军嫂心理健康治疗的障碍。
Barriers to mental health treatment for military wives.
作者信息
Lewy Colleen S, Oliver Celina M, McFarland Bentson H
出版信息
Psychiatr Serv. 2014 Sep 1;65(9):1170-3. doi: 10.1176/appi.ps.201300325.
OBJECTIVE
An Internet-based survey sought information about barriers to mental health services for military wives.
METHODS
On the basis of qualitative work, an Internet-based program was created to identify military wives who may have major depressive disorder.
RESULTS
Women (N=569, ages 18 to 56) were recruited from 45 states and eight foreign countries. Most participants (78%) reported mild to severe depression. Many (44%) reported unaddressed mental health needs. Barriers included inability to attend daytime appointments (38%), inability to find a counselor who understands the needs of military spouses (35%), inability to find a counselor the participant could trust (29%), concerns about confidentiality (26%), and lack of knowledge about where to get services (25%). The barriers reported differed markedly from those described by distressed women in the general population.
CONCLUSIONS
Military wives are an underserved population. Knowledge of military culture is essential for civilian mental health providers working with military wives.
目的
一项基于互联网的调查旨在获取有关军嫂心理健康服务障碍的信息。
方法
在定性研究的基础上，创建了一个基于互联网的项目，以识别可能患有重度抑郁症的军嫂。
结果
从45个州和8个外国招募了女性（N = 569，年龄18至56岁）。大多数参与者（78%）报告有轻度至重度抑郁。许多人（44%）报告心理健康需求未得到满足。障碍包括无法参加日间预约（38%）、无法找到了解军属需求的咨询师（35%）、无法找到参与者可信任的咨询师（29%）、对保密性的担忧（26%）以及对从何处获得服务缺乏了解（25%）。所报告的障碍与普通人群中苦恼女性所描述的障碍明显不同。
结论
军嫂是服务不足的人群。对于与军嫂打交道的平民心理健康服务提供者来说，了解军事文化至关重要。
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