Posttraumatic Stress Disorder (PTSD) in the German Armed Forces: a Retrospective Study in Inpatients of a German Army Hospital

Overview

Journal Eur Arch Psychiatry Clin Neurosci

Specialties Neurology
Psychiatry

Date 2012 Jan 26

PMID 22274736

Citations 7

Authors

Borwin Bandelow

Manuel Koch

Peter Zimmermann

Karl-Heinz Biesold

Dirk Wedekind

Peter Falkai

Affiliations

Soon will be listed here.

Abstract

In 2006 and 2007, around 0.4 and 0.7% of all German soldiers involved in missions abroad were registered as suffering from PTSD. The frequency of PTSD in the German Armed Forces was assessed from army records. All soldiers admitted to the German Military Hospital in Hamburg, Germany, with PTSD (n = 117) in the years 2006 and 2007 were assessed by using questionnaires and structure interviews. Risk factors associated with PTSD were identified. Of the 117 soldiers with PTSD, 39.3% were in missions abroad, and 18.0% had participated in combat situations. Five (4.3%) were wounded in combat, and 4 of them had a serious irreversible injury. In total, 53.8% of the PTSD cases were related to injuries or physical/sexual abuse, while 46.2% were due to psychological traumatization. Among soldiers with PTSD who were not abroad, sexual or physical abuse were the most common traumas. In 35.9% of the patients, there was evidence for psychiatric disorders existing before the traumatic event. The percentage of women among sufferers from PTSD was significantly higher than the proportion of women in the armed forces (30.8% vs. 5.17%). A careful psychiatric screening before recruitment might help to identify persons at risk of PTSD.

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References

Cougle J, Resnick H, Kilpatrick D . Does prior exposure to interpersonal violence increase risk of PTSD following subsequent exposure?. Behav Res Ther. 2009; 47(12):1012-7. PMC: 2783312. DOI: 10.1016/j.brat.2009.07.014. View

Acierno R, Resnick H, Kilpatrick D, Saunders B, Best C . Risk factors for rape, physical assault, and posttraumatic stress disorder in women: examination of differential multivariate relationships. J Anxiety Disord. 2000; 13(6):541-63. DOI: 10.1016/s0887-6185(99)00030-4. View

Freedman S, Gluck N, Tuval-Mashiach R, Brandes D, Peri T, Shalev A . Gender differences in responses to traumatic events: a prospective study. J Trauma Stress. 2002; 15(5):407-13. DOI: 10.1023/A:1020189425935. View

Ursano R, Bell C, Eth S, Friedman M, Norwood A, Pfefferbaum B . Practice guideline for the treatment of patients with acute stress disorder and posttraumatic stress disorder. Am J Psychiatry. 2004; 161(11 Suppl):3-31. View

Kessler R, Sonnega A, Bromet E, Hughes M, Nelson C . Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995; 52(12):1048-60. DOI: 10.1001/archpsyc.1995.03950240066012. View

Keane T, Kolb L, Kaloupek D, Orr S, Blanchard E, Thomas R . Utility of psychophysiological measurement in the diagnosis of posttraumatic stress disorder: results from a Department of Veterans Affairs Cooperative Study. J Consult Clin Psychol. 1999; 66(6):914-23. DOI: 10.1037//0022-006x.66.6.914. View

McNally R . Progress and controversy in the study of posttraumatic stress disorder. Annu Rev Psychol. 2002; 54:229-52. DOI: 10.1146/annurev.psych.54.101601.145112. View

King D, King L, Foy D, Gudanowski D . Prewar factors in combat-related posttraumatic stress disorder: structural equation modeling with a national sample of female and male Vietnam veterans. J Consult Clin Psychol. 1996; 64(3):520-31. DOI: 10.1037//0022-006x.64.3.520. View

Weisaeth L . Torture of a Norwegian ship's crew. The torture, stress reactions and psychiatric after-effects. Acta Psychiatr Scand Suppl. 1989; 355:63-72. View

10.

Perkonigg A, Kessler R, Storz S, Wittchen H . Traumatic events and post-traumatic stress disorder in the community: prevalence, risk factors and comorbidity. Acta Psychiatr Scand. 2000; 101(1):46-59. DOI: 10.1034/j.1600-0447.2000.101001046.x. View

11.

McNally R, Shin L . Association of intelligence with severity of posttraumatic stress disorder symptoms in Vietnam Combat veterans. Am J Psychiatry. 1995; 152(6):936-8. DOI: 10.1176/ajp.152.6.936. View

12.

Koenen K . Developmental epidemiology of PTSD: self-regulation as a central mechanism. Ann N Y Acad Sci. 2006; 1071:255-66. DOI: 10.1196/annals.1364.020. View

13.

Zimmermann P, Biesold K, Barre K, Lanczik M . Long-term course of post-traumatic stress disorder (PTSD) in German soldiers: effects of inpatient eye movement desensitization and reprocessing therapy and specific trauma characteristics in patients with non-combat-related PTSD. Mil Med. 2007; 172(5):456-60. DOI: 10.7205/milmed.172.5.456. View

14.

Grieger T, Cozza S, Ursano R, Hoge C, Martinez P, Engel C . Posttraumatic stress disorder and depression in battle-injured soldiers. Am J Psychiatry. 2006; 163(10):1777-83. DOI: 10.1176/ajp.2006.163.10.1777. View

15.

Favaro A, Degortes D, Colombo G, Santonastaso P . The effects of trauma among kidnap victims in Sardinia, Italy. Psychol Med. 2000; 30(4):975-80. DOI: 10.1017/s0033291799001877. View

16.

Forbes D, Creamer M, Phelps A, Bryant R, McFarlane A, Devilly G . Australian guidelines for the treatment of adults with acute stress disorder and post-traumatic stress disorder. Aust N Z J Psychiatry. 2007; 41(8):637-48. DOI: 10.1080/00048670701449161. View

17.

Shapiro F . Eye Movement Desensitization and Reprocessing (EMDR) and the anxiety disorders: clinical and research implications of an integrated psychotherapy treatment. J Anxiety Disord. 1999; 13(1-2):35-67. DOI: 10.1016/s0887-6185(98)00038-3. View

18.

Berger W, Mendlowicz M, Marques-Portella C, Kinrys G, Fontenelle L, Marmar C . Pharmacologic alternatives to antidepressants in posttraumatic stress disorder: a systematic review. Prog Neuropsychopharmacol Biol Psychiatry. 2009; 33(2):169-80. PMC: 2720612. DOI: 10.1016/j.pnpbp.2008.12.004. View

19.

Milliken C, Auchterlonie J, Hoge C . Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. JAMA. 2007; 298(18):2141-8. DOI: 10.1001/jama.298.18.2141. View

20.

Mohamed S, Rosenheck R . Pharmacotherapy of PTSD in the U.S. Department of Veterans Affairs: diagnostic- and symptom-guided drug selection. J Clin Psychiatry. 2008; 69(6):959-65. DOI: 10.4088/jcp.v69n0611. View