Friday, October 29, 2010

Forces less stressed than police

UK forces in Iraq are less stressed than police officers or disaster workers, scientists suggest.

A UK team surveyed 611 military personnel and found a fifth showed signs of "mental distress", a lower rate than that seen in the other high-stress occupations.

The British Journal of Psychiatry study was carried out in 2009.

But the charity Combat Stress said it was difficult to compare stress levels in such different occupations.

It is the first major study of the UK armed forces' mental health while on deployment in Iraq.

Neil Greenberg from King's College London, a co-author of the study, said that until now, most research on the psychological well-being of the UK armed forces in that country had been conducted either before or after their deployment.

But little was known about soldiers' mental health during actual service.

The team, led by Kathleen Mulligan, conducted a survey among 611 UK military personnel of different rank and gender serving in the country in 2009. This is about 15% of the total number of the UK armed forces in Iraq that year.

Overall, they found that there was "little overall effect of deployment on mental health", said Dr Greenberg.

Risk factors

The study states 92.6% rated their health as good, very good or excellent, and men as opposed to women were more likely to report good health.

"Start Quote

Raising awareness among staff of the link between personnel reporting sick and having poorer mental health may help identify those in most need of psychological help"

End Quote Neil Greenberg King's College London

Other factors that appeared to help this self-rated well-being included being an officer, having a cohesive unit and supportive leadership.

Age seemed to matter as well: those who were younger reported more levels of stress and poorer health.

Finally, the scientists found that it was important for the armed forces to receive pre-deployment stress brief and to take periods of rest and recuperation.

"Although there is a policy that requires personnel to be given a pre-deployment brief, our study suggested this policy needs to be more rigorously enforced," said Dr Greenberg.

Even though 20% of those surveyed showed signs of mental distress, only 3% were found to possibly have post-traumatic stress disorder (PTSD).

This is lower than among workers in other high-stress occupation, "such as police officers, doctors in emergency departments and disaster workers", the report said.

But a spokesman from a UK charity Combat Stress told BBC News that comparing soldiers in the field to people in other professions was like comparing "apples and peaches".

"The whole military psyche is 'get on, crack on, put up', and there are people rightly or wrongly not willing to express their problems," he said.

"And I think this is an antithesis of the attitude of employees in the public services.

"I think there are cultural things in play here that are perhaps not apparent in the groups that they compared."

Dr Greenberg underlined that it was vital to ensure medical support in military units that covered mental health disorders.

"Improving training, as well as raising awareness among staff of the link between personnel reporting sick and having poorer mental health may help identify those in most need of psychological help," he said.



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Baby P doctor can challenge GMC

A doctor accused of failing to spot signs that Baby P was being abused has won the right to legally challenge a General Medical Council disciplinary hearing against her.

Dr Sabah Al-Zayyat is seeking to overturn a GMC ruling that refused to grant her "voluntary erasure" from the medical register on health grounds.

The judge ordered that her challenge be heard in the High Court in November.

The GMC panel must stop its hearing until the challenge is heard, he said.

Dr Al-Zayyat's counsel argued that the panel's decision was "perverse" in the light of medical evidence that the doctor is not well enough to participate in the hearing.

The doctor, who is facing disciplinary action over her conduct, had her application to be removed from the medical register rejected earlier this week.

The GMC ruled that the "serious" allegations against her should be heard in public.

It could ban her from working in the UK.

GMC panel chairman Ralph Bergmann said: "The application for voluntary erasure would avoid a public, and necessary, examination of the facts of this case."

Mr Bergmann added that the doctor's interests were outweighed by the need to maintain public confidence in the medical profession and in the GMC.

Serious injuries

Dr Al-Zayyat saw 17-month-old Peter Connelly at St Ann's Hospital in Haringey days before his death in 2007.

She is accused of failing to carry out an "adequate examination", investigate his injuries or admit him to hospital.

A post-mortem examination found he had probably suffered serious injuries, including a broken back and fractured ribs, before he was examined by Dr Al-Zayyat.

Dr Al-Zayyat is also accused of knowing Peter was on the child protection register.

She had her contract with Great Ormond Street hospital terminated after details of Peter's case came to light.

Dr Al-Zayyat, who did not attend this latest hearing, was originally due to face GMC disciplinary action in February.

The earlier session was adjourned after the panel heard she was "suicidal", unfit to defend herself and had left the country.



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