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. 2024 Nov:179:167-174.
doi: 10.1016/j.jpsychires.2024.09.017. Epub 2024 Sep 13.

The association between perceived social support and mental health in combat-injured and uninjured male UK (ex-)military personnel: A cross-sectional study

Laura E Grover  1 , Susie Schofield  2 , Howard Burdett  3 , Laura Palmer  3 , Alexander N Bennett  4 , Anthony M J Bull  5 , Christopher J Boos  6 , Paul Cullinan  2 , Nicola T Fear  7 ; ADVANCE study
Collaborators, Affiliations
Free article

The association between perceived social support and mental health in combat-injured and uninjured male UK (ex-)military personnel: A cross-sectional study

Laura E Grover et al. J Psychiatr Res. 2024 Nov.
Free article

Abstract

Social support is a key determinant of mental health across multiple populations and contexts. Little is known about social support among UK (ex-)military personnel, especially those with combat injuries following deployment to Afghanistan. This study aimed to investigate the level of perceived social support and its associations with mental health among injured and uninjured UK (ex-)military personnel. An analysis of baseline data from the Armed Services Trauma Rehabilitation Outcome (ADVANCE) prospective cohort study was performed. A representative sample of male UK combat-injured personnel was compared with a frequency-matched sample of uninjured personnel. Validated questionnaires were completed including the Multidimensional Scale of Perceived Social Support (MSPSS). MSPSS score was transformed using linear splines with a knot at ≥ 55. Multivariable logistic regression analyses examined associations between perceived social support and mental health. In total, 521 combat-injured participants (137 with amputations) and 515 uninjured participants were included. Median MSPSS score was 65 (interquartile range [IQR] 54-74). Injured and uninjured participants reported similar MSPSS scores, as did those injured with amputations, and non-amputation injured participants. For each one unit increase in MSPSS score (for scores ≥55), the odds of post-traumatic stress disorder decreased (adjusted odds ratio [AOR] 0.93, 95% confidence interval [CI] 0.91 to 0.96). No such association was found with MSPSS scores below 55 (AOR 0.99, 95% CI 0.97 to 1.01). Similar results were observed for depression and anxiety. Perceived social support may be a target for intervention within this population, irrespective of injury status.

Keywords: ADVANCE study; Combat injury; Mental health; Military; Perceived social support.

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Conflict of interest statement

Declaration of competing interest L.E.G and S.S are funded by the Armed Services Trauma Rehabilitation Outcome (ADVANCE) Charity. Key contributors to this charity are the Headley Court Charity (principal funder), HM Treasury (LIBOR Grant), Help for Heroes, Nuffield Trust for the Forces of the Crown, Forces in Mind Trust, National Lottery Community Fund, Blesma - The Limbless Veterans and the UK Ministry of DefenceMinistry of Defence. H.B is part-funded by a grant from the UK Ministry of DefenceMinistry of Defence (MoD). A.N.B is a serving member of the Royal Air Force. N.T.F is part-funded by a grant from the UK MoD and is a trustee (non-paid) of a charity supporting the health and wellbeing of military personnel, veterans and their families.

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