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军事“泡沫”之外:英国退役军人退役后的生活

Outside the Military "Bubble": Life After Service for UK Ex-armed Forces Personnel.

作者信息

Gordon Kim, Burnell Karen, Wilson Clare

机构信息

School of Life Sciences and Education, Clinical Psychology, Staffordshire University, Stoke-on-Trent, United Kingdom.

School of Sport, Health and Social Sciences, Solent University, Southampton, United Kingdom.

出版信息

Front Public Health. 2020 Mar 3;8:50. doi: 10.3389/fpubh.2020.00050. eCollection 2020.

Abstract

Military personnel who have seen active service can be affected by their experiences. Much of the literature on the mental and physical health battles faced by men and women who leave the Armed Forces is dominated by research in the United States (US) (1), and is particularly focused on exposure to deployment, combat conditions, and effects on mental health. Research in the United Kingdom (UK) tends to focus on depression or alcohol misuse and the impact these issues have on currently serving personnel. This study aimed to present UK veterans' first-hand experiences related to military service, access to and use of mental healthcare and interventions, and the impact of transition on the military family. Semi-structured interviews explored experiences of 30 participants (27 male, 3 female). Participants ranged in age from 26 to 92 years ( = ), and across multiple war cohorts (from WWII to Iraq and Afghanistan). Data were analyzed using Thematic Analysis and Narrative Analysis. Findings show meaning-making from experiences of transition across veteran cohorts. Main themes were reasons for leaving Armed Forces, life outside the military, and mental health concerns after service. Subordinate themes additionally focused on evaluation of identity and mental health service provision. Future clinical research should include the experiences of UK serving personnel and the effects of pre-and post-military adversity, alongside the impact of deployment experiences. Interventions designed to address transition into life after service are discussed.

摘要

曾服现役的军事人员可能会受到其经历的影响。关于退伍军人所面临的身心健康问题的许多文献都以美国的研究为主导(1),并且特别关注部署、战斗条件以及对心理健康的影响。英国的研究往往侧重于抑郁症或酒精滥用以及这些问题对现役人员的影响。本研究旨在呈现英国退伍军人与军事服役、获得和使用心理医疗保健及干预措施相关的第一手经历,以及转型对军人家庭的影响。半结构化访谈探讨了30名参与者(27名男性,3名女性)的经历。参与者年龄在26岁至92岁之间(=),跨越多个战争时期(从二战到伊拉克和阿富汗战争)。使用主题分析和叙事分析对数据进行了分析。研究结果显示了不同退伍军人群体在转型经历中的意义建构。主要主题包括离开武装部队的原因、军队外的生活以及服役后的心理健康问题。次要主题还侧重于对身份认同和心理健康服务提供的评估。未来的临床研究应纳入英国现役人员的经历以及服役前后逆境的影响,以及部署经历的影响。文中还讨论了旨在应对退役后生活转型的干预措施。

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Pathways into mental health care for UK veterans: a qualitative study.英国退伍军人的心理健康护理途径:一项定性研究。
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