Adams Richard E, Urosevich Thomas G, Hoffman Stuart N, Kirchner H Lester, Hyacinthe Johanna C, Figley Charles R, Boscarino Joseph J, Boscarino Joseph A
Department of Sociology, Kent State University, Kent, Ohio.
Geisinger Clinic, Danville, Pennsylvania.
Mil Behav Health. 2017;5(4):393-405. doi: 10.1080/21635781.2017.1333067. Epub 2017 May 19.
Using a stress process model, the authors examined social and psychological resources to better understand mental health outcomes among veterans. For this study, we surveyed 700 U.S. veterans who were outpatients in the Geisinger Health System. Independent variables included demographic factors, stressful and traumatic events, social support measures, and psychosocial factors. Using logistic regression, the authors examined 4 types of social connections: social support, help-seeking support, social capital, and other mental health support to predict mental health outcomes, including posttraumatic stress disorder, depression, suicide ideation, alcohol misuse, mental health service use, and Veterans Affairs service use. Results suggested that help-seeking support since deployment was a risk factor for 5 adverse outcomes, whereas social support was protective for 1 outcome. We concluded that high levels of help-seeking support since deployment among veterans was associated with a higher prevalence of mental health problems. These findings were unexpected and suggest the need for additional social support-related research among veterans.
作者运用压力过程模型，研究了社会和心理资源，以更好地理解退伍军人的心理健康状况。在本研究中，我们对700名在盖辛格医疗系统就诊的美国退伍军人进行了调查。自变量包括人口统计学因素、压力性和创伤性事件、社会支持措施以及心理社会因素。作者使用逻辑回归分析了4种社会联系类型：社会支持、寻求帮助的支持、社会资本和其他心理健康支持，以预测心理健康状况，包括创伤后应激障碍、抑郁症、自杀意念、酒精滥用、心理健康服务使用情况以及退伍军人事务服务使用情况。结果表明，自部署以来寻求帮助的支持是5种不良后果的风险因素，而社会支持对1种后果具有保护作用。我们得出结论，退伍军人自部署以来高水平的寻求帮助的支持与心理健康问题的较高患病率相关。这些发现出乎意料，表明需要在退伍军人中开展更多与社会支持相关的研究。
