Griffith James
National Center for Veterans Studies, University of Utah, Salt Lake City, UT, USA.
, 229 North Forest Dune Drive, St. Augustine, FL, 32080, USA.
Community Ment Health J. 2017 Oct;53(7):766-777. doi: 10.1007/s10597-017-0132-9. Epub 2017 Mar 24.
The present study described the types and amount of problems and services sought among returned deployed Army National Guard soldiers (4568 soldiers in 50 units). The study responds to gaps in the research literature to better understand community intervention needs of reservists. About half (48%) of the soldiers reported one or two problems, mostly those of psychological well-being, such as feelings of anger and frustration, upsetting memories, and troubled sleep (34% of the study sample), followed by problems of social support (18%), alcohol use (17%), feelings of isolation including suicidal thoughts (13%), and financial difficulties (11%). Having engaged in direct combat and having wounded or killed someone showed positive relationships with reported problems. One-third (35%) of soldiers who reported having used services went to one service and, generally, soldiers went to services related to their expressed problems. Variance in self-reported problems explained by service use was low, suggesting unsought postdeployment services.
本研究描述了回国的陆军国民警卫队士兵(来自50个单位的4568名士兵)中所寻求的问题类型及数量和服务情况。该研究回应了研究文献中的空白,以更好地了解预备役军人的社区干预需求。约一半(48%)的士兵报告了一两个问题,大多是心理健康问题,如愤怒和沮丧情绪、令人不安的记忆以及睡眠问题(占研究样本的34%),其次是社会支持问题(18%)、饮酒问题(17%)、包括自杀念头在内的孤独感(13%)以及经济困难(11%)。参与过直接战斗以及曾致伤或杀人与报告的问题呈正相关。报告使用过服务的士兵中有三分之一(35%)只使用了一项服务,而且一般来说,士兵们使用的服务与他们所表达的问题相关。由服务使用情况所解释的自我报告问题的差异较低,这表明存在未被寻求的部署后服务。