Trauma exposure, mental health, and quality of life among injured service members: Moderating effects of perceived support from friends and family

Adaptive sports are popular within military and civilian rehabilitation communities as a means to promote fitness, independence, self-efficacy, and return to participation in life roles. Although widely prescribed, there is little evidence to demonstrate the efficacy of such interventions. This study surveyed 40 wounded, ill, and injured active duty and veteran service members (SMs) who participated in a week-long adaptive kayaking program. Validated health-related quality of life instruments assessing physical and behavioral health domains following trauma were administered before and after participation in a week-long adaptive kayaking trip. Postintervention analysis of these measures revealed clinically significant improvements in depression (+7 percent), anxiety (+5 percent), posttraumatic stress disorder (+4 percent), and social interaction (+7 percent) subscales on the Trauma Outcome Profile (TOP) which trended toward, but did not achieve, statistical significance. Analysis of Veterans RAND (VR-12) data revealed a mean four-point improvement in participant mental health component summary (MCS) scores (p _ 0.05) following intervention indicating clinically and statistically significant improvement in behavioral health symptoms. No improvement was observed on the mean postintervention physical health component summary (PCS) score suggesting minimal short-term effects of kayaking on self-assessment of physical well-being. In aggregate, findings from this study suggest that adaptive kayaking may be an effective intervention to remediate behavioral health sequelae commonly experienced by SM following trauma. Future research should explore the effectiveness of adaptive kayaking relative to standard of care clinical rehabilitation strategies to optimize physical as well as mental health outcomes.

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Relationship Between Satisfaction With Mental Health Services, Personal Recovery and Quality of Life Among Service Users With Psychosis: A Cross-Sectional Study

10.21203/rs.3.rs-151449/v1 ◽

2021 ◽

Author(s):

Regina Skar-Fröding ◽

Hanne Kristin Clausen ◽

Jūratė Šaltytė Benth ◽

Torleif Ruud ◽

Mike Slade ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Health Services ◽

Perceived Support ◽

Service Users ◽

Personal Recovery ◽

Cross Sectional ◽

The Relationship ◽

Satisfaction With Services

Abstract Background: Mental health policy internationally emphasizes patient centredness and personal recovery. This study investigated the relationship between satisfaction with mental health services among service users with psychosis in Norway, and personal recovery, perceived support for personal recovery, and quality of life.Methods: Cross-sectional data were collected from 292 service users diagnosed with psychosis from 39 clinical sites across Norway. Satisfaction with services was assessed using the Client Satisfaction Questionnaire-8. A linear mixed model was estimated to explore the relationship between satisfaction with services and preselected covariates, and to control for confounding factors. Results: A large majority of participants (89%) reported moderate-to-high levels of satisfaction. Satisfaction with services was positively associated with perceived support for personal recovery, but not with personal recovery or quality of life. In addition, service users under a Community Treatment Order (CTO) were significantly less satisfied than those who were not. Conclusions: Satisfaction levels among service users were higher compared with similar, international studies. Those who feel supported in their personal recovery were more satisfied with the care they receive, which support the need for implementation of recovery-oriented practices for service users with psychosis. However, satisfaction with services was not related to service user-rated quality of life or level of personal recovery; thus, more follow-up studies are needed. The lower satisfaction of service users placed under CTOs shows the importance of targeted interventions to improve satisfaction with services among this group. Trial registration: NCT03271242, date of registration: 5 sept. 2017

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The relationship between self-reported physical functioning, mental health, and quality of life in Service members after combat-related lower extremity amputation

Disability and Rehabilitation ◽

10.1080/09638288.2020.1863481 ◽

2020 ◽

pp. 1-7

Author(s):

Susan L. Eskridge ◽

Jessica R. Watrous ◽

Cameron T. McCabe ◽

Mary C. Clouser ◽

Michael R. Galarneau

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Lower Extremity ◽

Physical Functioning ◽

Lower Extremity Amputation ◽

Service Members ◽

The Relationship ◽

Extremity Amputation

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Low back pain, mental health symptoms, and quality of life among injured service members.

Health Psychology ◽

10.1037/hea0000850 ◽

2020 ◽

Vol 39 (7) ◽

pp. 549-557 ◽

Cited By ~ 2

Author(s):

Jessica R. Watrous ◽

Cameron T. McCabe ◽

Gretchen Jones ◽

Shawn Farrokhi ◽

Brittney Mazzone ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Low Back Pain ◽

Back Pain ◽

Service Members ◽

Low Back ◽

Mental Health Symptoms ◽

Health Symptoms

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Mental and physical health, and long-term quality of life among service members injured on deployment

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01852-3 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Cameron T. McCabe ◽

Jessica R. Watrous ◽

Susan L. Eskridge ◽

Michael R. Galarneau

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Physical Health ◽

Service Members ◽

Future Research ◽

Ptsd Symptoms ◽

Mental Hrqol ◽

Mental And Physical Health

Abstract Background More than 52,000 casualties have been documented in post-9/11 conflicts. Service members with extremity injuries (EIs) or traumatic brain injury (TBI) may be at particular risk for long-term deficits in mental and physical health functioning compared with service members with other injuries. Methods The present study combined medical records with patient reports of mental health and health-related quality of life (HRQOL) for 2,537 service members injured in overseas contingency operations who participated in the Wounded Warrior Recovery Project. Combined parallel-serial mediation models were tested to examine the pathways through which injury is related to mental and physical health conditions, and long-term HRQOL. Results Results revealed that injury was indirectly related to long-term HRQOL via its associations with physical health complications and mental health symptoms. Relative to TBI, EI was associated with a higher likelihood for a postinjury diagnosis for a musculoskeletal condition, which were related to lower levels of later posttraumatic stress disorder (PTSD) symptoms, and higher levels of physical and mental HRQOL. Similarly, EI was related to a lower likelihood for a postinjury PTSD diagnosis, and lower levels of subsequent PTSD symptoms, and therefore higher physical and mental HRQOL relative to those with TBI. Despite this, the prevalence of probable PTSD among those with EI was high (35%). Implications for intervention, rehabilitation, and future research are discussed.

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Relationship between satisfaction with mental health services, personal recovery and quality of life among service users with psychosis: a cross-sectional study

BMC Health Services Research ◽

10.1186/s12913-021-06409-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Regina Skar-Fröding ◽

Hanne Kristin Clausen ◽

Jūratė Šaltytė Benth ◽

Torleif Ruud ◽

Mike Slade ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Health Services ◽

Perceived Support ◽

Service Users ◽

Personal Recovery ◽

Cross Sectional ◽

The Relationship ◽

Satisfaction With Services

Abstract Background Mental health policy internationally emphasizes patient centredness and personal recovery. This study investigated the relationship between satisfaction with mental health services among service users with psychosis in Norway, and personal recovery, perceived support for personal recovery, and quality of life. Methods Cross-sectional data were collected from 292 service users diagnosed with psychosis from 39 clinical sites across Norway. Satisfaction with services was assessed using the Client Satisfaction Questionnaire-8. A linear mixed model was estimated to explore the relationship between satisfaction with services and preselected covariates, and to control for confounding factors. Results A large majority of participants (89%) reported moderate-to-high levels of satisfaction. Satisfaction with services was positively associated with perceived support for personal recovery, but not with personal recovery or quality of life. In addition, service users under a Community Treatment Order (CTO) were significantly less satisfied than those who were not. Conclusions Satisfaction levels among service users were higher compared with similar, international studies. Those who feel supported in their personal recovery were more satisfied with the care they receive, which support the need for implementation of recovery-oriented practices for service users with psychosis. However, satisfaction with services was not related to service user-rated quality of life or level of personal recovery; thus, more follow-up studies are needed. The lower satisfaction of service users placed under CTOs shows the importance of targeted interventions to improve satisfaction with services among this group. Trial registration NCT03271242, date of registration: 5 sept. 2017.

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