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Postdeployment Battlemind training for the U.K. armed forces: a cluster randomized controlled trial.

Kathleen Mulligan¹, Nicola T Fear, Norman Jones

¹Academic Centre for Defence Mental Health, King's College London, London, United Kingdom.

Journal of Consulting and Clinical Psychology

|March 14, 2012

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An adapted postdeployment intervention for UK armed forces personnel did not improve mental health outcomes. However, the intervention showed a modest reduction in binge drinking rates among participants.

Area of Science:

Military mental health research
Psychological interventions
Public health

Background:

Combat exposure is a known risk factor for psychological ill-health in armed forces (AF) personnel.
A U.S. psycho-educational intervention, Battlemind, demonstrated positive mental health effects in U.S. military personnel.
The effectiveness of an adapted, anglicized version of Battlemind for UK AF personnel required evaluation.

Purpose of the Study:

To assess the effectiveness of an anglicized Battlemind intervention compared to standard care.
To evaluate the intervention's impact on probable posttraumatic stress disorder and common mental disorders.
To examine the intervention's effect on alcohol misuse and binge drinking.

Main Methods:

A cluster randomized controlled trial was conducted with 2,443 UK AF personnel.

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An anglicized Battlemind intervention was compared against the U.K. standard postdeployment brief.

Mental health was assessed using the Posttraumatic Stress Disorder Checklist (PCL-C) and General Health Questionnaire (GHQ-12).

Alcohol misuse and binge drinking were measured using the Alcohol Use Disorders Identification Test (AUDIT).

Main Results:

No significant difference in mental health outcomes or overall Alcohol Use Disorders Identification Test (AUDIT) scores was observed between groups.
Participants receiving the Battlemind intervention reported less binge drinking compared to the standard brief group (adjusted odds ratio = 0.73).
The observed effect on binge drinking was statistically significant but small in magnitude.

Conclusions:

The anglicized Battlemind intervention did not improve mental health in UK armed forces personnel.
The intervention demonstrated a modest, positive impact on reducing binge drinking behaviors.
Targeted interventions to address alcohol misuse remain important for military populations.