Leatherhead Food Research

Gambling harm and post-traumatic stress disorder (PTSD) appear to be prevalent among veterans. Globally, help-seeking rates for gambling are low, and veterans may experience obstacles in accessing mental health support due to stigma. Digital health interventions may increase treatment uptake and improve outcomes for veterans. Here, we report findings from a pilot feasibility study of a novel smartphone application-based intervention, “ACT Vet”, based on Acceptance and Commitment Therapy (ACT) for veterans experiencing PTSD symptoms, gambling harm, or both. A 10-week, within-subjects design was employed with 24 veterans (21 men, 2 women, 1 undisclosed; M age = 45.29 years; SD = 10.70). Outcome measures assessed PTSD symptoms, gambling severity, psychological flexibility, anxiety, alcohol use, suicidality, and loneliness. We also examined participants’ quality of life and app usability and acceptability ratings. Findings demonstrated significant reductions in both PTSD and gambling symptoms across the intervention, with a corresponding increase in psychological flexibility. Alcohol use also decreased post-intervention. High usability scores suggest the app was well-received by participants. Overall, the sustained improvements post-intervention indicates the successful deployment of ACT-based methods in an app format. ACT Vet has potential scalability as a first-line digital intervention for PTSD and/or gambling harm. • ACT Vet is the first smartphone-based Acceptance and Commitment Therapy (ACT) intervention specifically designed to support UK Armed Forces veterans experiencing PTSD symptoms and/or gambling harm. • ACT Vet provides a tailored, evidence-based intervention aligned with the six core ACT principles. • Symptom improvements were maintained up to six weeks post-intervention, demonstrating the potential for brief ACT-based digital interventions to create lasting change. • ACT Vet has the potential to serve as a scalable, low-cost digital intervention that enhances self-management of PTSD and/or gambling harm.

Armed conflict unvaryingly leads to a loss of life, serious violations of human rights and international law, and extensive human suffering. As technological advances change the landscape of modern armed conflict, developments are also urgently needed to ensure accessible, evidence-based care is readily available to those affected.

ABSTRACTThis article re‐examines the anticolonial critique of the concept of ‘humanity’. It uses the example of Leopold Senghor to show the extent to which this critique is shaped by their sociological marginality. Drawing on Georg Simmel's discussion of the ‘stranger’ and Patricia Hill Collins's discussion of the ‘outsider within’, the study rethinks the production of knowledge in racially structured societies. As ‘outsiders within’ colonial empires, anticolonial thinkers from the 1930s to the 1960s challenge the idea of a universal humanity used to justify colonialism and expose its racial stratification. Their critique helps to end colonial domination and develop a more robust conception of common humanity, aligned with a genuine cosmopolitanism that resists exploitative manipulation and promotes anti‐racist agendas. By exploring the critical potential of the figure of the stranger or outsider within, this study invites sociologists to integrate diverse perspectives into sociological discourse and to promote a cosmopolitan epistemology that combines particular and universal insights.

Examine the end-to-end process of identifying, analyzing, and mitigating cyber threats within an organization.

The Intelligence Life Cycle (ILC) is the fundamental framework that underpins the production of intelligence, regardless of the sector. Originally developed as a four-phase process by military intelligence organizations, it has since been adopted and adapted across civilian, government, and commercial cybersecurity contexts—particularly in Cyber Threat Intelligence (CTI).

BackgroundExposure to potentially morally injurious events is increasingly recognised as a concern across a range of occupational groups, including UK military veterans. Moral injury-related mental health difficulties can be challenging for clinicians to treat and there is currently no validated treatment available for UK veterans. We developed Restore and Rebuild (R&R) as a treatment for UK veterans struggling with moral injury-related mental health difficulties. This trial aims to examine whether it is feasible to conduct a pilot randomised controlled trial (RCT) of R&R treatment compared with a treatment-as-usual (TAU) control group.MethodsWe will use a feasibility single-blind, single-site RCT design. The target population will be UK military veterans with moral injury-related mental health difficulties. We will recruit N=46 veteran patients who will be randomly allocated to R&R (n=23) or TAU (n=23). Patients randomised to R&R will receive the 20-session one-to-one treatment, delivered online. Veterans allocated to TAU, as there are currently no manualised treatments for moral injury-related mental health problems available, will receive the one-to-one treatment (online) typically provided to veterans who enter the mental health service for moral injury-related mental health difficulties. We will collect outcome measures of moral injury, post-traumatic stress disorder (PTSD), alcohol misuse, common mental disorders and trauma memory at pretreatment baseline (before randomisation), end of treatment, 12 weeks and 24 weeks post-treatment. The primary outcome will be the proportion of patients who screen positive for PTSD and moral injury-related distress post-treatment.Ethics and disseminationThis trial will establish whether R&R is feasible, well-tolerated and beneficial treatment for veterans with moral injury-related mental health difficulties. If so, the results of the trial will be widely disseminated and R&R may improve access to effective care for those who struggle following moral injury and reduce the associated negative consequences for veterans, their families and wider society.Trial registration numberISRCTN99573523.

IntroductionThis is the fourth phase of a longitudinal cohort study (2022–2023) to investigate the health and well-being of UK serving (Regulars and Reservists) and ex-serving personnel (veterans) who served during the era of the Iraq and Afghanistan conflicts. The cohort was established in 2003 and has collected data over three previous phases including Phase 1 (2004–2006), Phase 2 (2007–2009) and Phase 3 (2014–2016).Methods and analysisParticipants are eligible to take part if they completed the King’s Centre for Military Health Research Health and Wellbeing Cohort Study at Phase 3 (2014–2016) and consented to be recontacted (N=7608). Participants will be recruited through email, post and text message to complete an online or paper questionnaire. Data are being collected between January 2022 and September 2023. Health and well-being measures include measures used in previous phases that assess common mental disorders, post-traumatic stress disorder (PTSD) and alcohol misuse. Other areas of interest assess employment, help-seeking and family relationships. New topics include the impact of the British withdrawal from Afghanistan in 2021, complex PTSD (C-PTSD), illicit drug use, gambling and loneliness. Analyses will describe the effect size between groups deployed to Iraq and/or Afghanistan or not deployed, and those who are currently in service versus ex-service personnel, respectively, reporting prevalences with 95% CIs, and ORs with 95% CI. Multivariable logistic and multiple linear regression analyses will be conducted to assess various health and well-being outcomes and associations with risk and protective factors.Ethics and disseminationEthical approval has been granted by the Ministry of Defence Research Ethics Committee (Ref: 2061/MODREC/21). Participants are provided with information and agree to a series of consent statements before taking part. Findings will be disseminated to UK Armed Forces stakeholders and international research institutions through stakeholder meetings, project reports and scientific publications.

ABSTRACT The impression creep test method has been used extensively to determine the in-service creep properties of power plant components from a small volume of material. In the standardisation of the impression creep test, the determination of a maximum ‘allowable’ indentation depth is an important issue. This paper presents the results of finite element analyses obtained using a simplified method based on steady-state creep, for evaluating the variation of conversion factors with indentation depth. The results obtained show that the indentation depth has a significant influence on the conversion parameters and the steady-state creep deformation rate when the indentation depth is sufficiently large. On this basis, recommendation on practical application of these conversion relationships was made to the users, and empirical formulas were provided for the possible corrections of the conversion factors. The effect of plastic zone due to initial loading on the subsequent creep was found to be insignificant.