Clinical, Educational and Health Psychology, University College London, Gower Street, London, WC1E 6BT, UK.
Soc Psychiatry Psychiatr Epidemiol. 2012 Dec;47(12):1891-7. doi: 10.1007/s00127-012-0505-x. Epub 2012 Apr 11.
Little is known about the detection and treatment of psychological disorders arising during military service. We investigated whether personnel who developed disorders while serving in the UK armed forces came to the attention of medical services for these problems, received corresponding diagnoses, and were treated.
For this retrospective record-based study 132 veterans in receipt of a war pension for psychological or physical problems received a lifetime diagnostic interview. Those with onsets of PTSD, depression, or alcohol abuse while in service were compared with those who never developed any condition or only developed it after discharge. Their medical records were inspected for contemporaneous contacts, diagnoses, and treatment.
PTSD and depression, but not alcohol abuse, were independently associated with mental health contacts while in service. The median time from PTSD onset to first contact was 1 month. Under half of personnel meeting criteria for these disorders received a corresponding diagnosis, and alcohol abuse was more likely to be recognised in the context of comorbid PTSD. PTSD was as well recognised in earlier as in later years covered by the study. Most personnel with disorders received treatment, and those treated were more likely to be medically downgraded or discharged.
War pensioners are more likely than not to have had their psychological problems acknowledged and treated while in service. The fact that these problems are still largely present 10 years later raises questions over the continuity of care associated with the transition to civilian life.
对于在兵役期间出现的心理障碍的检测和治疗，人们知之甚少。我们调查了在英国武装部队服役期间出现障碍的人员是否会引起医疗服务部门的注意，是否得到了相应的诊断和治疗。
在这项回顾性基于记录的研究中，132 名因心理或身体问题而领取战争抚恤金的退伍军人接受了一次终身诊断访谈。将 PTSD、抑郁或酒精滥用在服役期间发作的退伍军人与从未出现任何问题或仅在退役后出现问题的退伍军人进行比较。检查他们的医疗记录以了解同期的接触、诊断和治疗情况。
PTSD 和抑郁，但不是酒精滥用，与服役期间的心理健康接触独立相关。从 PTSD 发作到首次接触的中位数时间为 1 个月。符合这些障碍标准的人员中，不到一半人得到了相应的诊断，并且在 PTSD 合并症的情况下更有可能识别出酒精滥用。在研究涵盖的早期和晚期年份，PTSD 都得到了同样的识别。大多数有障碍的人员都接受了治疗，而接受治疗的人员更有可能被医疗降级或退役。
领取战争抚恤金的退伍军人比没有更有可能在服役期间承认和治疗他们的心理问题。这些问题在 10 年后仍在很大程度上存在，这引发了人们对与向平民生活过渡相关的护理连续性的质疑。
