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心理健康问题的患病率及参与正念治疗的意愿:对参战受伤退伍军人的调查

Prevalence of Mental Health Problems and Willingness to Participate in a Mindfulness Treatment: An Examination among Veterans Injured in Combat.

作者信息

Bravo Adrian J, Witkiewitz Katie, Kelley Michelle L, Redman Jason C

机构信息

Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico.

Department of Psychology, University of New Mexico.

出版信息

Mindfulness (N Y). 2019 May;10(5):953-963. doi: 10.1007/s12671-018-1047-4. Epub 2018 Nov 10.

Abstract

Numerous studies have demonstrated that combat-exposed military veterans are at risk for numerous psychiatric disorders and rates of comorbid mental health and substance use disorders are high. Veterans wounded in combat are a particularly high-risk group of military veterans, however treatment services are often underutilized among this group and it is unclear whether an online treatment program that targets emotional and physical distress (including mental health symptoms and substance use disorders) would be appealing to Veterans wounded in combat. The goal of the current study was to conduct formative research on whether veterans wounded in combat would be interested in an online mindfulness-based treatment to help them cope with emotional and physical discomfort. We recruited Veterans from Combat Wounded Coalition ( = 163; 74.2% non-Hispanic White; 95.7% male) to complete an online survey of mental health and substance use disorder symptoms and willingness to participate in mindfulness treatment. The majority of participants reported significant mental health symptoms and indicated that they would be willing to participate in mindfulness treatment, either at the VA (54.0%) or online (59.5%). Those with problems in multiple health domains and lower self-compassion were significantly more likely to express interest in treatment and likely to represent a very high need group of veterans. The development of a mindfulness-based treatment for this group of individuals could be very helpful in reducing mental health symptoms and improving quality of life among wounded warriors.

摘要

众多研究表明,有过战斗经历的退伍军人面临多种精神疾病的风险,心理健康与物质使用障碍的共病率很高。在战斗中受伤的退伍军人是退伍军人中风险尤其高的群体,然而这一群体往往未充分利用治疗服务,而且尚不清楚一个针对情绪和身体困扰(包括心理健康症状和物质使用障碍)的在线治疗项目是否会吸引在战斗中受伤的退伍军人。本研究的目的是进行一项形成性研究,以确定在战斗中受伤的退伍军人是否会对基于正念的在线治疗感兴趣,以帮助他们应对情绪和身体上的不适。我们从战斗受伤联盟招募了退伍军人(n = 163;74.2%为非西班牙裔白人;95.7%为男性),让他们完成一项关于心理健康和物质使用障碍症状以及参与正念治疗意愿的在线调查。大多数参与者报告有显著的心理健康症状,并表示他们愿意在退伍军人事务部接受正念治疗(54.0%)或在线接受治疗(59.5%)。在多个健康领域存在问题且自我同情程度较低的人明显更有可能表达对治疗的兴趣,并且可能代表了一个对治疗有极高需求的退伍军人群体。为这一群体开发基于正念的治疗方法可能对减轻心理健康症状和改善受伤战士的生活质量非常有帮助。

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