Abstract

Deployment of personnel to military operations: impact on mental health and social functioning.

Highlights

  • 1.1 DESCRIPTION OF THE CONDITIONThe landscape of military deployment has changed dramatically since 1989

  • While military deployment by its very nature carries substantial risk of exposure to events and experiences that may physically and mentally impair those directly engaged in combat and those engaged in support functions, there are a number of reasons why the extent of this issue is arguably of even greater importance than previously

  • International military operations as studied in this review fall in the categories of low intensity conflicts (LIC) or conventional warfare

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Summary

DESCRIPTION OF THE CONDITION

The landscape of military deployment has changed dramatically since 1989. While military deployment by its very nature carries substantial risk of exposure to events and experiences that may physically and mentally impair those directly engaged in combat and those engaged in support functions, there are a number of reasons why the extent of this issue is arguably of even greater importance than previously. Combat exposure and other stressors increase the risk of physical and psychological trauma and, as a result, a substantial proportion of those returning from deployment to military operations abroad face the real risk of developing adverse effects to mental health and social functioning (Hoge, Auchterlonie, & Milliken, 2004). These include increased risk of posttraumatic stress syndrome (PTSD), depression, anxiety, anger, and substance abuse (Andersen, 1998; Dohrenwend, Turner, Turse, Adams, Koenen, & Marshall, 2006; Helzer, Robins, and McEvoy, 1987; Hoge et al, 2004; Ishøy et al, 1999; Jacobson et al 2008; Jakupcak et al, 2007; Larson, Highfill-McRoy, & Booth-Kewley2008; O’Brien & Hughes, 1991; O'Toole, Schureck, Marshall, Grayson, & Dobson, 1999; Pitman, Altman, and Macklin, 1989; Rona et al, 2009; Tanielian & Jaycox, 2008). In our efforts to present the best available evidence we will consider evidence from any nation that has deployed troops to international military operations since 1989

DESCRIPTION OF DEPLOYMENT
Type of Mission
Type of Service
Type of Branch
POSSIBLE CONSEQUENCES OF DEPLOYMENT
Impact on Mental Health
Impact on Social Functioning
PREVIOUS REVIEWS
METHODS USED IN PRIMARY STUDIES
WHY IT IS IMPORTANT TO DO THIS REVIEW
Objective of the Review
Types of Studies
Types of Participants
Types of Outcomes
Social Functioning
Electronic Searches
Search Terms
Searching Other Resources
Grey Literature
Selection of Studies
Data Extraction and Management
Assessment of Risk of Bias in Included Studies
Risk of Bias Judgment Items
Confounding
Measures of the Effect of Deployment
Unit of Analysis Issues
Dealing with missing data and incomplete data
Assessment of heterogeneity
Assessment of reporting biases
DATA SYNTHESIS
Moderator Analysis and Investigation of Heterogeneity
Sensitivity Analysis
STUDY ELIGIBILITY SCREENING LEVEL ONE AND TWO
DATA EXTRACTION
Participants
ASSESSMENT OF RISK OF BIAS IN INCLUDED STUDIES
11 See user guide for unobservables
Findings
DECLARATIONS OF INTEREST

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