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.
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。
相似文献
1
Exploring positive pathways to care for members of the UK Armed Forces receiving treatment for PTSD: a qualitative study.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。
Eur J Psychotraumatol. 2014 Feb 17;5. doi: 10.3402/ejpt.v5.21759. eCollection 2014.
2
PTSD, stigma and barriers to help-seeking within the UK Armed Forces.创伤后应激障碍、污名化以及英国武装部队内部寻求帮助的障碍。
J R Army Med Corps. 2015 Dec;161(4):322-6. doi: 10.1136/jramc-2014-000344. Epub 2014 Dec 18.
3
Perceived stigma and barriers to care in UK Armed Forces personnel and veterans with and without probable mental disorders.英国武装部队人员和退伍军人中有无可能患有精神障碍者对污名和护理障碍的认知。
BMC Psychol. 2019 Nov 27;7(1):75. doi: 10.1186/s40359-019-0351-7.
4
Combat duty in Iraq and Afghanistan, mental health problems and barriers to care.在伊拉克和阿富汗的战斗任务、心理健康问题及护理障碍。
US Army Med Dep J. 2008 Jul-Sep:7-17.
5
Pathways into mental health care for UK veterans: a qualitative study.英国退伍军人的心理健康护理途径：一项定性研究。
Eur J Psychotraumatol. 2017 Oct 25;8(1):1389207. doi: 10.1080/20008198.2017.1389207. eCollection 2017.
6
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.
7
RESPECT-Mil: feasibility of a systems-level collaborative care approach to depression and post-traumatic stress disorder in military primary care.RESPECT-Mil研究：军队初级保健中针对抑郁症和创伤后应激障碍的系统层面协作护理方法的可行性。
Mil Med. 2008 Oct;173(10):935-40. doi: 10.7205/milmed.173.10.935.
8
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.
9
Post-deployment screening for mental disorders and tailored advice about help-seeking in the UK military: a cluster randomised controlled trial.英国军队部署后精神障碍筛查及寻求帮助的针对性建议：一项集群随机对照试验。
Lancet. 2017 Apr 8;389(10077):1410-1423. doi: 10.1016/S0140-6736(16)32398-4. Epub 2017 Feb 17.
10
Mental health stigmatisation in deployed UK Armed Forces: a principal components analysis.英国现役武装部队中的心理健康污名化：主成分分析
J R Army Med Corps. 2015 Dec;161 Suppl 1:i69-i76. doi: 10.1136/jramc-2015-000587.
引用本文的文献
1
Delivering treatment to morally injured UK military personnel and Veterans: The clinician experience.为道德受创的英国军事人员和退伍军人提供治疗：临床医生的经验。
Mil Psychol. 2021 Mar 29;33(2):115-123. doi: 10.1080/08995605.2021.1897495. eCollection 2021.
2
Heterogeneity in Unmet Treatment Need and Barriers to Accessing Mental Health Services Among U.S. Military Service Members with Serious Psychological Distress.美国患有严重心理困扰的军人在未满足的治疗需求及获得心理健康服务的障碍方面存在的异质性。
Adm Policy Ment Health. 2023 Aug 18. doi: 10.1007/s10488-023-01289-4.
3
Barriers and facilitators for treatment-seeking for mental health conditions and substance misuse: multi-perspective focus group study within the military.心理健康状况和药物滥用寻求治疗的障碍与促进因素：军队内部的多视角焦点小组研究
BJPsych Open. 2020 Nov 25;6(6):e146. doi: 10.1192/bjo.2020.136.
4
Symptom Severity, Self-efficacy and Treatment-Seeking for Mental Health Among US Iraq/Afghanistan Military Veterans.美国伊拉克/阿富汗退伍军人的心理健康症状严重程度、自我效能感与寻求治疗情况
Community Ment Health J. 2020 Oct;56(7):1239-1247. doi: 10.1007/s10597-020-00578-8. Epub 2020 Feb 17.
5
Differences between the Canadian military's Regular and Reserve Forces in perceived need for care, mental health services use and perceived sufficiency of care: a cross-sectional survey.加拿大军队正规部队和预备役部队在感知到的护理需求、心理健康服务使用情况以及感知到的护理充足性方面的差异：一项横断面调查。
BMJ Open. 2019 Sep 18;9(9):e028849. doi: 10.1136/bmjopen-2018-028849.
6
Mental Health Service Utilization in Depressed Canadian Armed Forces Personnel.加拿大武装部队抑郁人员的精神卫生服务利用情况。
Can J Psychiatry. 2019 Jan;64(1):59-67. doi: 10.1177/0706743718787792. Epub 2018 Jul 17.
7
Attributions and private theories of mental illness among young adults seeking psychiatric treatment in Nairobi: an interpretive phenomenological analysis.内罗毕寻求精神科治疗的年轻人对精神疾病的归因及个人理论：一项诠释现象学分析
Child Adolesc Psychiatry Ment Health. 2018 Jun 1;12:28. doi: 10.1186/s13034-018-0229-0. eCollection 2018.
8
Influence of military component and deployment-related experiences on mental disorders among Canadian military personnel who deployed to Afghanistan: a cross-sectional survey.军事组成部分及与部署相关的经历对部署到阿富汗的加拿大军事人员精神障碍的影响：一项横断面调查。
BMJ Open. 2018 Mar 12;8(3):e018735. doi: 10.1136/bmjopen-2017-018735.
9
Exploring optimum cut-off scores to screen for probable posttraumatic stress disorder within a sample of UK treatment-seeking veterans.在寻求治疗的英国退伍军人样本中探索用于筛查可能的创伤后应激障碍的最佳临界分数。
Eur J Psychotraumatol. 2017 Nov 13;8(1):1398001. doi: 10.1080/20008198.2017.1398001. eCollection 2017.
10
Pathways into mental health care for UK veterans: a qualitative study.英国退伍军人的心理健康护理途径：一项定性研究。
Eur J Psychotraumatol. 2017 Oct 25;8(1):1389207. doi: 10.1080/20008198.2017.1389207. eCollection 2017.
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
BMJ. 2008 Feb 16;336(7640):366-71. doi: 10.1136/bmj.39430.638241.AE. Epub 2008 Jan 15.
Zotero 插件