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本文引用的文献

1
Leadership as a predictor of stigma and practical barriers toward receiving mental health treatment: a multilevel approach.领导力作为精神健康治疗中污名化和实际障碍的预测因素:一种多层次方法。
Psychol Serv. 2012 Feb;9(1):26-37. doi: 10.1037/a0026412.
2
The stigma of mental health problems and other barriers to care in the UK Armed Forces.英国武装部队的心理健康问题耻辱感和其他护理障碍。
BMC Health Serv Res. 2011 Feb 10;11:31. doi: 10.1186/1472-6963-11-31.
3
Help-seeking and receipt of treatment among UK service personnel.英国军人的求助和治疗情况。
Br J Psychiatry. 2010 Aug;197(2):149-55. doi: 10.1192/bjp.bp.109.075762.
4
Psycho-educational interventions designed to prevent deployment-related psychological ill-health in Armed Forces personnel: a review.旨在预防武装部队人员因部署相关而导致心理不健康的心理教育干预措施:综述。
Psychol Med. 2011 Apr;41(4):673-86. doi: 10.1017/S003329171000125X. Epub 2010 Jun 16.
5
Stigma, barriers to care, and use of mental health services among active duty and National Guard soldiers after combat.现役和国民警卫队士兵在战斗后经历的污名化、获得医疗服务的障碍以及使用心理健康服务的情况。
Psychiatr Serv. 2010 Jun;61(6):582-8. doi: 10.1176/ps.2010.61.6.582.
6
What are the consequences of deployment to Iraq and Afghanistan on the mental health of the UK armed forces? A cohort study.部署到伊拉克和阿富汗对英国武装部队心理健康的后果是什么?一项队列研究。
Lancet. 2010 May 22;375(9728):1783-97. doi: 10.1016/S0140-6736(10)60672-1. Epub 2010 May 12.
7
Do stigma and other perceived barriers to mental health care differ across Armed Forces?军队中精神卫生保健的污名和其他感知障碍是否存在差异?
J R Soc Med. 2010 Apr;103(4):148-56. doi: 10.1258/jrsm.2010.090426.
8
The prevalence of common mental disorders and PTSD in the UK military: using data from a clinical interview-based study.英国军队中常见精神障碍和创伤后应激障碍的患病率:基于临床访谈研究的数据
BMC Psychiatry. 2009 Oct 30;9:68. doi: 10.1186/1471-244X-9-68.
9
The cultural shaping of depression: somatic symptoms in China, psychological symptoms in North America?抑郁症的文化塑造:中国的躯体症状,北美的心理症状?
J Abnorm Psychol. 2008 May;117(2):300-313. doi: 10.1037/0021-843X.117.2.300.
10
New onset and persistent symptoms of post-traumatic stress disorder self reported after deployment and combat exposures: prospective population based US military cohort study.部署和经历战斗暴露后自我报告的创伤后应激障碍新发病例及持续症状:基于美国军事队列人群的前瞻性研究
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探索为接受创伤后应激障碍治疗的英国武装部队成员提供护理的积极途径:一项定性研究。

Exploring positive pathways to care for members of the UK Armed Forces receiving treatment for PTSD: a qualitative study.

作者信息

Murphy Dominic, Hunt Elizabeth, Luzon Olga, Greenberg Neil

机构信息

King's Centre for Military Health Research, King's College London, London, UK.

Department of Clinical Psychology, Royal Holloway University, London, UK.

出版信息

Eur J Psychotraumatol. 2014 Feb 17;5. doi: 10.3402/ejpt.v5.21759. eCollection 2014.

DOI:10.3402/ejpt.v5.21759
PMID:24624262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3929076/
Abstract

OBJECTIVE

To examine the factors which facilitate UK military personnel with post-traumatic stress disorder (PTSD) to engage in help-seeking behaviours.

METHODS

The study recruited active service personnel who were attending mental health services, employed a qualitative design, used semi-structured interview schedules to collect data, and explored these data using interpretative phenomenological analysis (IPA).

RESULTS

Five themes emerged about how participants were able to access help; having to reach a crisis point before accepting the need for help, overcoming feelings of shame, the importance of having an internal locus of control, finding a psychological explanation for their symptoms and having strong social support.

CONCLUSIONS

This study reported that for military personnel who accessed mental health services, there were a number of factors that supported them to do so. In particular, factors that combated internal stigma, such as being supported to develop an internal locus of control, appeared to be critical in supporting military personnel to engage in help-seeking behaviour.

摘要

目的

探讨促使患有创伤后应激障碍(PTSD)的英国军事人员寻求帮助行为的因素。

方法

该研究招募了正在接受心理健康服务的现役人员,采用质性设计,使用半结构化访谈提纲收集数据,并运用解释现象学分析(IPA)对这些数据进行探究。

结果

出现了五个关于参与者如何能够获得帮助的主题;在接受需要帮助之前必须达到危机点、克服羞耻感、拥有内控点的重要性、为自己的症状找到心理学解释以及拥有强大的社会支持。

结论

本研究报告称,对于那些接受心理健康服务的军事人员而言,有若干因素支持他们这样做。特别是,诸如被支持培养内控点等对抗内在污名的因素,在支持军事人员参与求助行为方面似乎至关重要。