Ashwick Rachel, Syed Shabeer, Murphy Dominic
Combat Stress, Tyrwhitt House, Leatherhead, Surrey KT22 0BX, UK.
Healthcare (Basel). 2018 Jun 5;6(2):58. doi: 10.3390/healthcare6020058.
Risk-taking amongst veterans has severe consequences, yet few studies have examined factors that may predict risk-taking in help-seeking veteran populations. This paper presents a cross-sectional study involving a random sample of 667 UK help-seeking veterans, investigating the role of demographics, mental health and physical health presentations on the propensity for risk-taking. Out of 403 (73.4%) veterans, 350 (86.8%) reported risk-taking in the past month. We found that younger age, being in a relationship, probable PTSD, common mental health difficulties and traumatic brain injury were significantly associated with risk-taking. Additionally, a direct association was found between increased risk-taking and PTSD symptom clusters, including higher hyperarousal, elevated negative alterations in mood and cognition. Our findings provide initial evidence for demographic and mental health presentations as predictors of risk-taking in help-seeking veterans. Further research and longitudinal studies are needed to facilitate valid risk assessments, and early intervention for veteran services.
退伍军人中的冒险行为会产生严重后果,但很少有研究探讨可能预测寻求帮助的退伍军人冒险行为的因素。本文呈现了一项横断面研究,涉及对667名寻求帮助的英国退伍军人的随机抽样,调查人口统计学、心理健康和身体健康表现对冒险倾向的作用。在403名(73.4%)退伍军人中,350名(86.8%)报告在过去一个月有冒险行为。我们发现,年龄较小、处于恋爱关系、可能患有创伤后应激障碍(PTSD)、常见心理健康问题和创伤性脑损伤与冒险行为显著相关。此外,冒险行为增加与PTSD症状群之间存在直接关联,包括更高的过度警觉、情绪和认知方面更明显的消极改变。我们的研究结果为人口统计学和心理健康表现作为寻求帮助的退伍军人冒险行为的预测因素提供了初步证据。需要进一步的研究和纵向研究来促进有效的风险评估,并为退伍军人服务提供早期干预。