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Deployment-related stress and trauma in Dutch soldiers returning from Iraq. Prospective study.

Research paper by Iris M IM Engelhard, Marcel A MA van den Hout, Jos J Weerts, Arnoud A Arntz, Joop J C M JJ Hox, Richard J RJ McNally

Indexed on: 02 Aug '07Published on: 02 Aug '07Published in: The British journal of psychiatry : the journal of mental science



Abstract

Some questionnaire studies have shown increased mental health problems, including probable post-traumatic stress disorder (PTSD), in soldiers deployed to Iraq.To test prospectively whether such problems change over time and whether questionnaires provide accurate estimates of deployment-related PTSD compared with a clinical interview.Dutch infantry troops from three cohorts completed questionnaires before deployment to Iraq (n=479), and about 5 months (n=382, 80%) and 15 months (n=331, 69%) thereafter. Post-traumatic stress disorder was evaluated by questionnaire and clinical interview.There were no group changes for general distress symptoms. The rates of PTSD for each cohort were 21, 4 and 6% based on questionnaires at 5 months. The deployment-related rates of PTSD based on the clinical interview were 4, 3 and 3%.There was a specific effect of deployment on mental health for a small minority. Questionnaires eliciting stress symptoms gave substantial overestimations of the rate of PTSD.