使用心理健康服务的美国现役军人的心理困扰:2018年国防部调查数据
Mitchel F Cordes1, Anwar E Ahmed1, Darrell E Singer1
1Department of Preventive Medicine & Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, United States.
Journal of affective disorders
|November 18, 2024
概括
近40%使用心理健康服务的现役军人报告严重的心理困扰. 诸如婚姻状况和教育水平等因素与痛苦有关,突出显示了有针对性的支持的必要性.
科学领域:
- 军人卫生保健 军人卫生保健
- 心理上的痛苦 心理上的痛苦
- 流行病学 流行病学
背景情况:
- 军事人员遇到独特的心理健康压力因素.
- 了解服务人员的心理痛苦对于准备工作至关重要.
- 心理健康服务的利用率是评估痛苦的一个关键指标.
研究的目的:
- 确定在现役美国服务人员中严重心理困扰的普遍性,这些服务人员可以获得心理健康护理.
- 为了确定与严重的心理痛苦相关的风险因素,在这个人群中.
主要方法:
- 2018年国防部健康相关行为调查的横截面二次数据分析.
- 在过去的12个月中,使用克斯勒6项心理困扰量表测量严重的心理困扰.
- 用于识别风险因素的加权流行率和后勤回归.
主要成果:
- 在使用心理健康服务的服役人员中,去年严重心理困扰的患病率为39.1%.
- 与分居,丧偶或离婚以及在陆军,海军或海军陆战队服役有关,增加了痛苦的可能性.
- 较低的薪水等级,较低的教育程度 (低于学士学位),吸烟,过度饮酒,非法药物使用和睡眠时间短 (≤6小时) 与痛苦有显著的关联.
结论:
- 在使用心理健康服务的现役军人中,很大一部分 (39.1%) 在过去的一年中经历了严重的心理痛苦.
- 婚姻状况 (分居,寡居,离婚) 和较低的教育水平是心理痛苦的重要风险因素.
- 严重的心理痛苦与性别,种族/种族或性认同之间没有发现任何相关性,这表明需要进一步研究以提高军事准备.
相关概念视频
01:30Stress and Mental Health
77
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
77
01:27Diagnostic and Statistical Manual of Mental Disorders (DSM)
45
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
45
01:27Depressive Disorders: MDD and Dysthymia
61
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
61
01:27Post-traumatic Stress Disorder
29
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
29
01:20Psychological Responses to Stress
45
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
45
01:30Dissociative Identity Disorder
30
Dissociative Identity Disorder (DID), previously termed multiple personality disorder, is a complex psychological condition characterized by the presence of two or more distinct identities or personality states. Each identity exhibits unique patterns of behavior, voice, and mannerisms and may possess separate memories and emotional responses. The alternating control between identities can result in memory gaps and challenges in recalling daily activities, often exacerbating the individual's...
30