This paper investigates the relationship between combat exposure and operational role with mental disorders and comorbidity in UK military personnel.
Mental disorders and alcohol misuse are often comorbid, and this comorbidity is more common in those who develop mental disorders following exposure to traumatic events. To investigate the relationship between combat exposure and operational role (support versus combat) with mental disorders and associated comorbidity in a UK military cohort. Personnel reporting higher levels of combat exposure were more likely to meet criteria for two or more co-occurring mental disorders (odds ratio [OR] 3.90, 95% confidence interval [CI] 2.73–5.58). While having a combat role increased the risk of developing co-occurring disorders compared to having a support role (OR 1.67, 95% CI 1.26–2.23), this effect diminished following adjustment for variables including combat exposure (OR 0.89, 95% CI 0.62–1.27). Combat exposure may play a greater role in the development of comorbid mental disorders than operational role, i.e. job title. Clinicians treating military personnel should be alert to the increased risk of comorbid mental disorders and alcohol misuse among those with a history of combat exposure.
Zoe Chui, Nicola T. Fear, Neil Greenberg, Norman Jones, Edgar Jones & Laura Goodwin (2020) Combat exposure and co-occurring mental health problems in UK Armed Forces personnel, Journal of Mental Health, DOI: 10.1080/09638237.2020.1766666.