title: Rewarding and unrewarding aspects of deployment to Iraq and its association with psychological health in UK military personnel.
abstract: OBJECTIVE
  Research into how individuals perceive their deployment experiences is important for understanding the association between stressful events and subsequent positive or negative effects. This study examines perceptions among UK military personnel with regard to rewarding and unrewarding aspects of deployment in Iraq.
  
  
  METHODS
  Analyses were carried out on 5,573 UK military personnel who had deployed to Iraq between 2003 and 2006. Information on socio-demographic and military characteristics; deployment experiences, including perceptions of rewarding and unrewarding aspects of service; and information on current health, were collected with questionnaires. Associations between deployment and health factors, and participants' perceptions of service were examined.
  
  
  RESULTS
  The rewarding aspects of deployment were related to military tasks such as "doing the job you were trained to do", "teamwork/comradeship" and altruistic aspects such as "helping local people". The unrewarding aspects were "being separated from family and friends" and "quality of supply and equipment". Although there was general agreement on the aspects that mattered to most Service personnel, there were differences associated with operation deployed to, enlistment type, rank, service and psychological health. Those with a psychological problem were more likely to find most military aspects of deployment unrewarding but were more likely to find helping the local population and working with other coalition forces rewarding.
  
  
  CONCLUSIONS
  This study demonstrates how the perceptions of deployment, in terms of rewarding and unrewarding aspects, are shaped by service characteristics, mental health and operation deployed to.
authors.affiliation: Academic Centre for Defence Mental Health, Department of Psychological Medicine, Institute of Psychiatry, Weston Education Centre, King's College London, 10 Cutcombe Road, London SE59RJ, UK. Josefin.sundin@kcl.ac.uk
authors.forename: Josefin
authors.initials: J
authors.lastname: Sundin
authors.forename: Nicola T
authors.initials: NT
authors.lastname: Fear
authors.forename: Lisa
authors.initials: L
authors.lastname: Hull
authors.forename: Norman
authors.initials: N
authors.lastname: Jones
authors.forename: Christopher
authors.initials: C
authors.lastname: Dandeker
authors.forename: Matthew
authors.initials: M
authors.lastname: Hotopf
authors.forename: Simon
authors.initials: S
authors.lastname: Wessely
authors.forename: Roberto J
authors.initials: RJ
authors.lastname: Rona
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007493:Iraq; D008297:Male; D008889:Military Personnel / Q000523:psychology*; D016273:Occupational Exposure; D012201:Reward; D011795:Surveys and Questionnaires; D006113:United Kingdom