Larson Mary Jo, Wooten Nikki R, Adams Rachel Sayko, Merrick Elizabeth L
Senior Scientist, Heller School, Institute for Behavioral Health, Brandeis University, Waltham, MA, USA.
J Soc Work Pract Addict. 2012;12(1):6-27. doi: 10.1080/1533256X.2012.647586. Epub 2012 Feb 22.
Iraq and Afghanistan veterans experience extreme stressors and injuries during deployments, witnessing and participating in traumatic events. The military has organized prevention and treatment programs as a result of increasing suicides and posttraumatic stress disorder among troops; however, there is limited research on how to intervene with alcohol misuse and drug use that accompany these problems. This review presents statistics about post-deployment substance use problems and comorbidities, and discusses the military's dual role in 1) enforcing troop readiness with its alcohol and drug policies and resiliency-building programs, and 2) seeking to provide treatment to troops with combat-acquired problems including substance abuse.
伊拉克和阿富汗战争退伍军人在部署期间经历了极端压力源和伤痛,目睹并参与了创伤性事件。由于军队中自杀率和创伤后应激障碍不断上升,军方组织了预防和治疗项目;然而,关于如何干预伴随这些问题出现的酒精滥用和药物使用情况的研究却很有限。本综述呈现了部署后物质使用问题及共病情况的统计数据,并讨论了军方在以下两方面的双重作用:1)通过其酒精和药物政策以及恢复力建设项目来强化部队的战备状态;2)寻求为患有包括药物滥用在内的战斗所致问题的部队提供治疗。