在美国退伍军人中,耻辱和获得心理健康护理
Justin B Atkins1, Ronnie Joseph2
1Medicine, Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas (UNLV), Las Vegas, USA.
Cureus
|March 4, 2026
概括
许多美国退伍军人面临着PTSD和抑郁症等心理健康挑战. 包括耻辱和获取问题在内的障碍妨碍了治疗参与,需要多方面的解决方案,以获得更好的退伍军人心理健康护理.
科学领域:
- 心理健康研究 心理健康研究
- 退伍军人事务 医疗保健 医疗保健
- 公共卫生 公共卫生
背景情况:
- 心理健康障碍不成比例地影响美国退伍军人,导致更高的发病率和死亡率.
- 尽管有退伍军人事务 (VA) 服务,但退伍军人,特别是高风险群体中,精神卫生保健的利用率仍然很低.
- 诸如耻辱,农村访问,系统导航和保密问题等障碍妨碍了治疗参与.
研究的目的:
- 审查有关美国退伍军人心理健康保健利用障碍的文献.
- 评估基于证据的干预措施,以改善退伍军人参与和减少心理健康的耻辱.
- 确定提高退伍军人群体心理健康护理获取和利用的策略.
主要方法:
- 2014年至2025年间出版的同行评审文献的叙事综述.
- 综合研究检查文化,态度和结构障碍退伍军人的心理健康护理.
- 评估旨在改善参与和减少耻辱感的干预措施.
主要成果:
- 内部的耻辱感,对判断的恐惧和男性的规范阻止了寻求帮助.
- 地理隔离,行政复杂性和保密问题加剧了避免.
- 有效的干预措施包括综合护理,同行导航,远程心理健康和反污名化运动.
结论:
- 解决文化和结构决定因素的多面性方法对于改善退伍军人精神卫生保健的利用至关重要.
- 综合初级保健 - 心理健康模型和远程心理健康显示出克服障碍的希望.
- 家庭医学医生在早期识别,减少耻辱和促进持续参与方面发挥着关键作用.
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