Combat Stress, Leatherhead, UK and.
King's Centre for Military Health Research, Department of Psychological Medicine, King's College London, London, UK.
J Ment Health. 2019 Dec;28(6):654-661. doi: 10.1080/09638237.2017.1385739. Epub 2017 Oct 6.
: Evidence suggests that veterans with mental health issues have poorer treatment outcomes than civilian counterparts. Understanding the difficulties faced by veterans could help focus treatments and improve outcomes.: To survey a representative sample of treatment-seeking veterans to explore their mental health needs.: A random sample of UK veterans who had engaged with a national mental health charity in the UK was drawn. Individuals completed questionnaires about their health, military experiences and pre-enlistment vulnerabilities.: Four hundred and three out of six hundred (67.2%) participants returned completed questionnaires. PTSD was the most commonly endorsed mental health difficulty (82%), followed by problems with anger (74%), common mental health difficulties (72%) and alcohol misuse (43%). Comorbidity was frequent; with 32% of those with PTSD meeting criteria for three other health outcomes versus only 5% with PTSD alone.: Results indicate the complexity of presentations within treatment seeking veterans. These difficulties may partly explain the poorer treatment outcomes reported in veterans in comparison to the general public. As such, it would be prudent for interventions targeted at veterans with mental health difficulties to attempt to address the range of issues faced by this population rather than focus on a particular presenting problem.
: 有证据表明，有心理健康问题的退伍军人的治疗效果不如平民。了解退伍军人所面临的困难有助于集中治疗并改善治疗效果。: 为了调查寻求治疗的退伍军人的代表性样本，以探索他们的心理健康需求。: 从英国的一家国家心理健康慈善机构中抽取了英国退伍军人的随机样本。个人完成了关于他们的健康、军事经历和入伍前脆弱性的问卷。: 600 名参与者中有 403 名（67.2%）返回了完整的问卷。创伤后应激障碍（PTSD）是最常见的心理健康问题（82%），其次是愤怒问题（74%）、常见心理健康问题（72%）和酒精滥用（43%）。共病很常见；有 32%的 PTSD 患者符合其他三种健康结果的标准，而仅 5%的 PTSD 患者符合标准。: 结果表明，寻求治疗的退伍军人的表现非常复杂。这些困难可能部分解释了与公众相比退伍军人治疗效果较差的原因。因此，针对有心理健康问题的退伍军人的干预措施，明智的做法是尝试解决这一人群所面临的一系列问题，而不是专注于特定的表现问题。
