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“再见,祝你好运”:英国退役军人的心理健康需求与治疗经历

'Goodbye and good luck': the mental health needs and treatment experiences of British ex-service personnel.

作者信息

Iversen Amy, Dyson Claire, Smith Naomi, Greenberg Neil, Walwyn Rebecca, Unwin Catherine, Hull Lisa, Hotopf Matthew, Dandeker Christopher, Ross John, Wessely Simon

机构信息

King's Centre for Military Health Research, Guy's, King's and St Thomas' School of Medicine, King's College, London, UK.

出版信息

Br J Psychiatry. 2005 Jun;186:480-6. doi: 10.1192/bjp.186.6.480.

DOI:10.1192/bjp.186.6.480
PMID:15928358
Abstract

BACKGROUND

Little is known about the psychological health or treatment experiences of those who have left the British armed forces.

AIMS

To describe the frequency and associations of common mental disorders and help-seeking behaviours in a representative sample of UK veterans at high risk of mental health problems.

METHOD

A cross-sectional telephone survey of 496 'vulnerable' ex-service personnel selected from an existing epidemiological military cohort.

RESULTS

The response rate was 64%; 44% of these had a psychiatric diagnosis, most commonly depression. Those with a diagnosis were more likely to be of lower rank and divorced or separated. Just over half of those with self-reported mental health problems were currently seeking help, most from their general practitioners. Most help-seekers received treatment, usually medication; 28% were in touch with a service charity and 4% were receiving cognitive-behavioural therapy.

CONCLUSIONS

Depression is more common than post-traumatic stress disorder in UK ex-service personnel. Only about half of those who have a diagnosis are seeking help currently, and few see specialists.

摘要

背景

对于那些已离开英国武装部队的人员的心理健康状况或治疗经历,我们了解甚少。

目的

描述心理健康问题高风险的英国退伍军人代表性样本中常见精神障碍的发生率及相关因素,以及寻求帮助的行为。

方法

对从现有的军事流行病学队列中选取的496名“易受伤害”的退役军人进行横断面电话调查。

结果

应答率为64%;其中44%有精神科诊断,最常见的是抑郁症。被诊断出问题的人更可能军衔较低且离婚或分居。自我报告有心理健康问题的人中,略超过一半目前正在寻求帮助,大多数是向他们的全科医生求助。大多数寻求帮助者接受了治疗,通常是药物治疗;28%与服务慈善机构有联系,4%正在接受认知行为疗法。

结论

在英国退役军人中,抑郁症比创伤后应激障碍更常见。目前只有约一半被诊断出问题的人正在寻求帮助,很少有人看专科医生。

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