从伊拉克战争返回的现役和储备部队士兵中对心理健康问题的长度评估
Charles S Milliken1, Jennifer L Auchterlonie, Charles W Hoge
1Division of Psychiatry and Neuroscience, Walter Reed Army Institute of Research, US Army Medical Research and Materiel Command, Silver Spring, Maryland 20910, USA. charles.milliken@us.army.mil
JAMA
|November 15, 2007
概括
对从伊拉克返回的战斗退伍军人进行的第二次查发现精神健康问题比最初的查要多得多. 这凸显了需要加强军事部署后的心理健康护理.
科学领域:
- 军事医学 军事医学
- 心理健康查 心理健康查
- 部署后的健康状况
背景情况:
- 美国国防部为战斗退伍军人实施了两次心理健康查.
- 最初的查可能会低估心理健康负担.
- 专注于部署后的健康评估至关重要.
研究的目的:
- 评估从伊拉克返回的士兵的心理健康需求.
- 检查查和心理健康护理利用之间的联系.
主要方法:
- 基于人口的纵向描述性研究.
- 包括88235名从伊拉克返回的美国士兵.
- 使用了部署后健康评估 (PDHA) 和部署后健康再评估 (PDHRA).
主要成果:
- 重新查 (PDHRA) 发现了比初始查 (PDHA) 更多的心理健康问题和转诊.
- 临床医生发现20.3%的现役和42.4%的预备役士兵需要治疗.
- 人际冲突的担忧增加了四倍;酒精的担忧很高,但转诊率很低.
结论:
- 重新选发现了大量在初始选中错过的士兵.
- 返回后的几个月内仍然存在严重的心理健康负担,需要加强军事护理.
- 越来越多的关系问题表明需要更好的家庭支持服务.
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