Ursano Robert J, Wang Jing, Ramsawh Holly, Russell Dale, Benfer Natasha, Gifford Robert K, Cohen Gregory H, Galea Sandro, Fullerton Carol S
Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
School of Public Health, Boston University, 715 Albany Street, Talbot 301, Boston, MA 02118.
Mil Med. 2016 Oct;181(10):1287-1293. doi: 10.7205/MILMED-D-15-00445.
We documented the prevalence of post-traumatic stress disorder (PTSD), depression, and binge drinking in U.S. Reserve and National Guard (Reserve Component [RC]) personnel for each service and branch by rank, gender, and deployment status.
Structured interviews were conducted with a nationally representative sample of RC personnel (n = 2,003). We used weighted descriptive statistics to examine the prevalence of PTSD, depression, and binge drinking.
The prevalence of PTSD was 6.7%, depression was 6.8%, and binge drinking was 11.5%. The prevalence of having one or more mental health problems investigated in this study was 19.8%. The prevalence of binge drinking was higher for enlisted men (14.8%) than enlisted women (2.6%). Having one or more mental health problems was nearly twice as high for enlisted men (23.4%) vs. enlisted women (12.9%). For deployed personnel, the prevalence of PTSD or having one or more mental health problems was approximately twice that of never-deployed personnel.
Prevalence of mental health problems can inform prevention and treatment for RC personnel. Further research is needed to identify risk factors for PTSD, depression, and binge drinking. Interventions for RC personnel should consider service and branch, rank, gender, and deployment status.
我们按军种、军衔、性别和部署状态记录了美国后备役和国民警卫队（后备役部队[RC]）人员中创伤后应激障碍（PTSD）、抑郁症和暴饮的患病率。
对全国具有代表性的后备役部队人员样本（n = 2003）进行了结构化访谈。我们使用加权描述性统计数据来研究PTSD、抑郁症和暴饮的患病率。
PTSD的患病率为6.7%，抑郁症为6.8%，暴饮为11.5%。本研究中调查的有一个或多个心理健康问题的患病率为19.8%。应征男性的暴饮患病率（14.8%）高于应征女性（2.6%）。应征男性有一个或多个心理健康问题的患病率（23.4%）几乎是应征女性（12.9%）的两倍。对于已部署人员，PTSD或有一个或多个心理健康问题的患病率约为从未部署人员的两倍。
心理健康问题的患病率可为后备役部队人员的预防和治疗提供参考。需要进一步研究以确定PTSD、抑郁症和暴饮的风险因素。针对后备役部队人员的干预措施应考虑军种、军衔、性别和部署状态。
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