Systematic review and meta-analyses of psychosocial interventions for veterans of the military

Neil J Kitchiner, Neil P Roberts, David Wilcox, Jonathan I Bisson, Neil J Kitchiner, Neil P Roberts, David Wilcox, Jonathan I Bisson

Abstract

Background: The efficacy of psychosocial therapies for common mental health disorders in veterans is unclear and requires further examination.

Method: Systematic review and meta-analyses of randomised controlled trials (RCTs). Twenty databases were searched. Studies were included if they reported a psychosocial intervention designed to treat or reduce common mental health symptoms in veterans identified as being symptomatic at the time they entered the study. Studies of substance dependency disorders and psychosis were excluded. Eligible studies were assessed against methodological quality criteria and data were extracted and analysed.

Results: Twenty-nine RCTs were identified. There was evidence for the use of trauma-focused therapies for post-traumatic stress disorder (PTSD) and some evidence for psychological interventions in the treatment of borderline personality disorder, depression, insomnia, and panic disorder co-morbid to PTSD. However, methodological quality of many of the studies was less than optimal.

Conclusions: Trauma-focused psychological therapies are likely to be effective for combat-related PTSD but there is a need for more research to determine the efficacy of psychological treatments for other mental health disorders in veterans.

Keywords: Veterans; common mental disorders; randomised controlled trials.

Figures

Fig. 1
Fig. 1
profile summarising trial flow.
Fig. 2
Fig. 2
Self-report depression severity.
Fig. 3
Fig. 3
Self-report insomnia clinical measures.
Fig. 4
Fig. 4
Self-reported PTSD symptom severity.

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