Maguen Shira, Litz Brett T
VA Boston Healthcare System, Jamaica Plain, MA 02130, USA.
Mil Med. 2006 May;171(5):454-8. doi: 10.7205/milmed.171.5.454.
In this study, we assessed basic, physical, and mental health needs of peacekeepers; determined barriers to mental health treatment; and examined predictors of barriers to mental health care. Active duty peacekeepers were surveyed before and after their deployment to Kosovo (n = 203) concerning their stress symptoms and attitudes about seeking mental health care after peacekeeping. Sixty-five peacekeepers were evaluated before and after their peacekeeping deployment to Bosnia. Upon returning from their mission, between 5% and 9% of Kosovo and Bosnia peacekeepers reported needing help for anger or hostility, depression, or deployment-related stress. The most frequently endorsed barrier was concern about the personal cost of mental health care. Among Kosovo peacekeepers, pre- and postdeployment post-traumatic stress disorder symptoms were the most robust predictors of mental health treatment barriers. Peacekeepers report a number of treatment needs and barriers that could prevent them from receiving care. The soldiers most in need of services are also those who report the most barriers to care.
在本研究中，我们评估了维和人员的基本、身体和心理健康需求；确定了心理健康治疗的障碍；并研究了心理健康护理障碍的预测因素。对现役维和人员在部署到科索沃前后（n = 203）进行了调查，了解他们的压力症状以及对维和后寻求心理健康护理的态度。65名维和人员在部署到波斯尼亚执行维和任务前后接受了评估。从任务返回后，5%至9%的科索沃和波斯尼亚维和人员报告称在愤怒或敌意、抑郁或与部署相关的压力方面需要帮助。最常被提及的障碍是对心理健康护理个人成本的担忧。在科索沃维和人员中，部署前和部署后的创伤后应激障碍症状是心理健康治疗障碍最有力的预测因素。维和人员报告了一些可能妨碍他们获得护理的治疗需求和障碍。最需要服务的士兵也是那些报告护理障碍最多的人。
