美国退伍军人心理健康护理障碍 美国退伍军人心理健康护理障碍
Connor Lewis1, Ian C Fischer2,3, Jack Tsai2,4,5
1Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA. connor.lewis@yale.edu.
The Psychiatric quarterly
|June 28, 2024
概括
几乎一半的美国退伍军人面临心理健康护理的障碍. 较低的生活目标,坚和社会支持与这些障碍有关,突出了干预的领域.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 退伍军人健康 退伍军人的健康
- 健康差异 在健康上的差异
背景情况:
- 退伍军人经常面临着获得心理健康护理的重大障碍,包括耻辱,成本和负面看法.
- 目前,有关退伍军人中这些障碍的流行率和相关的全国代表性数据有限.
- 了解这些障碍对于制定有效,基于人口的战略来改善心理健康治疗参与度至关重要.
研究的目的:
- 确定在美国退伍军人中患有精神疾病但没有治疗史的精神健康护理障碍的普遍性.
- 确定关键的倾向性,启用性和基于需求的因素,这些因素与污名,工具障碍和关于心理健康护理的负面信念有关.
主要方法:
- 分析了来自全国退伍军人健康和弹性研究 (n=4,069) 的数据.
- 专注于531名退伍军人 (加权15.0%),他们对精神疾病的查结果呈阳性,但没有接受心理健康治疗.
- 利用多变量后勤回归和相对重要性分析来确定护理障碍的相关性.
主要成果:
- 47.1%的退伍军人报告至少有一个护理障碍.
- 具体障碍的流行包括工具性障碍 (38.7%),感知到的耻辱感 (28.8%) 和负面信念 (22.0%).
- 较低的生活目标,坚和获得的社会支持始终与增加对障碍的认可有关.
结论:
- 美国有很大比例的退伍军人有未满足的心理健康需求,遇到护理障碍.
- 可修改的因素,包括生活的目的,坚和社会支持,与这些障碍有关.
- 调查结果可以为资源分配和制定有针对性的预防和治疗干预措施提供信息,以提高心理健康服务的参与度.
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