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探索服务犬对创伤后应激障碍退伍军人参与日常活动的影响:一项试点研究。

Exploring the influence of service dogs on participation in daily occupations by veterans with PTSD: A pilot study.

作者信息

McLaughlin Kathryn, Hamilton Anita L

机构信息

School of Health and Sport Sciences, University of the Sunshine Coast, Maroochydore, Qld, Australia.

出版信息

Aust Occup Ther J. 2019 Oct;66(5):648-655. doi: 10.1111/1440-1630.12606. Epub 2019 Sep 11.

Abstract

INTRODUCTION

Post traumatic stress disorder (PTSD) resulting from military service can seriously impact quality of life. There is support for the use of service dogs amongst people with PTSD in managing symptoms by reducing anxiety and depression. To date, few studies have investigated this phenomenon comprehensively, particularly in relation to enhancing participation in daily occupations.

METHODS

We explored the experience of a group of ex-serving members of the Australian military with PTSD, who had partnered with a service dog. We sought to understand the influence of the service dog on PTSD symptom management and participation in meaningful daily occupations. Seven participants who had been paired with a service dog were recruited from a Veterans' support organisation. Two semi-structured focus group sessions were conducted, audio-recorded and transcribed verbatim. The transcripts from the focus group sessions and researcher field notes were analysed independently by two researchers using an inductive approach to generate codes and themes.

RESULTS

The themes that emerged from the data were: isolation, safety, lifeline, reconnection and challenges. Veterans in this study reported that partnering with a service dog helped them to feel safe, helped them to manage the symptoms and impact of PTSD, resulting in improved sleep quality, emotional regulation, reduced anxiety, enhanced anger management, and a reduction in the misuse of alcohol and prescription medication and suicidal ideation. These changes led to improved relationships and increased participation in meaningful daily occupations. Ongoing financial support for veterans who have partnered with a service dog needs to be more closely examined.

CONCLUSION

These findings are important and highlight that a larger and more comprehensive, research project examining the impact of service dogs on the quality of life.

摘要

引言

军事服役导致的创伤后应激障碍(PTSD)会严重影响生活质量。有证据支持创伤后应激障碍患者使用服务犬来减轻焦虑和抑郁,从而管理症状。迄今为止,很少有研究全面调查这一现象,特别是在增强日常活动参与方面。

方法

我们探究了一群患有创伤后应激障碍的澳大利亚退伍军人与服务犬配对后的经历。我们试图了解服务犬对创伤后应激障碍症状管理以及参与有意义的日常活动的影响。从一个退伍军人支持组织招募了七名与服务犬配对的参与者。进行了两次半结构化焦点小组会议,进行了录音并逐字转录。两名研究人员使用归纳法独立分析焦点小组会议的文字记录和研究人员的现场笔记,以生成代码和主题。

结果

数据中出现的主题有:孤立、安全、生命线、重新连接和挑战。本研究中的退伍军人报告称,与服务犬配对帮助他们感到安全,帮助他们管理创伤后应激障碍的症状和影响,从而改善了睡眠质量、情绪调节、减轻了焦虑、增强了愤怒管理能力,减少了酒精和处方药的滥用以及自杀念头。这些变化改善了人际关系,并增加了对有意义的日常活动的参与度。需要更仔细地研究为与服务犬配对的退伍军人提供持续财政支持的问题。

结论

这些发现很重要,突出表明需要开展一个更大、更全面的研究项目,来考察服务犬对生活质量的影响。

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