Creamer Mark, Carboon Isla, Forbes Andrew B, McKenzie Dean P, McFarlane Alexander C, Kelsall Helen L, Sim Malcolm R
Australian Centre for Posttraumatic Mental Health, Austin Health Repatriation Campus, P.O. Box 5444, Heidelberg, Victoria 3081, Australia.
Am J Psychiatry. 2006 Apr;163(4):733-4. doi: 10.1176/ajp.2006.163.4.733.
This study investigated the association between the onset of psychiatric morbidity and separation from military service over a 10-year period (1991-2001).
The prevalence of affective, anxiety, somatic, and substance use disorders was assessed in 2,215 male Australian Navy personnel with the Composite International Diagnostic Interview.
The onset of a psychiatric disorder during military service was related to a 19% greater risk of separation overall. The majority of those leaving military service did so in the first year after symptom onset. Personnel who remained in service past this period had no significantly elevated risk of separation in subsequent years.
Psychiatric morbidity represents a significant potential cost to defense forces. Improved recognition and early management of mental health problems among military personnel may improve retention rates.
本研究调查了1991年至2001年这10年间精神疾病发病与退伍之间的关联。
采用综合国际诊断访谈对2215名澳大利亚海军男性人员的情感、焦虑、躯体和物质使用障碍患病率进行评估。
服役期间发生精神疾病与退伍风险总体增加19%相关。大多数退伍人员是在症状出现后的第一年退伍。在此期间之后仍继续服役的人员在随后几年中退伍风险没有显著升高。
精神疾病对国防部队而言是一项重大潜在成本。改善对军事人员心理健康问题的识别和早期管理可能会提高留用率。
