John P. Rice, Victoria B. Risbrough, Andrea L. Roberts, Alex O. Rothbaum, Barbara O. Rothbaum, Peter Roy-Byrne, Kenneth J. Ruggiero, Ariane Rung, Bart P. F. Rutten, Nancy L. Saccone, Sixto E. Sanchez, Dick Schijven, Soraya Seedat, Antonia Seligowski, Julia S. Seng, Christina M. Sheerin, Derrick Silove, Alicia K. Smith, Jordan W. Smoller, Scott R. Sponheim, Dan J. Stein, Jennifer S. Stevens, Martin H. Teicher, Wesley K. Thompson, Edward Trapido, Monica Uddin, Robert J. Ursano, Leigh Luella van den Heuvel, Miranda Van Hooff, Eric Vermetten, Christiaan H. Vinkers, Joanne Voisey, Yunpeng Wang, Zhewu Wang, Thomas Werge, Michelle A. Williams, Douglas E. Williamson, Sherry Winternitz, Christiane Wolf, Erika J. Wolf, Rachel Yehuda, Keith A. Young, Ross McD Young, Hongyu Zhao, Lori A. Zoellner, Magali Haas, Heather Lasseter, Allison C. Provost, Rany M. Salem, Jonathan Sebat, Richard A. Shaffer, Tianying Wu, Stephan Ripke, Mark J. Daly, Kerry J. Ressler, Karestan C. Koenen, Murray B. Stein, Caroline M. Nievergelt

Summary: This study combines a quantitative measurement of posttraumatic stress disorder (PTSD) phenotype with lifetime trauma exposure (LTE) information to identify novel risk loci and demonstrate a high genetic overlap between PTSD and LTE.

BIOLOGICAL PSYCHIATRY (2022)

Article Neurosciences

Age-dependent white matter disruptions after military traumatic brain injury: Multivariate analysis results from ENIGMA brain injury

Heather C. Bouchard, Delin Sun, Emily L. Dennis, Mary R. Newsome, Seth G. Disner, Jeremy Elman, Annelise Silva, Carmen Velez, Andrei Irimia, Nicholas D. Davenport, Scott R. Sponheim, Carol E. Franz, William S. Kremen, Michael J. Coleman, M. Wright Williams, Elbert Geuze, Inga K. Koerte, Martha E. Shenton, Maheen M. Adamson, Raul Coimbra, Gerald Grant, Lori Shutter, Mark S. George, Ross D. Zafonte, Thomas W. McAllister, Murray B. Stein, Paul M. Thompson, Elisabeth A. Wilde, David F. Tate, Aristeidis Sotiras, Rajendra A. Morey

Summary: Mild traumatic brain injury (mTBI) is common in military personnel and is associated with age-related neurodegenerative disorders affecting white matter in the brain. Non-negative matrix factorization (NMF) was used to detect covarying patterns of fractional anisotropy (FA) associated with mTBI in a large dataset of military Veterans. The study showed significant age-dependent differences in WM alterations between Veterans with and without TBI, highlighting the importance of considering age in assessing the effects of mTBI.

HUMAN BRAIN MAPPING (2022)

Article Psychiatry

Seeking treatment for mental illness and substance abuse: A cross-sectional study on attitudes, beliefs, and needs of military personnel with and without mental illness

Rebecca Bogaers, Elbert Geuze, Neil Greenberg, Fenna Leijten, Piia Varis, Jaap van Weeghel, Dike van de Mheen, Andrea Rozema, Evelien Brouwers

Summary: This study aimed to investigate the attitudes, beliefs, and needs of military personnel in seeking treatment for mental illness. The majority of participants believed in the effectiveness of treatment but preferred to solve their own problems. The study suggests that interventions should focus on promoting self-management, reducing stigma, and providing clear guidance on where to seek treatment.

JOURNAL OF PSYCHIATRIC RESEARCH (2022)

Article Psychology, Clinical

Therapist and operator experiences utilizing multi-modal motion-assisted Memory Desensitization and Reconsolidation (3MDR) for treatment of combat related posttraumatic stress disorder amongst military and veteran populations

Chelsea Jones, Lorraine Smith-MacDonald, Nancy Van Veelen, Annelies VanderLaan, Zornitsa Kaneva, Rachel S. Dunleavy, Tristin Hamilton, Eric Vermetten, Suzette Bremault-Phillips

Summary: This study qualitatively examines the impact and experiences of secondary traumatic stress (STS) among therapists and operators delivering 3MDR. Results show that STS was not a significant challenge for 3MDR therapists and operators.

EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY (2022)

Letter Clinical Neurology

Not too quick on Debunking the myth of 'Blue Mondays'

Jacob Flameling, Floor van der Does, Nancy van Veelen, Eric Vermetten

JOURNAL OF PSYCHOPHARMACOLOGY (2022)

Article Medicine, Research & Experimental

Effects of Multisession Transcranial Direct Current Stimulation on Stress Regulation and Emotional Working Memory: A Randomized Controlled Trial in Healthy Military Personnel

Fenne M. Smits, Elbert Geuze, Guido J. de Kort, Karlijn Kouwer, Lisa Geerlings, Jack van Honk, Dennis J. L. G. Schutter

Summary: This study examined the combined effects of tDCS and working memory training on top-down stress regulation, and found no significant improvement in stress regulation in healthy military personnel. However, individual tDCS response varied, and the theta/beta ratio was identified as a potential predictor of tDCS response, along with age, education, and baseline working memory performance.

NEUROMODULATION (2023)

Article Psychiatry

Toward staging differentiation for posttraumatic stress disorder treatment

Mirjam J. J. Nijdam, Eric Vermetten, Alexander C. C. McFarlane

Summary: This article proposes a neurobiologically driven staging model for posttraumatic stress disorder (PTSD), emphasizing the importance of providing appropriate treatment recommendations for different stages of the disorder. The author also highlights the need to separately consider treatment resistance as a research target. The staging perspective is believed to be crucial in selecting interventions that are tailored to patients' needs and risk of illness progression.

ACTA PSYCHIATRICA SCANDINAVICA (2023)

Article Neurosciences

Altered lateralization of the cingulum in deployment-related traumatic brain injury: An ENIGMA military-relevant brain injury study

Emily L. Dennis, Mary R. Newsome, Hannah M. Lindsey, Maheen Adamson, Tara A. Austin, Seth G. Disner, Blessen C. Eapen, Carrie Esopenko, Carol E. Franz, Elbert Geuze, Courtney Haswell, Sidney R. Hinds II, Cooper B. Hodges, Andrei Irimia, Kimbra Kenney, Inga K. Koerte, William S. Kremen, Harvey S. Levin, Rajendra A. Morey, John Ollinger, Jared A. Rowland, Randall S. Scheibel, Martha E. Shenton, Danielle R. Sullivan, Leah D. Talbert, Sophia I. Thomopoulos, Maya Troyanskaya, William C. Walker, Xin Wang, Ashley L. Ware, John Kent Werner, Wright Williams, Paul M. Thompson, David F. Tate, Elisabeth A. Wilde

Summary: Traumatic brain injury (TBI) in military populations can lead to disruptions in brain structure and function, causing cognitive and psychological dysfunction. A study conducted a mega-analysis of neuroimaging and clinical data from military personnel and veterans, finding that deployment-related TBI is associated with increased left lateralization in the cingulum, a white matter tract. This effect was primarily observed in individuals whose worst injury occurred before age 40.

HUMAN BRAIN MAPPING (2023)

Article Rehabilitation

Workplace Mental Health Disclosure, Sustainable Employability and Well-Being at Work: A Cross-Sectional Study Among Military Personnel with Mental Illness

Rebecca Bogaers, Elbert Geuze, Jaap van Weeghel, Fenna Leijten, Dike van de Mheen, Nicolas Ruesch, Andrea Rozema, Evelien Brouwers

Summary: Disclosure of mental illness to a supervisor may have positive and negative consequences, but research on its association with sustainable employability and well-being at work is limited. This study found that the disclosure decision itself was not significantly related to these measures, but the experiences of disclosure had a significant impact. This highlights the importance of the work environment's reaction to disclosure and mental illness.

JOURNAL OF OCCUPATIONAL REHABILITATION (2023)

Article Neurosciences

Pattern classification based on the amygdala does not predict an individual's response to emotional stimuli

Tim Varkevisser, Elbert Geuze, Max A. van den Boom, Karlijn Kouwer, Jack van Honk, Remko van Lutterveld

Summary: Functional magnetic resonance imaging (fMRI) studies have shown robust univariate group effects in the amygdala for subjects exposed to emotional stimuli, but it is unclear if this effect holds true for individual participants using multi-voxel pattern analysis (MVPA). By combining fMRI data from two prior studies (N = 112), this study found that the valence of emotional pictures was encoded by spatially distributed parts of the brain rather than the amygdala alone, suggesting implications for studies targeting the amygdala in emotion regulation treatment.

HUMAN BRAIN MAPPING (2023)

Article Psychiatry

Lower cerebello-cortical functional connectivity in veterans with reactive aggression symptoms: A pilot study

E. M. L. Wolfs, R. van Lutterveld, T. Varkevisser, J. Klaus, E. Geuze, D. J. L. G. Schutter

Summary: A study examined the resting-state functional connectivity between the deep cerebellar nuclei (DCN) and cortico-subcortical areas in veterans with and without reactive aggression symptoms. While there were no significant differences in functional connectivity with the DCN in region-of-interest (ROI) analyses, whole-brain analysis showed lower connectivity between the DCN and the orbitofrontal cortex in veterans with reactive aggression symptoms. These findings suggest a possible involvement of a cerebello-prefrontal pathway in reactive aggression in male veterans.

JOURNAL OF PSYCHIATRIC RESEARCH (2023)

Article Medicine, General & Internal

Mental health issues and illness and substance use disorder (non-)disclosure to a supervisor: a cross-sectional study on beliefs, attitudes and needs of military personnel

Rebecca Bogaers, Elbert Geuze, Jaap van Weeghel, Fenna Leijten, D. van de Mheen, N. Greenberg, A. D. Rozema, Evelien Brouwers

Summary: Military personnel often delay disclosing mental health issues and illness to supervisors, causing missed opportunities for support. This study aims to examine beliefs, attitudes, and needs related to disclosure decisions among military personnel and provide insights for interventions and training for supervisors.

BMJ OPEN (2023)

No Data Available