Tsai Jack, Kong Grace
Veterans Affairs New England Mental Illness, Research, Education, and Clinical Center, 950 Campbell Avenue, 151D, West Haven, CT 06516, USA.
Mil Med. 2012 Nov;177(11):1438-44. doi: 10.7205/milmed-d-12-00214.
The mental health of American military soldiers and veterans is of widespread concern; yet, there has been no prior review of studies on Asian Americans and Pacific Islanders (AAPIs) veterans. This article provides a brief, but comprehensive review of the mental health of AAPI veterans. An exhaustive literature search was conducted using the major medical and mental health literature databases. Of 13 identified articles, nine were empirical studies on either post-traumatic stress disorder among AAPI Vietnam veterans or health functioning of AAPI veterans based on national veteran surveys. Findings from these studies showed that some AAPI veterans who served during the Vietnam War encountered racism from fellow soldiers and race-related stressors were associated with more severe post-traumatic stress disorder symptoms. As a group, AAPI veterans were found to be physically healthier than other veterans, but reported poorer mental health and were less likely to use mental health services. However, these findings were limited by the paucity of studies on AAPI veterans and suggest a need for more research on this subpopulation.
美国军人及退伍军人的心理健康受到广泛关注;然而,此前尚无对亚裔美国人和太平洋岛民(AAPI)退伍军人相关研究的综述。本文对AAPI退伍军人的心理健康进行了简要但全面的综述。我们使用主要的医学和心理健康文献数据库进行了详尽的文献检索。在检索到的13篇文章中,9篇是关于AAPI越战退伍军人创伤后应激障碍或基于全国退伍军人调查的AAPI退伍军人健康状况的实证研究。这些研究的结果表明,一些在越战期间服役的AAPI退伍军人遭遇了来自战友的种族主义,与种族相关的压力源与更严重的创伤后应激障碍症状相关。作为一个群体,AAPI退伍军人被发现身体比其他退伍军人更健康,但心理健康状况较差,且使用心理健康服务的可能性较小。然而,这些发现因关于AAPI退伍军人的研究匮乏而受到限制,这表明需要对这一亚群体进行更多研究。