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伊拉克和阿富汗现役军人样本中的创伤后应激障碍与服务利用情况

Post-traumatic stress disorder and service utilization in a sample of service members from Iraq and Afghanistan.

作者信息

Erbes Christopher, Westermeyer Joseph, Engdahl Brian, Johnsen Erica

机构信息

Department of Veteran Affairs Medical Center (116A6), One Veterans Drive, Minneapolis, MN 55417, USA.

出版信息

Mil Med. 2007 Apr;172(4):359-63. doi: 10.7205/milmed.172.4.359.

DOI:10.7205/milmed.172.4.359
PMID:17484303
Abstract

OBJECTIVE

The purpose of this study was to evaluate levels of post-traumatic stress disorder (PTSD), depression, alcohol abuse, quality of life, and mental health service utilization among returnees from Operation Enduring Freedom and Operation Iraqi Freedom.

METHODS

One hundred twenty returnees, enrolled for health care at a midwestern Veterans Affairs medical center, completed questionnaires approximately 6 months after their return from deployment.

RESULTS

PTSD levels (12%) were consistent with previous research while problematic drinking levels were also elevated (33%). PTSD and, to a lesser degree, alcohol abuse were associated with lower quality of life in multiple domains, even when controlling for the influence of depression. Of those screening positive for PTSD, 56% reported using mental health services. Only 18% of those screening positive for alcohol abuse reported using such services.

CONCLUSIONS

PTSD and alcohol problems are prevalent in Operation Enduring Freedom/Operation Iraqi Freedom returnees and associated with lower quality of life. Mental health service utilization is limited, even among returnees enrolled for Veterans Affairs health care.

摘要

目的

本研究旨在评估持久自由行动和伊拉克自由行动归国人员的创伤后应激障碍(PTSD)、抑郁、酒精滥用、生活质量及心理健康服务利用水平。

方法

120名在中西部退伍军人事务医疗中心登记接受医疗保健的归国人员,在从部署地返回约6个月后完成问卷调查。

结果

PTSD水平(12%)与先前研究一致,而问题饮酒水平也有所升高(33%)。即使在控制了抑郁的影响后,PTSD以及程度较轻的酒精滥用在多个领域都与较低的生活质量相关。在PTSD筛查呈阳性的人中,56%报告使用了心理健康服务。在酒精滥用筛查呈阳性的人中,只有18%报告使用了此类服务。

结论

PTSD和酒精问题在持久自由行动/伊拉克自由行动归国人员中普遍存在,并与较低的生活质量相关。心理健康服务的利用有限,即使在登记接受退伍军人事务医疗保健的归国人员中也是如此。

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