Authors: Robert C. Lorenz; Oisin Butler; Gerd Willmund; Ulrich Wesemann; Peter Zimmermann; Jürgen Gallinat; Simone Kühn · Research

How Does Combat Deployment Affect Brain Processing of War-Related Images?

Study examines how deployment affects soldiers' brain responses to combat-related images and their mental health

Source: Lorenz, R. C., Butler, O., Willmund, G., Wesemann, U., Zimmermann, P., Gallinat, J., & Kühn, S. (2022). Effects of stress on neural processing of combat-related stimuli in deployed soldiers: an fMRI study. Translational Psychiatry, 12(1), 483.

What you need to know

  • Combat deployment was associated with increased depression symptoms, but not PTSD symptoms
  • Changes in brain activity in emotional regions correlated with depression symptoms after deployment
  • The study suggests focusing more attention on depression risk after combat exposure

The Hidden Impact of Combat Deployment

When soldiers return from deployment, we often think first about PTSD. However, the mental health impacts of combat exposure can be more nuanced. Researchers are discovering that depression may be an equally important concern that deserves more attention. This study set out to understand how deployment affects how soldiers’ brains process combat-related images, and what this might tell us about their mental health.

The Research Approach

The researchers studied 104 soldiers before and after deployment to war zones, comparing them to 36 non-deployed soldiers. They showed participants two types of images while scanning their brains: combat-related photos and generally negative emotional images. They also tracked symptoms of both PTSD and depression.

Key Findings

Interestingly, deployed soldiers didn’t show increased PTSD symptoms after their service. However, they did show a rise in depression symptoms, even though these remained below clinical levels. This suggests that combat exposure may have subtle emotional effects that don’t necessarily manifest as full PTSD.

Brain Changes and Depression

The study found fascinating connections between brain activity and depression symptoms. After deployment, soldiers who showed greater activity in the amygdala and hippocampus (brain regions involved in emotional processing and memory) when viewing combat images also tended to report more depression symptoms. This suggests that how the brain processes combat-related memories may be linked to depression risk.

What This Means for You

If you’re a service member, veteran, or family member, these findings highlight the importance of monitoring for depression after deployment - not just PTSD. Depression symptoms might be more subtle than PTSD but are equally important to address. The research suggests:

  • Being aware that combat exposure can affect emotional processing in ways that contribute to depression
  • Not dismissing mild depression symptoms just because they’re “not PTSD”
  • Seeking support if you notice persistent changes in mood, even if they seem minor
  • Understanding that brain changes after deployment are real and worthy of attention

Conclusions

  • Combat deployment can impact mental health through depression as well as PTSD
  • Changes in how the brain processes combat-related memories may indicate depression risk
  • More attention should be paid to identifying and treating depression symptoms in service members
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