国民警卫队服务人员的COVID-19个人经历和创伤后压力
Holly B Herberman Mash1,2, Carol S Fullerton1, Amy B Adler3
1Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
与COVID-19的个人经历,包括失去亲人,在国民警卫队成员中显著增加创伤后压力症状和疾病风险. 这凸显了为服务人员提供有针对性的心理健康支持的需要.
科学领域:
- 军事医学 军事医学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 国民警卫队 (NG) 在美国COVID-19流行病响应中发挥了关键作用.
- 了解个人COVID-19经历对NG成员的心理健康影响对于有效的支持至关重要.
研究的目的:
- 调查个人COVID-19经历与国家卫队服务人员的创伤后应激症状 (PTSS) 和障碍 (PTSD) 之间的关联.
- 在健康危机期间,为识别和支持服务人员心理健康的战略提供信息.
主要方法:
- 在2020年8月至12月期间调查了3,993名国民警卫队成员.
- 评估个人COVID-19经历 (个人感染,家庭感染或与COVID-19死亡的密切接触).
- 利用DSM-5的PTSD检查清单 (PCL-5) 来测量PTSS和可能的PTSD;使用回归分析.
主要成果:
- 32%的参与者报告至少有一次个人COVID-19经历.
- 个人COVID-19经历与更高的PTSS有关,即使调整了人口统计和服务因素.
- 与死于COVID-19的人的亲密关系与明显更高的PTSS和近3倍增加PTSD的几率有关.
结论:
- 在国民警卫队成员中,个人COVID-19经历是增加PTSS和PTSD的重要风险因素.
- 调查结果可以帮助选择服务人员进行激活,并识别那些需要心理健康护理的人.
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