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超越战争和创伤后应激障碍:过渡应激在退伍军人生活中的关键作用。

Beyond war and PTSD: The crucial role of transition stress in the lives of military veterans.

机构信息

Columbia University, Teachers College, New York, NY 10027, United States.

Columbia University, Teachers College, New York, NY 10027, United States.

出版信息

Clin Psychol Rev. 2018 Feb;59:137-144. doi: 10.1016/j.cpr.2017.11.007. Epub 2017 Nov 21.

Abstract

Although only a relatively small minority of military veterans develop Posttraumatic Stress Disorder (PTSD), mental health theory and research with military veterans has focused primarily on PTSD and its treatment. By contrast, many and by some accounts most veterans experience high levels of stress during the transition to civilian life, however transition stress has received scant attention. In this paper we attempt to address this deficit by reviewing the wider range of challenges, rewards, successes, and failures that transitioning veterans might experience, as well as the factors that might moderate these experiences. To illuminate this argument, we briefly consider what it means to become a soldier (i.e., what is required to transition into military service) and more crucially what kind of stressors veterans might experience when they attempt to shed that identity (i.e., what is required to transition out of military service). We end by suggesting how an expanded research program on veteran transition stress might move forward.

摘要

尽管只有相对较少的退伍军人会出现创伤后应激障碍(PTSD),但针对退伍军人的心理健康理论和研究主要集中在 PTSD 及其治疗上。相比之下,许多退伍军人(甚至有人说大多数退伍军人)在过渡到平民生活期间都会经历高度的压力,然而过渡压力却很少受到关注。在本文中,我们试图通过回顾退伍军人在过渡期间可能经历的更广泛的挑战、回报、成功和失败,以及可能影响这些经历的因素,来解决这一不足。为了阐明这一观点,我们简要考虑一下成为一名士兵(即,过渡到服兵役所需的条件)意味着什么,更重要的是,退伍军人在试图摆脱这种身份时可能会经历什么样的压力源(即,过渡到服兵役所需的条件)。最后,我们提出了如何推进关于退伍军人过渡压力的扩展研究计划。

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