部署后的心理疾病查和针对英国军队寻求帮助的定制建议:一个集群随机对照试验
Roberto J Rona1, Howard Burdett1, Mizanur Khondoker2
1King's Centre for Military Health Research, Department of Psychological Medicine, King's College London, London, UK.
Lancet (London, England)
|February 21, 2017
概括
部署后对精神障碍的查并没有减少军事人员的患病率或增加寻求帮助的情况. 这些发现表明需要重新评估目前的心理健康查计划.
科学领域:
- 军事精神健康
- 心理查
- 公共卫生干预措施
背景情况:
- 部署后的精神疾病查缺乏随机对照试验 (RCT) 的证据.
- 之前的评估没有评估其在减少心理健康状况或改善寻求帮助的行为方面的有效性.
研究的目的:
- 评估部署后查创伤后应激障碍 (PTSD),抑郁症,焦虑和滥用酒精的有效性.
- 评估定制求助建议对心理健康结果和求助行为的影响.
主要方法:
- 一个集群RCT涉及英国军事人员 (皇家海军陆战队和陆军) 在部署到阿富汗后.
- 分层的区块随机分配分队进行选,并提供量身定制的建议或一般建议.
- 随访评估测量了创伤后应激障碍,抑郁,焦虑,滥用酒精,以及自我报告的寻求帮助.
主要成果:
- 在随访时,查和对照组之间没有PTSD,抑郁症,焦虑症或滥用酒精的发生率显著差异.
- 部署后的查和量身定制的咨询并没有显著增加寻求心理障碍的机会.
- 有可能患有精神疾病的员工更容易接受量身定制的建议.
结论:
- 使用定制咨询的部署后查在减少心理健康障碍的流行或增加军人寻求帮助方面是无效的.
- 已有部署后查计划的国家应监测其有效性和结果.
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