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军人和医务人员服务之间的相似之处:寻求心理健康援助的耻辱。

Similarities between military and medical service: stigma of seeking mental health assistance.

机构信息

Research and Policy Unit, Royal Flying Doctor Service, Canberra, Australian Capital Territory, Australia

Emergency Department, Calvary Public Hospital, Canberra, Australian Capital Territory, Australia.

出版信息

BMJ Mil Health. 2020 Jun;166(3):181-182. doi: 10.1136/jramc-2018-000975. Epub 2018 May 16.

DOI:10.1136/jramc-2018-000975
PMID:29769367
Abstract

Studies have identified that there are many barriers to treatment of mental health illnesses in military populations, including the negative-associated stigma. One such barrier includes perceptions of weakness, leading to concerns about leadership and competency and being seen as malingering. Furthermore, similarities can be seen in civilian health professionals, where concerns of negative perceptions can limit reporting and treatment of mental health illnesses. Despite the frequency of stressful events, military and health professionals do not become immune to stress and are often ill prepared to cope with acute stressors that can often build on each other until emotional exhaustion and/or crisis point. Even with targeted internal programmes, the stigma of seeking mental health assistance in the military and medicine is poor and is believed to contribute to poor outcomes, such as the potential of increased suicide prevalence.

摘要

研究表明,军队人群在治疗心理健康疾病方面存在许多障碍,包括与负面关联的污名化。其中一个障碍包括对弱点的看法,这导致了对领导力和能力的担忧,并被视为装病。此外,在民用卫生专业人员中也可以看到类似的情况,对负面看法的担忧可能会限制对心理健康疾病的报告和治疗。尽管压力事件频繁发生,但军人和卫生专业人员并不会对压力产生免疫力,他们往往也没有做好应对可能相互叠加的急性应激源的准备,直到情绪疲惫和/或危机点出现。即使有针对性的内部计划,军队和医学领域寻求心理健康援助的污名仍然很差,据信这会导致不良后果,例如自杀率上升的可能性增加。

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