超越耻辱:了解军事行为医疗利用中的"倾向弃权者"
Deane E Aikins1,2, Robert H Pietrzak3,4, Joseph C Geraci5,6
1Department of Psychiatry, VA Detroit Healthcare System, Detroit, Michigan.
概括
许多患有创伤后应激障碍 (PTSD) 的士兵不寻求治疗. 较高的PTSD症状严重程度增加了寻求帮助,但"倾向于戒断者"持有负面的心理治疗信念和更高的弹性.
科学领域:
- 军事精神健康 军事精神健康
- 心理创伤学 心理创伤学
- 行为健康服务研究 行为健康服务研究
背景情况:
- 在士兵中,与战斗相关的创伤后应激障碍 (PTSD) 的低治疗利用率是一个持续的挑战.
- 了解那些愿意接受治疗的人 (倾向于戒断者) 阻止寻求帮助的因素至关重要.
研究的目的:
- 在患有PTSD的士兵中确定与治疗不利用相关的因素.
- 检查调查答复和随后的行为健康服务参与之间的关系.
主要方法:
- 537名现役士兵完成了关于耻辱感,治疗信仰,弹性,PTSD症状和意图的调查.
- 医疗记录被追踪了12个月,以评估治疗利用率.
- 基于调查数据,分析对比了"倾向弃权者"和"倾向行动者".
主要成果:
- 63%的士兵承认有心理健康问题,但在一年内没有寻求帮助.
- 增加PTSD症状严重程度与更高的行为健康参与度相关.
- 倾向于戒断的人报告了比倾向于演员的人更多的负面心理治疗信念和更高的弹性.
结论:
- 有相当比例的士兵患有创伤后应激障碍,他们承认有问题,但没有寻求治疗.
- 士兵中PTSD的治疗模式应该解决关于心理治疗的负面信念.
- 强调自我效能和自力更生可能会改善行为健康服务的参与度.
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