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水肺潜水能否为因战斗而遭受身体和心理创伤的退伍军人提供治疗益处?英国 Deptherapy 的服务评估。

Can scuba diving offer therapeutic benefit to military veterans experiencing physical and psychological injuries as a result of combat? A service evaluation of Deptherapy UK.

机构信息

The Medical School, The University of Sheffield, Sheffield, North Yorkshire, UK.

出版信息

Disabil Rehabil. 2019 Nov;41(23):2832-2840. doi: 10.1080/09638288.2018.1480667. Epub 2018 Jun 29.

Abstract

To explore the effectiveness of scuba diving in providing therapeutic and rehabilitative benefit to ex-service personnel who have experienced traumatic physical and/or psychological injuries resulting from combat. This study took the form of a service evaluation of Deptherapy, a UK-based niche charity offering support to military veterans who have experienced life-changing injuries. Deptherapy provides scuba diving qualifications, consisting of theory and practical diving experience, to participants alongside a Peer Support Buddy scheme that provides continuing support to servicemen involved with the charity. A total of 15 male veterans were invited to take part in the study. The methodology comprised retrospective and current quantitative measures of mental well-being and functional ability, utilising the General Health Questionnaire-28, and subsequent semi-structured interviews with participants, their families and health professionals. Participants reported an improvement in levels of anxiety, depression and social functioning, and a reduction in insomnia, following their involvement in organised scuba diving activities. There was a mean average difference of 14.3 points improvement on the General Health Questionnaire-28 scale variants between prior interaction with Deptherapy and current perceptions following engagement with the programme. The positive perceptions, as indicated from the semi-structured interviews, were more pronounced in those whose injuries were predominantly psychological, rather than physical. Scuba diving can offer significant therapeutic benefits, particularly for ex-military amputees experiencing co-morbid anxiety and/or chronic psychological adjustment disorders, notably in terms of improvements in social dysfunction and symptomology of depression.Implications for Rehabilitation Scuba Diving as a TherapyMilitary combat can result in devastating, chronic physical and/or psychological injury.Current research suggests that a combination of medical and psychological therapy may prove to be the most beneficial for military veterans.Scuba diving has the potential to benefit injured veterans due the requirement of complete focus and the feeling of weightlessness when underwater.This article evaluates whether scuba diving is an effective physical and psychological therapy through GHQ-28 analysis and veteran interviews.Scuba diving benefited injured veterans in terms of chronic pain relief and depression symptoms alleviation.

摘要

探讨水肺潜水对经历过战斗中身体和/或心理创伤的退役军人的治疗和康复效果。本研究对英国Deptherapy 进行了服务评估,Deptherapy 是一家为经历过改变生活的伤害的退伍军人提供支持的英国小众慈善机构。Deptherapy 为参与者提供潜水资格,包括理论和实践潜水经验,以及同伴支持伙伴计划,为参与慈善机构的军人提供持续支持。共有 15 名男性退伍军人受邀参加研究。该方法包括使用一般健康问卷-28 对心理健康和功能能力进行回顾性和当前的定量测量,然后对参与者、他们的家人和健康专业人员进行半结构化访谈。参与者报告称,在参与有组织的水肺潜水活动后,焦虑、抑郁和社会功能水平有所改善,失眠情况有所减少。在与 Deptherapy 互动之前和参与该计划之后的当前感知之间,一般健康问卷-28 量表变体的平均差异为 14.3 分。从半结构化访谈中可以看出,受伤主要是心理上的,而不是身体上的,其积极看法更为明显。水肺潜水可以提供显著的治疗益处,特别是对于经历共病焦虑和/或慢性心理适应障碍的前军人截肢者,尤其是在改善社会功能障碍和抑郁症状方面。康复意义潜水作为一种疗法军事战斗会导致严重的慢性身体和/或心理伤害。目前的研究表明,医疗和心理治疗的结合可能对退伍军人最有益。水肺潜水有可能使受伤的退伍军人受益,因为潜水需要完全专注,并且在水下会感到失重。本文通过 GHQ-28 分析和退伍军人访谈评估水肺潜水是否是一种有效的身体和心理治疗方法。水肺潜水使受伤的退伍军人受益,减轻了慢性疼痛和抑郁症状。

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