Rosenheck R, Leda C, Gallup P
Northeast Program Evaluation Center, Veterans Affairs Medical Center, West Haven, CT 06516.
Hosp Community Psychiatry. 1992 Feb;43(2):145-9. doi: 10.1176/ps.43.2.145.
Clinical data were gathered on 627 homeless Vietnam veterans evaluated in a Department of Veterans Affairs clinical program for homeless mentally ill veterans. More than two-fifths (43 percent) of the 627 veterans showed evidence of combat stress that was associated with more severe psychiatric and substance abuse problems, although not with greater social dysfunction. In comparison with Vietnam veterans assessed in a national epidemiological study, homeless veterans were severely socially and vocationally dysfunctional. While homeless mentally ill veterans with combat stress used VA mental health services more frequently than did homeless mentally ill Vietnam veterans with other disorders, many received no mental health services. Combat stress appears to be a significant problem among homeless mentally ill Vietnam veterans.
收集了627名无家可归的越战老兵的临床数据，这些老兵在退伍军人事务部针对无家可归的精神病退伍军人的临床项目中接受了评估。在这627名老兵中，超过五分之二（43%）表现出战斗压力的迹象，这与更严重的精神疾病和药物滥用问题相关，尽管与更严重的社会功能障碍无关。与在一项全国性流行病学研究中评估的越战老兵相比，无家可归的老兵在社会和职业方面存在严重的功能障碍。虽然有战斗压力的无家可归的精神病退伍军人比患有其他疾病的无家可归的精神病越战老兵更频繁地使用退伍军人事务部的心理健康服务，但许多人没有接受心理健康服务。战斗压力似乎是无家可归的精神病越战老兵中的一个重大问题。
