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美国伊拉克/阿富汗退伍军人的心理健康症状严重程度、自我效能感与寻求治疗情况

Symptom Severity, Self-efficacy and Treatment-Seeking for Mental Health Among US Iraq/Afghanistan Military Veterans.

作者信息

Keeling Mary, Barr Nicholas, Atuel Hazel, Castro Carl A

机构信息

Department of Health and Social Sciences, Faculty of Health and Applied Sciences, University of the West of England, Frenchey Campus, Coldharbour Road, Bristol, BS16 1QY, UK.

Center for Innovation and Research on Veterans & Military Families, USC Suzanne Dworak-Peck School of Social Work, University of Southern California, 1150 South Olive Street, Suite 1400, Los Angeles, CA, 90015, USA.

出版信息

Community Ment Health J. 2020 Oct;56(7):1239-1247. doi: 10.1007/s10597-020-00578-8. Epub 2020 Feb 17.

DOI:10.1007/s10597-020-00578-8
PMID:32064566
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7434717/
Abstract

Military veterans have high rates of mental health problems, yet the majority do not seek treatment. Understanding treatment-seeking in this population is important. This study investigated if symptom severity and self-efficacy are associated with treatment-seeking among US Iraq/Afghanistan veterans. Survey data from 525 veterans meeting clinical criteria for PTSD and depression were included of which, 54.4% had sought treatment in the past 12 months. Multivariate logistic regression analysis indicated that high symptom severity was associated with treatment seeking, whereas high self-efficacy was associated with a decreased likelihood to seek treatment. Self-efficacy could be an underlying mechanism of treatment seeking decisions.

摘要

退伍军人心理健康问题的发生率很高,但大多数人并未寻求治疗。了解这一群体寻求治疗的情况很重要。本研究调查了症状严重程度和自我效能感是否与美国伊拉克/阿富汗退伍军人寻求治疗有关。纳入了525名符合创伤后应激障碍和抑郁症临床标准的退伍军人的调查数据,其中54.4%的人在过去12个月内寻求过治疗。多因素逻辑回归分析表明,高症状严重程度与寻求治疗有关,而高自我效能感与寻求治疗的可能性降低有关。自我效能感可能是寻求治疗决策的一个潜在机制。

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