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军事离婚与心理健康、行为健康和身体健康结果的关联。

Associations of military divorce with mental, behavioral, and physical health outcomes.

机构信息

Deployment Health Research Department, Naval Health Research Center, San Diego, CA, USA.

Purdue University, West Lafayette, IN, USA.

出版信息

BMC Psychiatry. 2015 Jun 19;15:128. doi: 10.1186/s12888-015-0517-7.

Abstract

BACKGROUND

Divorce has been linked with poor physical and mental health outcomes among civilians. Given the unique stressors experienced by U.S. service members, including lengthy and/or multiple deployments, this study aimed to examine the associations of recent divorce on health and military outcomes among a cohort of U.S. service members.

METHODS

Millennium Cohort participants from the first enrollment panel, married at baseline (2001-2003), and married or divorced at follow-up (2004-2006), (N = 29,314). Those divorced were compared to those who remained married for mental, behavioral, physical health, and military outcomes using logistic regression models.

RESULTS

Compared to those who remained married, recently divorced participants were significantly more likely to screen positive for new-onset posttraumatic stress disorder, depression, smoking initiation, binge drinking, alcohol-related problems, and experience moderate weight gain. However, they were also more likely be in the highest 15(th) percentile of physical functioning, and be able to deploy within the subsequent 3-year period after divorce.

CONCLUSIONS

Recent divorce among military members was associated with adverse mental health outcomes and risky behaviors, but was also associated with higher odds of subsequent deployment. Attention should be given to those recently divorced regarding mental health and substance abuse treatment and prevention strategies.

摘要

背景

离婚与平民的身心健康不良结局有关。鉴于美国军人经历的独特压力源,包括长时间和/或多次部署,本研究旨在检查最近离婚对美国军人队列的健康和军事结局的影响。

方法

千禧年队列参与者来自第一个登记面板,在基线时(2001-2003 年)已婚,在随访时(2004-2006 年)已婚或离婚(N=29314)。与那些保持已婚的人相比,使用逻辑回归模型比较那些最近离婚的人在心理健康、行为、身体健康和军事方面的结果。

结果

与那些保持已婚的人相比,最近离婚的参与者出现新的创伤后应激障碍、抑郁、吸烟开始、狂饮、酒精相关问题和经历中度体重增加的可能性显著更高。然而,他们也更有可能在身体功能的最高 15%的百分位,并且能够在离婚后的随后 3 年内部署。

结论

军人中最近的离婚与不良心理健康结局和危险行为有关,但也与随后部署的几率增加有关。应关注那些最近离婚的人,关注他们的心理健康和药物滥用治疗和预防策略。

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