Evidence map›Paper›PMID 40847334›Full record

ArticleBMC public health2025

Psychological distress across the deployment cycle: comparing pre- and peri-pandemic trajectories.

Antje H Bühler, Gerd-Dieter Willmund

Abstract readComparative Study
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Antje H BühlerBundeswehr Centre for Military Mental Health, Military Hospital Berlin, Scharnhorststr. 13, Berlin, 10115, Germany. antjeheikebuehler@bundeswehr.org.
Gerd-Dieter WillmundBundeswehr Centre for Military Mental Health, Military Hospital Berlin, Scharnhorststr. 13, Berlin, 10115, Germany.

Funding

Medical Academy of Bundeswehr SoFo 37K4-S32-2123
6 · The paper itself

Abstract

backgroundTo prevent military personnel from becoming vectors of SARS-CoV-2 transmission during the pandemic, soldiers throughout the world were required to quarantine before and after deployment. This study examined whether deployment-related quarantining affected trajectories of psychological distress for German military personnel throughout the deployment cycle. Pandemic-specific mental health studies were criticised for lacking a pre-pandemic reference point. This study aims to address this gap, thus providing stronger evidence as to whether deployment-related quarantining affected psychological distress.

methodPre-pandemic data were pooled with peri-pandemic data. The pre-pandemic sample consisted of 96 soldiers, and the sample from the pandemic group included 95 soldiers. Both groups completed the Brief Symptom Inventory (BSI)/Mini-Symptom Checklist (Mini-SCL) at three time points: two weeks before deployment, two weeks after deployment, and at a follow-up, three to six months post-deployment. The pandemic sample participated in both pre-deployment and post-deployment quarantines, completing the Mini-SCL five times. A two-way repeated-measures ANOVA assessed differences across deployment phases and time periods.

resultsThe repeated measures ANOVA revealed significant main effects for the within-subjects factor "deployment phases" and the between-subjects factor "pre- versus peri-pandemic period," with a significant interaction between both factors. Follow-up analyses showed 1) differing pre- and peri-pandemic trajectories of psychological distress across the deployment cycle and 2) higher levels of psychological distress during the peri-pandemic period, except for the two-week post-deployment measurement, which coincided with the end of post-deployment quarantine.

conclusionsWhile it is difficult to disentangle the specific impact of the pandemic versus deployment-related quarantine measures, the findings suggest that the pandemic itself had a more substantial impact on psychological distress than the quarantine measures. This study underscores the importance of selecting critical measurement time points, and utilising shorter, streamlined measures in future research.

Indexed as

COVID-19Military DeploymentMilitary PersonnelPsychological DistressQuarantineStress, PsychologicalAdultFemaleGermanyHumansMalePandemicsYoung AdultMilitary deploymentPre- and peri-pandemicPsychological distressQuarantine

Identifiers

PMID40847334
PMCPMC12372354

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.