{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T09:30:12Z","timestamp":1772184612644,"version":"3.50.1"},"reference-count":31,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":8586,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1994,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The aim was to study the effect of brief counselling and psychological debriefing following a trauma on subsequent morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We investigated psychological morbidity in 62 British soldiers whose duties included the handling and identification of dead bodies of allied and enemy soldiers during the Gulf War. Of these soldiers, 69% received a psychological debriefing on completion of their duties. The subjects completed by post a demographic questionnaire, the General Health Questionnaire (GHQ-28) and the Impact of Events Scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After nine months 50% had evidence of some psychological disturbance suggestive of posttraumatic stress disorder (PTSD); 18% had sought professional help; 26% reported relationship difficulties. Neither prior training nor the psychological intervention appeared to make any difference to subsequent psychiatric morbidity. Morbidity at nine months was more likely in those with a history of psychological problems and those who believed their lives had been in danger in the Gulf.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings show that a psychological debriefing following a series of traumatic events or experiences does not appear to reduce subsequent psychiatric morbidity and highlights the need for further research in military and civilian settings.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.165.1.60","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T05:26:25Z","timestamp":1224048385000},"page":"60-65","source":"Crossref","is-referenced-by-count":119,"title":["Psychological Sequelae Following the Gulf War"],"prefix":"10.1192","volume":"165","author":[{"given":"Martin P.","family":"Deahl","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian B.","family":"Gillham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret M.","family":"Searle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Srinivasan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000072202_ref30","doi-asserted-by":"publisher","DOI":"10.1080\/0097840X.1982.9936113"},{"key":"S0007125000072202_ref21","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.152.3.330"},{"key":"S0007125000072202_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-197905000-00004"},{"key":"S0007125000072202_ref19","doi-asserted-by":"crossref","first-page":"561","DOI":"10.5694\/j.1326-5377.1986.tb139497.x","article-title":"Long term psychiatric morbidity after a natural disaster: Implications for disaster planners and emergency services","volume":"145","author":"McFarlane","year":"1986","journal-title":"Medical Journal of Australia"},{"key":"S0007125000072202_ref29","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1176\/ajp.143.5.613","article-title":"The role of proximity, immediacy, and expectancy in front line treatment of combat stress reactions among Israelis in the Lebanon war","volume":"143","author":"Solomon","year":"1986","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000072202_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2460020407"},{"key":"S0007125000072202_ref9","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.52.1.79"},{"key":"S0007125000072202_ref1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.159.4.547"},{"key":"S0007125000072202_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700021644"},{"key":"S0007125000072202_ref2","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.126.3.289"},{"key":"S0007125000072202_ref12","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198712243172604"},{"key":"S0007125000072202_ref17","volume-title":"National Vietnam Veterans readjustment study (NVVRS): Description, current status, and initial PTSD prevalence estimates.","author":"Kulka","year":"1988"},{"key":"S0007125000072202_ref5","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.153.4.470"},{"key":"S0007125000072202_ref28","first-page":"111","article-title":"Untreated combat related PTSD \u2013 Why some Israeli veterans do not seek help","volume":"26","author":"Solomon","year":"1989","journal-title":"Israeli Journal of Psychiatry and Related Sciences"},{"key":"S0007125000072202_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-4560.1975.tb01011.x"},{"key":"S0007125000072202_ref15","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1176\/ajp.142.3.303","article-title":"Secondary disaster victims: the emotional effects of identifying and recovering human remains","volume":"142","author":"Jones","year":"1985","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000072202_ref20","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/00005053-198801000-00004","article-title":"The longitudinal course of posttraumatic morbidity. 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