Fate of 395 Mild Neuropsychiatric Cases Salvaged From Training Period and Taken Into Combat

Sharp, William L.

doi:10.1176/ajp.106.11.801

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…A survey of admissions to the casualty clearing station showed no abnormal increase in evacuations for other reasons. 44 A random sample of 316 infantry and armoured troops, who had been treated in forward psychiatric treatment centres, were followed up to assess their effectiveness when returned to combat units. Only 84 (26.6%) were rated by their commanders as performing with a rating of "good" or "fair" within three months of their redeployment.…”

Section: Why Did Screening Fail In World War Ii?mentioning

confidence: 99%

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

Jones¹,

Hyams

Wessely

2003

J Med Screen

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Although well-measured variables, such as intelligence, have been shown to predict success in training and aptitude, no instrument has yet been identified which can accurately assess psychological vulnerability. Previous attempts have failed because of false-positives, false-negatives and reluctance in the target population because of stigma. Early findings suggest that psychological surveillance, if not screening, may yield valuable results when applied to military populations exposed to stress.

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Section: Why Did Screening Fail In World War Ii?mentioning

confidence: 99%

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

Jones¹,

Hyams

Wessely

2003

J Med Screen

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“…12 Studies carried out more than 50 years ago showed that, although there was a higher failure rate among those who were initially rejected on psychiatric grounds but later enlisted, or about whom doubts were expressed, nearly all performed satisfactorily. [13][14][15][16][17] In 2002 we assessed the acceptability of screening questionnaires for psychological illness and the validity of these questionnaires, using as the "gold standard" the opinion of medical officers (equivalent to general practitioners) in a random sample of the British armed forces in the period immediately before preparations for the Iraq war began. 18 19 A proportion of participants in our study were subsequently deployed to Iraq.…”

Section: Introductionmentioning

confidence: 99%

Mental health screening in armed forces before the Iraq war and prevention of subsequent psychological morbidity: follow-up study

Rona

Hooper

Jones

et al. 2006

BMJ

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Objective To assess whether screening for mental disorder before the start of the 2003 Iraq war would have predicted subsequent mental disorders. Design Longitudinal cohort study of the United Kingdom armed forces. Participants 2820 of 2873 personnel of the three services who completed an initial questionnaire in 2002 were asked to complete a second questionnaire between June 2004 and 2 March 2006. Setting Regiments, air stations, bases, ships, and homes for those who had left the services. Main outcome measures Positive and negative likelihood ratios, and positive and negative predictive value of first assessment compared with assessment two to three years later of post-traumatic stress disorder, general health questionnaire, physical symptoms, self perception of health, and alcohol misuse for the entire group and for those deployed to the Iraq war. Results The response rate to the follow-up questionnaire was 69%, adjusted for return to senders. The positive likelihood ratio of post-traumatic stress disorder was high (13.1, 95% confidence interval 7.2 to 23.8), but the negative likelihood ratio was close to 1 (0.78, 0.67 to 0.91). The positive predictive values were low because of the low prevalence of post-traumatic stress disorder in the period before the Iraq war. The positive likelihood ratios for the other psychological assessments varied between 2.7 and 5.6, and the negative likelihood ratios were slightly lower than for post-traumatic stress disorder, indicating that these were not good candidates for screening. Results were the same for the analyses restricted to those who were deployed. Conclusions Screening for common mental disorders before deployment in this cohort would not have reduced subsequent morbidity or predicted post-traumatic stress disorder, but this may change if there is a considerable increase in the prevalence of the disorder.

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Risk Factors and PTSD: A Historian's Perspective

Shephard

2004

Posttraumatic Stress Disorder

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Fate of 395 Mild Neuropsychiatric Cases Salvaged From Training Period and Taken Into Combat

Cited by 6 publications

References 10 publications

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

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

Mental health screening in armed forces before the Iraq war and prevention of subsequent psychological morbidity: follow-up study

Risk Factors and PTSD: A Historian's Perspective

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