Psychological Sequelae Following the Gulf War

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  • Factors Associated with Subsequent Morbidity and the Effectiveness of Psychological Debriefing

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<jats:sec><jats:title>Background</jats:title><jats:p>The aim was to study the effect of brief counselling and psychological debriefing following a trauma on subsequent morbidity.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>We investigated psychological morbidity in 62 British soldiers whose duties included the handling and identification of dead bodies of allied and enemy soldiers during the Gulf War. Of these soldiers, 69% received a psychological debriefing on completion of their duties. The subjects completed by post a demographic questionnaire, the General Health Questionnaire (GHQ-28) and the Impact of Events Scale.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>After nine months 50% had evidence of some psychological disturbance suggestive of posttraumatic stress disorder (PTSD); 18% had sought professional help; 26% reported relationship difficulties. Neither prior training nor the psychological intervention appeared to make any difference to subsequent psychiatric morbidity. Morbidity at nine months was more likely in those with a history of psychological problems and those who believed their lives had been in danger in the Gulf.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>These findings show that a psychological debriefing following a series of traumatic events or experiences does not appear to reduce subsequent psychiatric morbidity and highlights the need for further research in military and civilian settings.</jats:p></jats:sec>

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