Understanding the Needs of Veterans with PTSD

The theatre as therapy for military veterans? Exploring the mechanisms which impact psychosocial well-being and social connections during theatre-based programmes

BACKGROUND

In many countries, performing arts and theatre practices are being employed with Armed Forces Communities. However, very little evidence exists outlining the psychosocial benefits of this practice. Therefore, this study aims to explore the perceived impact of theatre-based programmes on psychosocial well-being, and social connections, of U.K. Military Veterans.

METHODS

This qualitative study carried out semi-structured interviews with six military veterans who had participated in at least one theatre-based programme.

RESULTS

Four themes were generated from this study; providing a purpose, therapeutic storytelling, social connection, and the impact of the programme ending.

CONCLUSIONS

This study provided unique insight into the benefits of theatre-based programmes on the psychosocial well-being of U.K. military veterans. The programmes were perceived as being beneficial for future employment opportunities, but the ending of these programmes was difficult for some and must be considered alongside provision.

The evolution of PTSD symptoms in serving and ex-serving personnel of the UK armed forces from 2004 to 16: A longitudinal examination

Whilst most military personnel do not develop Post-Traumatic Stress Disorder (PTSD), ex-serving personnel exhibit higher levels compared to those in the military. The heterogeneity of symptom development for serving and ex-serving personnel has not yet been compared in the UK Armed Forces (UK AF). Latent class growth modelling was employed to estimate the trajectories of PTSD symptoms from three waves of data from the PTSD Checklist (PCL-C) from a UK AF sample (N = 7357). Regression mixture models were conducted to investigate covariates of class membership. Five trajectory classes were identified. Most of the sample reported no-low symptoms (71.3%). Of those reporting probable PTSD during the 12 year-period, 4.6% showed improvements, 4.9% worsened, and 1.8% displayed chronic symptoms. A class with subthreshold elevated symptoms (17.3%) was also identified. Trajectories of serving and ex-serving personnel were not substantially different, but more ex-serving personnel were symptomatic and those with chronic symptoms worsened over time. Chronic disorder was associated with lower rank, experiencing violent combat, and proximity to wounding/death on deployment. Worsening symptoms were associated with childhood stress/violence, lower rank, not being in a relationship, inconsistent post-deployment social support, proximity to wounding/death, and voluntary, or medical discharge. The present study found most UKAF personnel did not report PTSD symptoms between 2004 and 16 but, among those experiencing probable PTSD, more participants reported deteriorating/persistent symptoms than who improved. PTSD-onset was related to adversities across childhood and deployment, and lack of social support. Findings underscore the importance of addressing the through-life contributors of PTSD in order to prevent ingrained disorder.