由同行领导的"诚实,开放,自豪"计划旨在减少德国军人中精神疾病耻辱的影响:随机对照试验
Nicolas Rüsch1, Christian Helms2, Jana Hörger3
1Department of Psychiatry II, Ulm University and BKH Günzburg, Ulm/Günzburg, Germany. nicolas.ruesch@uni-ulm.de.
Social psychiatry and psychiatric epidemiology
|July 22, 2025
概括
诚实,开放,自豪 (HOP) 计划有效地减少了耻辱压力,并改善了军事人员的心理健康结果. 这种同行主导的干预积极影响了现役军人的生活质量,自我耻辱和幸福感.
科学领域:
- 心理健康研究 心理健康研究
- 军事心理学 军事心理学
- 污名化减少干预措施
背景情况:
- 患有精神疾病的军人面临着严重的耻辱,导致歧视和不愿透露他们的情况.
- 耻辱感会影响军方社区的自我认知,寻求帮助的行为以及整体生活质量.
- 需要有效的干预措施来减轻耻辱对军人的心理健康的影响.
研究的目的:
- 评估"诚实,开放,自豪" (HOP) 计划在德国军队中的有效性.
- 评估HOP对披露决策的影响,并减少精神疾病的军事人员之间的耻辱.
- 确定同行领导的小组计划是否可以有效地支持服务人员管理心理健康挑战.
主要方法:
- 一项随机对照试验,涉及99名患有精神疾病的现役军人.
- 参与者被分配到HOP计划加通常治疗 (TAU) 或单独TAU.
- 主要终点包括耻辱压力和心理生活质量,在特定的随访点测量.
主要成果:
- 与对照组相比,HOP组的耻辱压力显著下降.
- 在初级终点上没有观察到HOP对心理生活质量的显著影响.
- 对于二次结果,包括整体生活质量,自我耻辱,抑郁症状,赋权,幸福感以及对披露和寻求帮助的态度等,注意到了显著的积极影响.
结论:
- 对于现役军人来说,HOP计划是可行的和有效的,它涉及耻辱压力,披露,抑郁症状,生活质量和幸福感.
- 在军事环境中,HOP显示出作为精神健康服务和同行支持的宝贵补充的潜力.
- 进一步整合此类计划可以加强心理健康支持,减少武装部队的耻辱感.
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