Møller Sanne Overgaard, Forsberg Ole Köhler, Sørensen Holger Jelling, Enemark Morten Holm, Lyk-Jensen Stéphanie Vincent, Madsen Trine
Mental Health Centre Copenhagen, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Psychosis Research Unit, Aarhus University Hospital - Psychiatry, Aarhus, Denmark.
Nord J Psychiatry. 2020 Jan;74(1):51-59. doi: 10.1080/08039488.2019.1669072. Epub 2019 Sep 25.
To estimate the prevalence of utilization of mental health services (MHS) among Danish veterans with self-reported deployment-related mental problems and to identify predictors for help-seeking behavior for mental problems among veterans. Data on deployment characteristics was obtained from a telephone survey in 2011 among a random sample of veterans deployed during 1996-2009. Only respondents reporting sustained or less sustained mental problems were included, and data from national registers on mental health service utilization and prescribed psychotropics covering up to 22 years of follow-up was obtained. Logistic regression analysis was performed to identify predictors of help-seeking. Of 434 respondents with self-reported problems, 333 (77%) received any mental health service after deployment. Of those, 48 (23%) received any help within the first 2 years after deployment start while 128 (61%) did not receive help until after 4 years. Significant predictors for MHS utilization included sustained mental problems, combat exposure characteristics (being injured in combat, watching a fellow soldier suffer injuries), and deployment-related factors (being deployed to >1 mission and being deployed to Afghanistan). These findings highlight the importance of time, and hereunder of a long follow-up period, when measuring the prevalence of help-seeking behavior for individuals experiencing mental problems after military deployment.
估计丹麦有自我报告的与部署相关精神问题的退伍军人中使用心理健康服务（MHS）的患病率，并确定退伍军人中针对精神问题寻求帮助行为的预测因素。部署特征数据来自2011年对1996 - 2009年期间随机抽取的退伍军人进行的电话调查。仅纳入报告有持续性或非持续性精神问题的受访者，并获取了国家登记册中关于心理健康服务利用情况和长达22年随访期内开具的精神药物的数据。进行逻辑回归分析以确定寻求帮助的预测因素。在434名自我报告有问题的受访者中，333人（77%）在部署后接受了某种心理健康服务。其中，48人（23%）在部署开始后的头2年内接受了任何帮助，而128人（61%）直到4年后才获得帮助。MHS利用的显著预测因素包括持续性精神问题、战斗暴露特征（在战斗中受伤、目睹战友受伤）以及与部署相关的因素（被部署到>1次任务以及被部署到阿富汗）。这些发现凸显了在测量军事部署后有精神问题的个人寻求帮助行为的患病率时时间的重要性，以及在此之下长时间随访期的重要性。
