Psychosocial factors associated with psychological distress and functional difficulties in recently transitioned and current serving regular Australian Defence Force members

Craig Hansen; Alexander McFarlane; Marie Iannos; Nicole Sadler; Helen Benassi; Ellie Lawrence-Wood; Stephanie Hodson; Amelia Searle; Miranda Van Hooff

doi:10.1016/j.psychres.2020.112860

Psychosocial factors associated with psychological distress and functional difficulties in recently transitioned and current serving regular Australian Defence Force members

Psychiatry Res. 2020 Feb 10:286:112860. doi: 10.1016/j.psychres.2020.112860. Online ahead of print.

Authors

Craig Hansen¹, Alexander McFarlane², Marie Iannos², Nicole Sadler³, Helen Benassi⁴, Ellie Lawrence-Wood², Stephanie Hodson⁵, Amelia Searle², Miranda Van Hooff²

Affiliations

¹ Centre for Traumatic Stress Studies, University of Adelaide, South Australia, Australia. Electronic address: cdtanalytics@gmail.com.
² Centre for Traumatic Stress Studies, University of Adelaide, South Australia, Australia.
³ Department of Defence, Canberra, Australia; Phoenix Australia, Centre for Posttraumatic Mental Health, Melbourne, Australia.
⁴ Department of Defence, Canberra, Australia; Australian National University, Canberra, Australia.
⁵ Department of Veteran's Affairs, Canberra, Australia.

PMID: 32065981
DOI: 10.1016/j.psychres.2020.112860

Abstract

The transition period from military-to-civilian life can be one of the most significant and stressful periods in the military life cycle. We explore the psychosocial factors associated with psychological distress and functional impairment among those who recently transitioned from the Australian Defence Force (ADF) and those currently serving in 2015. Using data from the Transition and Wellbeing Research Programme, multinomial logistic regression models were used to analyze the associations between a combined measure of psychological distress and functional impairment (K10/SDS) with various psychosocial, lifestyle, and physical health factors. There were 10,210 in the final analytic cohort (Transitioned=3,254; Regular 2015 ADF=6,956). Overall, the odds of belonging to the highly distressed/impaired group were greatest among those with insomnia (Odds Ratio 18.53), low resilience (OR 7.67), physical health symptoms (OR 7.16), and alcohol risk (OR 4.67). Other factors included pain (OR 3.36), financial issues (OR 2.38), and social strain (OR 1.98). The associations with insomnia and physical health symptoms were stronger among the Transitioned compared to the Regular 2015 ADF. Results of this research highlights the importance of taking a multi-dimensional perspective of symptoms in military populations, particularly in those recently transitioned from permanent service, as predictors of future risk of disorder.

Keywords: Defence Force; Functioning; Military; Psychological distress; Psychosocial; Transitioned.