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[参与维和任务及作战行动士兵的精神障碍分类]

[Classification of mental disorders of soldiers participating in peace missions and warfare actions].

作者信息

Gruszczyński Wojciech, Florkowski Antoni, Gruszczyński Bartosz, Wysokiński Adam

机构信息

Klinika Psychiatrii Dorosłych Uniwersytetu Medycznego w Lodzi.

出版信息

Pol Merkur Lekarski. 2008;25 Suppl 1:55-8.

Abstract

Numerous media reports (press, radio, television) and several scientific publications on psychiatric disorders among Polish soldiers participating in peace missions in Iraq indicate that there is a serious threat caused by the disorders defined in the DSM-IV classification as: acute stress disorder (ASD) and post-traumatic stress disorder (PTSD). The authors analyzed psychiatric documentation and conducted their own researches, which revealed that adjustment disorders, especially with anxiety, are the main psychiatric problem among Polish soldiers in Iraq, while incidence of ASD and PTSD is very low. The aim of this publication is to present and compare mental disorders which occur during peace missions and welfare actions according to the international ICD-10 and American DSM-IV classifications. The authors paid attention to the role and significance of hitherto diagnosed impulsive disorders, which occur among the soldiers in Iraq as the intermittent explosive disorder, according to DSM-IV. The general and essential conclusions of the presented publication is that the guidelines of diagnosing mental disorders that occur during peace missions and welfare actions should be developed and introduced quickly.

摘要

众多媒体报道(报纸、广播、电视)以及一些关于参与伊拉克和平任务的波兰士兵精神疾病的科学出版物表明,被《精神疾病诊断与统计手册》第四版(DSM-IV)分类定义为急性应激障碍(ASD)和创伤后应激障碍(PTSD)的疾病构成了严重威胁。作者分析了精神科文档并开展了自己的研究,结果显示适应障碍,尤其是伴有焦虑的适应障碍,是在伊拉克的波兰士兵中的主要精神问题,而急性应激障碍和创伤后应激障碍的发病率很低。本出版物的目的是根据国际疾病分类第十版(ICD-10)和美国《精神疾病诊断与统计手册》第四版(DSM-IV)呈现并比较在和平任务及福利行动期间出现的精神障碍。作者关注了迄今所诊断出的冲动性障碍的作用和意义,根据《精神疾病诊断与统计手册》第四版,这种冲动性障碍在伊拉克士兵中表现为间歇性爆发障碍。本出版物给出的总体和基本结论是,应迅速制定并引入针对在和平任务及福利行动期间出现的精神障碍的诊断指南。

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