Mvhr Forum 2012
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THE FORUM FOR CANADA’S SECURITY AND DEFENCE COMMUNITY SUPPLEMENT MVHR FORUM 2012 RESEARCH ABSTRACTS From the 3rd Annual MILITARY AND VETERAN HEALTH RESEARCH FORUM NOVEMBER 26-28, 2012 KINGSTON, ONTARIO 2 LETTER FROM DIRECTORS With over 700,000 veterans in Canada and more than 100,000 serving per- with other researchers and research resources, exchange valuable knowledge, sonnel, we have a significant population with unique risks, exposures and and build new collaborations focused on research endeavours that improve experiences that demands new standards of protection, prevention and care the health and well-being of our Canadian military personnel, veterans and for ill and injured military personnel, veterans, and their families. Interest their families. The MVHR Forum 2012, held November 26-28 in Kingston, is high among the university community to conduct research in the area of Ontario, attracted over 500 Canadian researchers, clinicians, military per- military and veteran health. To successfully do so, coordination and funding sonnel, veterans, industry stakeholders, government representatives and are required. international delegates who joined us to learn and network at Canada’s only The Canadian Institute for Military and Veteran Health Research (CIM- conference that is dedicated to health research for our military and Veterans. VHR) is an innovative organization that engages existing academic research CIMVHR took advantage of this perfect occasion to also launch its new resources and facilitates the development of new research, research capacity book: A Coalition for a New Battlefield: Military and Veteran Health Re- and effective knowledge exchange. The mission of CIMVHR is to optimize search. This second volume in an annual collection consists of selected, peer- the health and well-being of Canadian military personnel, veterans and their reviewed papers based on the content delivered in the MVHR Forum 2011. families by harnessing and mobilizing the national capacity for high-impact The book can be downloaded from our CIMVHR website at www.cimvhr.ca. research, knowledge creation and knowledge exchange. The CIMVHR team is very excited to announce that the preparation for With a network of academic researchers from across Canada, CIMVHR MVHR Forum 2013 is already well underway. As we always seek to meet all serves as a focal point for more than 25 Canadian universities who have Canadian researchers’ needs, we are proud to announce that CIMVHR will agreed to work together in addressing the health research requirements of be broadening its reach by hosting its MVHR Forum 2013 in Edmonton, the military, veterans and their families. The Institute serves all Canadian Alberta. We hope that you will consider joining us next year to find out the stakeholders interested in military and veteran health research and provides latest research, hear exciting key note speakers and network with important a conduit for the academic community, government organizations (e.g., colleagues and friends. National Defence, Veterans Affairs Canada), and similar international or- It is with great pleasure that we offer you the summary collection of the ganizations. The CIMVHR research program ensures sustainability through abstracts of the research presented at our MVHR Forum 2012. We trust you increased public awareness and public-private funding. will find valuable information in the following abstracts written by Canadian CIMVHR activities are guided by the pan-Canadian university consortium researchers covering the fields of mental health, physical health, social health, of interest. The Institute is governed by a Board of Directors representing rehabilitation, transitioning from military life, family health issues, combat stakeholders, along with an Advisory Council that ensures effective links to casualty care and occupational health. the beneficiaries, government, industry, and the broader research community. These presentations are one of the many ways CIMVHR connects with re- CIMVHR is supported by the Secretariat located in Kingston, Ontario and searchers, government stakeholders, and, most importantly, the beneficiaries. managed by the founding members of CIMVHR, Queen’s University and the We thank you for your interest in Canadian military health research and hope Royal Military College of Canada. to connect with you at our next Forum. For the last 3 years, CIMVHR has been hosting a Military and Veteran Health Research Forum (MVHR Forum) to help health researchers engage Sincerely, Alice B. Aiken CD, PhD Stéphanie A. H. Bélanger, PhD Director, Canadian Institute Associate Director, Canadian Institute for Military and Veteran Health Research for Military and Veteran Health Research University Members Thank you to our 26 university members who have agreed to work together in addressing the health research requirements of the military, veterans and their families: Queen’s University Université de Moncton University of Regina Royal Military College of Canada Université de Montréal University of Toronto Université de Sherbrooke University of Victoria Dalhousie University University of Alberta University of Waterloo Memorial University University of Calgary Ryerson University Mount Saint Vincent University University of Manitoba Western University McGill University University of New Brunswick York University McMaster University University of Ontario Institute of Technology The University of British Columbia University of Ottawa Université Laval University of Prince Edward Island Cover photos courtesy of The Vancouver Sun and Combat Camera TABLE OF CONTENTS 3 1. Mental Health Research and Rehabilitation in Active Duty Personnel, Veterans or Families ......................... 7 1. The Institutionalization of Resilience Training in the Canadian Forces .................................................................................................7 Major Dave Blackburn, PhD, Lieutenant-Colonel Suzanne Bailey, Kim Guest and Lieutenant-Colonel Marty Lipcsey 2. Risk Factors for Service-related Mental Disorders among CF Personnel Deployed in Support of the Mission in Afghanistan: A Survival Analysis .....................................................................................................................................7 David Boulos, MSc and Mark A. Zarmorski, MD. 3. Moral Military and the Virtuous Veteran: How Ethics and Psychology are Inseparable in Psychological Rehabilitation and Civil Society Reintegration .................................................................................................................7 Captain (ret’d) Sean Bruyea, MA (cand.) 4. Prolonged Exposure: Predictors of Outcome and Barriers to Utilization ................................................................................................7 Michele Boivin, PhD, Anne Bailliu, MSW and Alasdair Gillis, BSW 5. The Role of the CF Return to Work Program in the Reintegration of Ill and Injured Service Members .................................................7 Julie Coulthard, PhD 6. Pilot-Project on Incarcerated Former Military Personnel in Three Ontario Detention Centres .............................................................8 Isabelle Coté, MD 7. A Pre-Post Evaluation of a Group Program for Veterans with Military Trauma ......................................................................................8 Daniel W. Cox, PhD, Marv Westwood, PhD, David Kuhl, MD, Stu Hoover, MA, and Tim Laidler, BA 8. Evidence of Transferability for Perceptual Cognitive Training to Socially Relevant Abilities in Aging ..................................................8 Jocelyn Faubert, PhD 9. Post-traumatic Stress Disorder and Depressive Symptoms in Relation to Alcohol Use and Alcohol-related Problems Among Male and Female Canadian Forces Veterans .........................................................................................8 Mathew G. Fetzner, MA, Murray P. Abrams, MA, and Gordon J.G. Asmundson, PhD 10. Developing a New Instrument to Assess Mental Healthcare Attitudes at the Beginning of the Military Career: Initial Psychometrics..............................................................................................................................9 Deniz Fikretoglu, PhD, Ann-Renee Blais, Wendy Sullivan-Kwantes, MA, and Marie-Eve Jobidon 11. Identifying Mental Healthcare Attitudes at the Beginning of the Military Career: Implications for Current Mental Health Interventions ................................................................................................................................9 Deniz Fikretoglu, PhD, Wendy Sullivan-Kwantes and Karen Richards 12. A Needs Assessment of Psychological Health in Canadian Forces Members on Deployment to Afghanistan: Implications for Service Delivery ................................................................................................................................................................9 Bryan G. Garber, PhD 13. Living with the Loss of Canada’s Fallen: A Qualitative Study of Family Members’ Experiences Following Military Death ................9 Christina Harrington, PhD (cand.) 14. Acute Traumatic Stress is Strongly Associated with Postconcussional Disorder Following Combat-Related Polytrauma ................10 Grant L. Iverson, PhD, Rael T. Lange, PhD and Louis M. French, PhD 15. Combat-related Post-traumatic Stress Disorder - Examining Long Term Treatment Cost and Mental Health Service Utilization ...10 Major Paul Sedge, MD, J. Devlin, PhD, S. Lessard, MN and V. Joshi,