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对曾在伊拉克服役的英国预备役部队心理健康问题增加的解释。

Explanations for the increase in mental health problems in UK reserve forces who have served in Iraq.

作者信息

Browne Tess, Hull Lisa, Horn Oded, Jones Margaret, Murphy Dominic, Fear Nicola T, Greenberg Neil, French Claire, Rona Roberto J, Wessely Simon, Hotopf Matthew

机构信息

King's Centre for Military Health Research, King's College, UK.

出版信息

Br J Psychiatry. 2007 Jun;190:484-9. doi: 10.1192/bjp.bp.106.030544.

DOI:10.1192/bjp.bp.106.030544
PMID:17541107
Abstract

BACKGROUND

Deployment to the 2003 Iraq War was associated with ill health in reserve armed forces personnel.

AIMS

To investigate reasons for the excess of ill health in reservists.

METHOD

UK personnel who were deployed to the 2003 Iraq War completed a health survey about experiences on deployment to Iraq. Health status was measured using self-report of common mental disorders, post-traumatic stress disorder (PTSD), fatigue, physical symptoms and well-being.

RESULTS

Reservists were older and of higher rank than the regular forces. They reported higher exposure to traumatic experiences, lower unit cohesion, more problems adjusting to homecoming and lower marital satisfaction. Most health outcomes could be explained by role, experience of traumatic events or unit cohesion in theatre. PTSD symptoms were the one exception and were paradoxically most powerfully affected by differences in problems at home rather than events in Iraq.

CONCLUSIONS

The increased ill-health of reservists appears to be due to experiences on deployment and difficulties with homecoming.

摘要

背景

参与2003年伊拉克战争与后备武装部队人员的健康问题相关。

目的

调查后备军人健康问题过多的原因。

方法

参与2003年伊拉克战争的英国军人完成了一项关于在伊拉克部署经历的健康调查。健康状况通过对常见精神障碍、创伤后应激障碍(PTSD)、疲劳、身体症状和幸福感的自我报告来衡量。

结果

后备军人比正规部队年龄更大、军衔更高。他们报告称遭受创伤经历的几率更高、部队凝聚力更低、回国适应问题更多以及婚姻满意度更低。大多数健康结果可以通过角色、创伤事件经历或战区的部队凝聚力来解释。PTSD症状是个例外,反常的是,它受家庭问题差异的影响最大,而非伊拉克事件的影响。

结论

后备军人健康状况的增加似乎是由于部署期间的经历和回国困难所致。

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