Prevalence of Mental Health Issues and Its Associated Risk Factors among Philippine Navy Personnel: A Cross-Sectional Survey
Mark Jay Dagat
Discipline: others in psychology
Abstract:
Mental health is a critical aspect of well-being, influencing an individual's ability to think, express emotions, interact with others, and work productively. Military personnel, particularly sailors and marines, are frequently exposed to psychological and physiological stressors due to prolonged deployments, separation from family, and the demanding nature of their duties. This study aims to assess the mental health status and associated risk factors among deployed and field-assigned Philippine Navy sailors and marines. A cross-sectional survey was conducted from May 6-20, 2022, using an online survey with responses from 345 personnel stationed in Cebu, Palawan, and Tawi-Tawi. The study utilized standardized psychological assessment tools: the Short General Health Questionnaire (GHQ-12) for distress, the Patient Health Questionnaire (PHQ-9) for depression, the Generalized Anxiety Disorder Scale-7 (GADS-7) for anxiety, and the Patient Health Questionnaire Somatic Symptoms-15 (PHQSS-15) for somatic symptoms. Statistical analyses, including ANOVA, Pearson correlations, and multiple linear regression, were applied to determine significant associations. Results indicate prevalence rates of 20.87% for distress, 47.83% for depression, 22.32% for generalized anxiety, and 33.33% for somatic symptoms. Officers and non-commissioned officers exhibited higher distress and depression levels. Tenure in service significantly influenced distress, depression, and anxiety, with symptoms peaking at five years of service and decreasing over time. Sleep duration and quality were critical factors, as shorter sleep was linked to heightened depression, anxiety, and somatic symptoms. These findings highlight the importance of routine mental health assessments, accessible psychological support, and targeted interventions, such as mindfulness training and stress management programs, to promote well-being among military personnel.
References:
- Alegría, M., Álvarez, K., & DiMarzio, K. (2017). Immigration and mental health. Current epidemiology reports, 4(2), 145-155.
- Arango, C., Díaz-Caneja, C. M., McGorry, P. D., Rapoport, J., Sommer, I. E., Vorstman, J. A., ... & Carpenter, W. (2018). Preventive strategies for mental health. The Lancet Psychiatry, 5(7), 591-604.
- Cullen, W., Gulati, G., & Kelly, B. D. (2020). Mental health in the COVID-19 pandemic. QJM: An International Journal of Medicine, 113(5), 311-312.
- de Terte I, Stephens C. Psychological resilience of workers in high-risk occupations. Stress Health 2014;30:353-5.
- Driskell J. E., Salas, E., & Johnston, J. J. (2006). Decision making and performance under stress. In T.W. Britt, A. Adler, & C.A. Castro (Series Eds.) & T.W. Britt, C.A. Castro, & A. Adler (Vol. Eds.), Military life: The psychology of serving in peace and combat: Vol. 1 Military performance (pp. 128- 154). New York: Praeger Press.
- Goodwin L, Wessely S, Hotopf M, Jones M, Greenberg N, Rona RJ, et al. Are common mental disorders more prevalent in the UK serving military compared to the general working population? Psychol Med 2015;45:1881-91.
- Gottschall, S., & Guérin, E. (2021). Organizational and non-organizational risk and resilience factors associated with mental health and well-being in the Royal Canadian Navy. Current Psychology, 1-15.
- Gunnell, D., Kidger, J., & Elvidge, H. (2018). Adolescent mental health in crisis. Bmj, 361.
- Grasse, A. J. (2022). Mental Health in the Navy (Doctoral dissertation, Walden University).
- Gruebner, O., Rapp, M. A., Adli, M., Kluge, U., Galea, S., & Heinz, A. (2017). Cities and mental health. Deutsches Ärzteblatt International, 114(8), 121.
- Jonglertmontree, W., Kaewboonchoo, O., Morioka, I., & Boonyamalik, P. (2022). Mental health problems and their related factors among seafarers: a scoping review. BMC public health, 22(1), 1-19.
- Knapp, M., & Wong, G. (2020). Economics and mental health: the current scenario. World Psychiatry, 19(1), 3-14.
- Kumar, A., & Nayar, K. R. (2021). COVID 19 and its mental health consequences. Journal of Mental Health, 30(1), 1-2.
- MacGregor, A. J., Clouser, M. C., Mayo, J. A., & Galarneau, M. R. (2017). Gender differences in posttraumatic stress disorder among US Navy healthcare personnel. Journal of Women's Health, 26(4), 338-344.
- Mattei, G. (2019). Fashion industry as a source of inspiration for the'Mental Health Department 4.0': an overview.
- Martinez, A. B., Co, M., Lau, J., & Brown, J. S. (2020). Filipino help-seeking for mental health problems and associated barriers and facilitators: a systematic review. Social Psychiatry and Psychiatric Epidemiology, 55(11), 1397-1413.
- Pilgrim, D. (2019). Key concepts in mental health. Sage. Phinney, B., Zamorski, M., & Fikretoglu, D. (2019). Comparison of past-year mental health services use in Canadian Army, Navy, and Air Force personnel. Journal of Military, Veteran and Family Health, 5(1), 2-12.
- Rozanov, V. (2020). Mental health problems and suicide in the younger generation—implications for prevention in the Navy and merchant fleet. International maritime health, 71(1), 34-41.
- Rothermund, E., Michaelis, M., Jarczok, M. N., Balint, E. M., Lange, R., Zipfel, S., ... & Junne, F. (2018). Prevention of common mental disorders in employees. Perspectives on collaboration from three health care professions. International journal of environmental research and public health, 15(2), 278.
- Sampson, H., & Ellis, N. (2019). Seafarers’ mental health and wellbeing. IOSH. Schalk, S. K., Hendrix, S. R., & Nissan, D. A. (2018). The mental health mission aboard the USNS Comfort during humanitarian operations in Puerto Rico. American Journal of Psychiatry, 175(3), 207-208.
- Usher, K., Durkin, J., & Bhullar, N. (2020). The COVID‐19 pandemic and mental health impacts. International journal of mental health nursing, 29(3), 315.
- Van Wijk, C. H., & Meintjes, W. A. (2017). Mental health and personality functioning of naval specialists working in extreme environments. Military Psychology, 29(6), 601-614.
- World Health Organization. (2022). COVID-19 Pandemic Triggers 25% Increase in Prevalence of Anxiety and Depression Worldwide.
- Yu, H. Z. (2017). Analysis of mental health status and its influencing factors of navy crews during long-term sailing. Academic Journal of Second Military Medical University, 506-510