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本文引用的文献

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Are we winning the war against posttraumatic stress disorder?我们是否正在赢得对抗创伤后应激障碍的战争？
Science. 2012 May 18;336(6083):872-4. doi: 10.1126/science.1222069.
2
Disparate prevalence estimates of PTSD among service members who served in Iraq and Afghanistan: possible explanations.在曾在伊拉克和阿富汗服役的军人中，创伤后应激障碍（PTSD）的患病率存在显著差异：可能的解释。
J Trauma Stress. 2010 Feb;23(1):59-68. doi: 10.1002/jts.20486.
3
Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002-2008.2002年至2008年期间，使用退伍军人事务部医疗保健服务的伊拉克和阿富汗退伍军人心理健康诊断的趋势及风险因素。
Am J Public Health. 2009 Sep;99(9):1651-8. doi: 10.2105/AJPH.2008.150284. Epub 2009 Jul 16.
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The PHQ-8 as a measure of current depression in the general population.PHQ-8作为一般人群当前抑郁状况的一种测量工具。
J Affect Disord. 2009 Apr;114(1-3):163-73. doi: 10.1016/j.jad.2008.06.026. Epub 2008 Aug 27.
5
Bringing the war back home: mental health disorders among 103,788 US veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities.将战争带回家：在退伍军人事务部医疗机构就诊的103788名从伊拉克和阿富汗归来的美国退伍军人中的心理健康障碍问题。
Arch Intern Med. 2007 Mar 12;167(5):476-82. doi: 10.1001/archinte.167.5.476.
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Posttraumatic stress disorder and depression in battle-injured soldiers.战伤士兵的创伤后应激障碍和抑郁症
Am J Psychiatry. 2006 Oct;163(10):1777-83; quiz 1860. doi: 10.1176/ajp.2006.163.10.1777.
7
Systematic review of screening instruments for adults at risk of PTSD.对有创伤后应激障碍风险的成年人筛查工具的系统评价。
J Trauma Stress. 2005 Feb;18(1):53-62. doi: 10.1002/jts.20007.
8
The PHQ-9: validity of a brief depression severity measure.PHQ-9：一种简短抑郁严重程度测量工具的效度
J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x.

有和没有接受 VA 服务的伊拉克和阿富汗退伍军人中心理健康问题的流行率。

Prevalence of mental health problems among Iraq and Afghanistan veterans who have and have not received VA services.

出版信息

Psychiatr Serv. 2014 Jun 1;65(6):833-5. doi: 10.1176/appi.ps.201300111.

DOI:10.1176/appi.ps.201300111
PMID:24733504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4188434/
Abstract

OBJECTIVE

Roughly half of veterans who served in Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) have not received services from the Veterans Health Administration (VHA). This study assessed probable posttraumatic stress disorder (PTSD) and depression among OEF/OIF veterans by receipt of VHA services.

METHODS

In 2010 a mixed-mode survey assessing symptoms and VHA services utilization was fielded in a random sample of 913 New York State OEF/OIF veterans.

RESULTS

Probable PTSD and depression were roughly three times more common among veterans who had received VHA services (N=537) (PTSD, 23%; depression, 21%) than those who had not (N=376) (PTSD, 6%; depression, 8%).

CONCLUSIONS

Studies of veterans receiving VHA services likely overstate the prevalence of mental health problems among the broader OEF/OIF veteran population. However, many veterans with mental health problems are not receiving VHA services. Policies that improve outreach to this population may improve health outcomes.

摘要

目的

在曾参加持久自由行动（OEF）和伊拉克自由行动（OIF）的退伍军人中，约有一半尚未接受退伍军人健康管理局（VHA）的服务。本研究通过评估 VHA 服务的利用情况，来评估 OEF/OIF 退伍军人中可能患有创伤后应激障碍（PTSD）和抑郁症的情况。

方法

2010 年，采用混合模式调查方法，对纽约州 913 名 OEF/OIF 退伍军人进行了症状和 VHA 服务利用情况的随机抽样调查。

结果

与未接受 VHA 服务的退伍军人（N=376）相比，接受过 VHA 服务的退伍军人（N=537）中可能患有 PTSD 和抑郁症的比例大约高出三倍（PTSD，23%；抑郁症，21%）。

结论

对接受 VHA 服务的退伍军人进行的研究可能夸大了更广泛的 OEF/OIF 退伍军人群体中精神健康问题的流行率。然而，许多有精神健康问题的退伍军人并未接受 VHA 服务。改善针对这一人群的外展政策可能会改善健康结果。