RETURNING SOLDIERS WITH PTSD
Introduction
Gibbons, Hickling
and Watts (2012) posit that post-traumatic
stress disorder has remained a common problem among soldiers returning from
deployment. Interest in this area came on the increase since the start of the
1980s. Since then, various researchers have studied different aspects of the
disorder. Scientific literature is at present huge, challenging ready mastery,
and even the finest; most determined works of research are unavoidably
synoptic. A number of studies have been done in this area, but with
development, various controversies have emerged. Nevertheless, this field has
remained a significant one as cases of post-traumatic disorder increase among
veterans. Psychiatrists have in the past suggested that stressing or
traumatizing events could cause severe stress symptoms even in previously well
adjusted persons. Among soldiers returning from deployment, interest in the
disorder has increased as more and more cases are being reported. Stress among
returning soldiers is a lot and so is the prevalence of post-traumatic stress
disorder
Research question: what are the economic effects of post-traumatic
stress disorder on returning soldiers?
Hypothesis: there are far reaching effects of post-traumatic stress
disorder among returning soldiers, not only on the individuals, but on the
society in general.
Literature review
Post-traumatic
stress disorder originates from exposure to events that cause psychological
trauma. PTSD is an emotional disorder that is grouped among anxiety disorders. Zeber
et al (2010) suggests that individuals with the disorder re-experience the
traumatic events and may respond by avoiding places, people, or anything else reminds
them of the events. Avoidance and hyperarousal are widespread symptoms of
post-traumatic stress disorder. While the symptoms of post-traumatic stress
disorder have been presented since people began to experience traumatic situations,
it has been categorized as a disorder only in the 80s. However, it has been
known by other terminologies before the coining of the term post-traumatic
stress disorder, even at the time of the American Civil War. According to Polusny,
et al (2011), soldiers were said to suffer from “soldier's heart” during the American
Civil War. Even at the time of the First World War, soldiers were seen to
suffer symptoms that were consistent with the disorder. The soldiers were said
to have “combat fatigue.” “Gross stress reaction” was the term that was used
for PTSD during the Second World War. The term “post-Vietnam syndrome” was
developed during the Vietnam War in reference to the symptoms that were
consistent with the disorder. It was after the Vietnam War that the term post-traumatic
disorder was used (Nidiffer and Leach, 2010).
It is estimated
that 7% to 8% of people in the United
States are likely to suffer from the
disorder at one point in their lifetime. While there are other traumatic events
that cause the disorder, the highest percentage of those suffering from the disorder
are returning soldiers. Research results reveal that there are higher rates of
the disorder among groups like the African Americans, Hispanics and Native
Americans than among Caucasians in the United States. According to
Nidiffer and Leach (2010) differences in post-traumatic stress have been
related to factors like higher rates of dissociation following the traumatizing
experience (peritraumatic). This is possibly because of the disadvantages that
are associated with these populations such as lack of social support, the tendency
for self-blame and the dissimilarities in expressing stress. Among combat
populations, a variety of differences have come up as a result of increased
exposure to traumatic situations. Particularly, among the minority populations,
exposure to combat operations at an early age is one of the factors that lead
to increased prevalence of the disorder.
Many cases of
post-traumatic stress disorder among soldiers returning from various wars or
battles. In fact, post-traumatic stress disorder traditionally emanates from
interpretation of the impact of combat on soldiers. Prevalence of Post-traumatic
stress disorder among Vietnam,
Persian Gulf and Iraq
war veterans have been investigated. The National Vietnam Veterans Readjustment
Study (NVVRS), a research commissioned by the United States government provided
data on emotional and mental effects among the soldiers involved in the Vietnam
War. Among the returning soldiers from the Vietnam War, 15 percent of men and 9
percent of women were affected by posttraumatic stress disorder. After the war,
approximately 30 percent of male soldiers and 27 percent of female soldiers had
the disorder at some point in their life. The rates of those who were involved
in the war, was found to be higher than the rate in the control group (Price,
2007).
Regardless the
fact that the Persian Gulf War did not last for a long time, its effect was not
less traumatic than in other wars. Soldiers returning from the battle have reported
cases of emotional and mental health issues. Studies looking at the
psychological effects of soldiers from the war have shown that rates of
posttraumatic stress disorder from the war ranged from 9% to 24%. Iraq war is
another war whose soldiers have been investigated for post-traumatic stress
disorder. A research investigating four United
States combat infantry units consisting of 3 Army and 1
Marine who was deployed in Afghanistan
and Iraq
shown high rates of post-traumatic stress disorder (Tull, 2009). Most of the
soldiers were exposed to some kind of traumatic, combat-related experiences.
Approximately 92% of the soldiers were exposed to attacks and ambush, 94.5% to
coming across dead colleagues, 95% to being shot at, and 86.5% to knowing a combatant
who was seriously injured or killed. After the war, 12.5% suffered post-traumatic
stress disorder (Price, 2007).
Even if not all
the soldiers who have gone through traumatic events suffer post-traumatic
stress disorder, there are physical and emotional effects of going through such
experiences. Studies have shown that returning soldiers have showed that
soldiers who have gone through very stressing events sometimes tend to have
smaller hippocampus (an area of the brain that influence memory) than those who
have not gone through stressing events. Such studies are particularly important
in the efforts to understand the effects of post-traumatic stress disorder
among returning soldiers. Whether or not
a returning soldier developed post-traumatic stress disorder, there are very
high chances of using substance. Most of the soldiers use substance as a means
of coping (Gibbons, Hickling and Watts, 2012)
Research has
revealed that post-traumatic stress disorder has far-reaching effects on the
returning soldier, their families and the society in general. People suffering
from the disorder are at a higher risk of developing other physical and
psychological problems. Research on the medical burden resulting from post-traumatic
stress disorder has revealed that there is a considerable medical burden
resulting from the disorder. The review of the literature on the issues has
revealed that post-traumatic stress disorder and depression are associated with
higher health care use among returning soldiers. It has been showed that between
23 and 40 percent of returning soldiers sought medical care for mental health
problems. However, there is need for further research in providing a clearer
picture of the mental health burden associated with post-traumatic stress
disorder. It is also suggested that that the medical burden will continue to
increase for returning soldiers with post-traumatic stress disorder, depression
and substance use (Gibbons, Hickling and Watts,
2012)
Majority of the
returning soldiers from the Iraq
and Afghanistan
wars have undergone great emotional, physical and relational problems. Most of
them have suffered long after the war and the traumatic experience. This
resulted in the United States Marine Corps coming up with various programs to
help returning soldiers in coping with life after deployment and to be able to
continue serving the nation. Coping with life after deployment is not very easy
as relationships with partners and other family members are also affected.
Although there is lack of substantial research to show the prevalence of
family-related problems due to post-traumatic stress disorder, few of the
investigated cases have revealed that the problem exist. Families of soldiers
are affected by post-traumatic stress disorder are affected by the problem. Such
families are likely to face relationship issues, partner violence, and child
abuse among other domestic problems. Additionally, the families of the soldiers
are already affected by their deployment, which makes the impact of substance
abuse among their spouses, father and mothers even worse. Psychological effects
affect the families besides the direct effect of abuse from the affected
soldier (Harrison, Satterwhite and Ruday, 2010).
The economic
impact of post-traumatic stress disorder among returning soldiers is a serious issue.
Majority of returning soldiers seek treatment of symptoms related to
post-traumatic stress disorder. As of 2005, over 200,000 returning soldiers
were receiving disability compensation due to post-traumatic stress disorder. This
was estimated to cost the country over $4.3 billion. This was an 80% increase
in the figure of returning soldiers receiving the disability benefits for the
disorder and a 149% increase in the cost of disability benefits from the 2000
data (Harrison, Satterwhite and Ruday, 2010). Post-traumatic stress disorder depression,
anxiety disorder and other related psychological issues have caused much
spending in the military budget. The government is said to spend a lot in terms
of treatment for the military personnel diagnosed with post-traumatic stress
disorder. Per capita spending for mental health in the United States was
considerably stable between the years 1996 and 2000. However, there has been an
increase in the per capita spending on mental health treatment on military
personnel between the years 2000 and 2006. This increase was from $104.25 to
$148.56. This has been attributed, a higher percentage, on treatment of
post-traumatic stress disorder and other related health issues.
Research has also been carried out to assess the
treatment capability of the current health care system and approximated the
cost of offering quality health care for returning soldiers. The research showed
that there is a major problem in terms of mental health of the returning
soldiers. However, there have been efforts in addressing the health problems
for the military veterans. The United
States has invested in programs for helping
soldiers suffering from post-traumatic stress disorder. The returning soldiers
suffering from post-traumatic stress disorder and trauma can access help
from centers such as VA hospital or Vet
Center. Such soldiers get
treatment for the disorder as well as counseling to the soldiers and their
families. In addition, every military department has programs for its members
that help in counseling members in order to relieve the posttraumatic stress
disorder symptoms (Harrison, Satterwhite and Ruday, 2010).
Experiment
To test the
hypothesis for this research, the researcher will carry out a face-to-face
interview with two soldiers who have been deployed in war and two who have
never been deployed. Questionnaires will also be developed and given out to ten
soldiers, five who have been deployed and five who have not been deployed. The
main focus of the questions in the questionnaires and those used in the
interviews will be on the effects of post-traumatic stress disorder on the
returning soldiers. During the interview, the interviewee will seek to identify
those returning soldiers who have been diagnosed with symptoms related to post-traumatic
stress disorder. Most of the data for the research will be obtained from
primary literature on research carried out by the government and individuals
into the effects of post-traumatic stress disorder on returning soldiers.
Discussion and conclusion
It has emerged
from the research they post-traumatic stress disorder is a serious issue among
soldier returning from combat operations. The disorder is caused by exposure to
traumatic events or experiences during the operation. A majority of soldiers
involved in war suffer various symptoms related to post-traumatic disorder. From
research it has been revealed that soldiers returning from war or battle tend
to have higher rates of post-traumatic stress disorder than those who are not
deployed, the control group, in various studies. This has been suggested to be
because of the exposure to events such as discovering bodies of dead
colleagues, being shot at, attacks and ambush, and knowing a person who has been
seriously injured or killed. Due to the stressful events, the soldiers from war
suffer a lot of stress that culminate in post-traumatic stress disorder.
Post-traumatic
stress disorder is a reality among returning soldiers having detrimental
effects on the soldiers, their families and the society in general. The problem
has been shown to be accompanied with other medical issues such as depression
and substance use. The problem of posttraumatic stress disorder does not only
affect the soldier, but also his or her family. The state has been using a lot
of money in terms of compensation cost for the veterans with post-traumatic
stress disorder. There has been an increase in the number of soldiers receiving
treatment and receiving disability compensation as a result of the disorder. Results
from this research are significant in informing policies directed at helping
returning soldier with symptoms of post-traumatic stress disorder.
More research is
needed to develop measures to address the problem of post-traumatic stress
disorder. Research is required to help inform more effective prevention
policies and refining the current ones. It is also very important for policy
makers in the area to develop policies aimed at addressing the problem. Development
in prevention strategies is one of the ways of achieving a considerable
solution towards this end. This is possible by researching on risk factors
related to the disorder. This is also possible by developing programs to
counsel the soldiers before and after deployment. Additionally, treatment and
rehabilitation for returning soldiers will go a long way in addressing the
issue. Researchers should continue developing models that help policy makers in
the military in making informed decisions in the implementation of effective
interventions.
References:
Gibbons, S. W., Hickling, E. J.,
& Watts, D. (2012). Combat stressors and
post-traumatic
stress in deployed
military healthcare professionals: an integrative review. Journal of
Advanced Nursing, 68(1), 3-21
Harrison, J. P., Satterwhite, L.
F., & Ruday, J. (2010). The Financial Impact of Post
Traumatic Stress
Disorder on Returning US Military Personnel. Journal of Health Care Finance,
36(4), 65-74.
Nidiffer, F., & Leach, S.
(2010). To Hell and Back: Evolution of Combat-Related Post
Traumatic Stress
Disorder. (Cover Story). Developments in Mental Health Law, 29(1-2),
1-22.
Polusny, M., Erbes, C., Murdoch,
M., Arbisi, P., Thuras, P., & Rath, M. (2011). Prospective
Risk factors for
new-onset post-traumatic stress disorder in National Guard soldiers deployed to
Iraq.
Psychological Medicine, 41(4), 687-698.
Price, Jennifer L. Findings
from the National Vietnam
Veterans' Readjustment Study –
Factsheet. National Center
for PTSD. United States
Department of Veterans Affairs
Tull, Matthew. Rates of PTSD in Veterans, 2009. Viewed on May 9, 2012 from http://ptsd.about.com/od/prevalence/a/MilitaryPTSD.htm
Zeber, J. E., Noel, P. H., Pugh,
M., Copeland, L. A., & Parchman, M. L. (2010). Family
perceptions of
post-deployment healthcare needs of Iraq/Afghanistan military personnel. Mental
Health in Family Medicine, 7(3), 135-143.
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