Okulate Gbenga T
Department of Psychiatry, Nigerian Army Base Hospital, Nigerian Army Medical Corps, Yaba, Lagos, Nigeria.
Mil Med. 2005 Jul;170(7):563-5. doi: 10.7205/milmed.170.7.563.
Using a questionnaire administered by us, we sought to investigate the differences between patients referred to the psychiatric department of a Nigerian military general hospital during peacetime and those referred during the civil war in Liberia in which Nigerian soldiers were involved as peacekeepers. Referrals to psychiatry in peacetime were quite few but increased considerably during the period of combat in direct relation to the increase in the number of surgical wounded in action cases. Organic mental disorders and anxiety disorders were more frequently referred in peacetime than in war, whereas substance abuse disorders were more frequent during the combat period. Non-psychotic psychiatric conditions were less referred in the wartime group, partly because of nonrecognition at the mission areas and also because of recovery in front-line areas or consideration of their evacuation as a nonpriority. Mental health workers engaged at the mission areas require more training in the identification of such cases.
我们通过自行管理的调查问卷，试图调查在和平时期被转介到尼日利亚一家军队总医院精神科的患者，与在利比里亚内战期间（尼日利亚士兵作为维和人员参与其中）被转介的患者之间的差异。和平时期转介到精神科的病例相当少，但在战斗期间大幅增加，这与行动中外科受伤病例数量的增加直接相关。器质性精神障碍和焦虑症在和平时期比战争期间更常被转介，而物质滥用障碍在战斗期间更为常见。战时组中非精神病性精神疾病的转介较少，部分原因是任务地区未识别，也因为在前线地区康复或认为将他们后送并非优先事项。在任务地区工作的心理健康工作者需要接受更多关于识别此类病例的培训。
