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Risk and protective factors for post-traumatic stress among New Zealand military personnel

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Summary:

Post-traumatic stress was found to be prevalent among New Zealand military personnel in a cross-sectional study of 1817 currently serving and retired military personnel. Experience of significant post-traumatic stress symptoms, defined as scores ≥30 on the Military Post-traumatic Stress Disorder Checklist, were evident for 30% of participants. A further 10% of participants had scores ≥45 indicating a presumptive clinical diagnosis of posttraumatic stress. Lower scores were associated with longer duration of service, ability to adapt to changes in circumstances and good sleep. Higher scores were associated with experience of trauma and were more likely in older males and Māori.

Comment:
This is timely given the recent ANZAC Day commemorations. It speaks to the long-term, and wider, impact of trauma when experienced by our military personnel. In addition to the recommendations made here regarding protective factors, I think more work, to understand the differences by ethnicity, is also required.
Reference: PLoS One. 2020;15(4):e0231460.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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