1 School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario.
2 Directorate of Mental Health, Canadian Forces Health Services Group, Ottawa, Ontario.
Can J Psychiatry. 2018 Sep;63(9):620-628. doi: 10.1177/0706743718762098. Epub 2018 Feb 28.
We examined the overlap between mood and anxiety disorders and psychological distress and their associations with functional status in Canadian Armed Forces (CAF) personnel.
Data on Regular Forces personnel ( N = 6700) were derived from the 2013 Canadian Forces Mental Health Survey, a nationally representative survey of the CAF personnel. Current psychological distress was assessed using the Kessler K10 scale. Past-month mood and anxiety disorders were assessed using the World Health Organization World Mental Health Composite Diagnostic Interview.
The prevalence of psychological distress was the same as that of any past-month mood or anxiety disorder (7.1% for each). A total of 3.8% had both distress and past-month mood or anxiety disorder, 3.3% had past-month disorder without psychological distress, while another 3.3% had psychological distress in the absence of a past-month mood or anxiety disorder. After adjusting for age, sex, marital, education, income, language, element, rank, and alcohol use disorder, individuals with both psychological distress and past-month mood and anxiety disorders exhibited the highest levels of disability, days out of role, and work absenteeism relative to those with neither mental disorders nor psychological distress. Relative to individuals with both disorder and distress, those who endured distress in the absence of mental disorder exhibited lower, but meaningful, levels of disability compared with those with neither disorder nor distress.
Disability is most severe among CAF personnel with both distress and past-month mood and anxiety disorders. Nevertheless, distress in the absence of disorder is prevalent and is associated with meaningful levels of disability.
我们研究了加拿大武装部队（CAF）人员中的情绪和焦虑障碍与心理困扰之间的重叠及其与功能状态的关系。
数据来源于 2013 年加拿大武装部队心理健康调查，这是对 CAF 人员进行的全国代表性调查。使用 Kessler K10 量表评估当前的心理困扰。使用世界卫生组织世界心理健康综合诊断访谈评估过去一个月的情绪和焦虑障碍。
心理困扰的患病率与任何过去一个月的情绪或焦虑障碍相同（各为 7.1%）。共有 3.8%的人同时存在困扰和过去一个月的情绪或焦虑障碍，3.3%的人过去一个月有障碍但没有心理困扰，而另外 3.3%的人在没有过去一个月的情绪或焦虑障碍的情况下存在心理困扰。在调整了年龄、性别、婚姻状况、教育程度、收入、语言、兵种、军衔和酒精使用障碍后，与既没有精神障碍也没有心理困扰的人相比，同时存在心理困扰和过去一个月的情绪和焦虑障碍的个体表现出最高水平的残疾、缺勤天数和旷工。与既存在障碍又存在困扰的个体相比，那些在没有精神障碍的情况下仅存在困扰的个体的残疾程度较低，但仍有显著意义。
在 CAF 人员中，同时存在困扰和过去一个月的情绪和焦虑障碍的个体的残疾程度最为严重。然而，没有障碍的困扰很普遍，并且与显著的残疾水平有关。
