Prevalence and characteristics of trauma and post-traumatic stress symptoms in operational members of the South African National Defence Force

Mil Med. 2003 Jan;168(1):71-5.

Abstract

The prevalence of traumatic event exposure and post-traumatic stress disorder (PTSD) were surveyed in a cohort of 198 full-time operational members of the South African National Defence Force stationed in their "home" unit between deployments. Approximately 90% of members reported having experienced or witnessed trauma in their lifetime (mean number of traumatic events = 4.3 +/- 3.2), whereas 51% reported having inflicted trauma. Twenty-six percent met diagnostic criteria for PTSD on self-report with approximately 29% with PTSD also meeting diagnostic criteria for depression. Few members, however, sought help. PTSD symptom severity was best predicted by trauma type (exposure to physical assault and infliction of life-threatening injury). These findings highlight the high rates of exposure to multiple, noncombat-related trauma in military personnel, the potentially high rates of PTSD, and the role of inflicted trauma as an additional risk factor for PTSD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Combat Disorders / epidemiology*
  • Combat Disorders / prevention & control
  • Combat Disorders / psychology
  • Comorbidity
  • Depressive Disorder / epidemiology
  • Female
  • Humans
  • Male
  • Military Personnel / psychology*
  • Prevalence
  • South Africa / epidemiology
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Stress Disorders, Post-Traumatic / prevention & control
  • Stress Disorders, Post-Traumatic / psychology
  • Substance-Related Disorders / epidemiology