Posttraumatic stress disorder (PTSD) is associated with the occurrence of secondary psychotic features, complicating treatment and resulting in negative outcomes. Some authors have suggested that PTSD with secondary psychotic features (PTSD-SP) is a diagnostic subtype of PTSD or even a separate diagnostic entity. However, other studies suggest that these psychotic features are just a form of psychiatric comorbidity, or a more severe form of re-experiencing symptoms, possibly related to a more severe or to specific kinds of traumatic events.

Over the past decades, professional public services have been burdened with demands for accountability and with businesslike managerial systems that are endemic to the private sector. In this volume, a team of international experts shows that these influences are relative. They present theoretical and empirical insights on broader changes in and around professional work in healthcare, social welfare, education, and policing.

BACKGROUND: Former child soldiers are at risk of developing post-traumatic stress disorder (PTSD), however, the trajectory of symptoms has yet to be examined. AIMS: The risk and protective factors associated with PTSD symptom change among former child soldiers in Sierra Leone were investigated. METHOD: Data from 243 former child soldiers (mean age 16.6 years, 30% female) were analysed. RESULTS: Self-reported rates of possible PTSD using standard cut-off points declined from 32% to 16% 4 years later (P<0.05).

Using a cross-sectional design, this study explored operational demands during the International Security Assistance Force for Afghanistan (2009-2010) across distinct military units. A total of 1,413 Dutch soldiers, nested within four types of units (i.e., combat, combat support, service support, and command support units) filled out a 23-item self-survey in which they were asked to evaluate the extent to which they experienced operational characteristics as demanding. Exploratory factor analysis identified six underlying dimensions of demands.