Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Clin Child Fam Psychol Rev. 2013 Sep;16(3):311-21. doi: 10.1007/s10567-013-0141-3.
The US military community includes a population of mostly young families that reside in every state and the District of Columbia. Many reside on or near military installations, while other National Guard, Reserve, and Veteran families live in civilian communities and receive care from clinicians with limited experience in the treatment of military families. Though all military families may have vulnerabilities based upon their exposure to deployment-related experiences, those affected by combat injury have unique additional risks that must be understood and effectively managed by military, Veterans Affairs, and civilian practitioners. Combat injury can weaken interpersonal relationships, disrupt day-to-day schedules and activities, undermine the parental and interpersonal functions that support children's health and well-being, and disconnect families from military resources. Treatment of combat-injured service members must therefore include a family-centered strategy that lessens risk by promoting positive family adaptation to ongoing stressors. This article reviews the nature and epidemiology of combat injury, the known impact of injury and illness on military and civilian families, and effective strategies for maintaining family health while dealing with illness and injury.
美国军队社区包括大多数居住在每个州和哥伦比亚特区的年轻家庭。许多人居住在军事设施上或附近，而其他国民警卫队、预备役和退伍军人家庭则居住在平民社区，并接受临床医生的治疗，这些医生在治疗军人家庭方面经验有限。尽管所有军人家庭都可能因接触与部署相关的经历而面临脆弱性，但那些受战斗伤害影响的家庭则有独特的额外风险，必须由军人、退伍军人事务部和民用从业人员加以理解和有效管理。战斗伤害会削弱人际关系，打乱日常生活的日程和活动，破坏支持儿童健康和幸福的父母和人际关系功能，并使家庭与军事资源脱节。因此，对战斗受伤的现役军人的治疗必须包括以家庭为中心的策略，通过促进积极的家庭适应持续的压力源来降低风险。本文回顾了战斗伤害的性质和流行病学，以及伤害和疾病对军人家庭和 civilian families 的已知影响，以及在处理疾病和伤害时保持家庭健康的有效策略。
