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“它没有让我回到过去,但帮助我走上了成为新我的道路”:探索 PTSD 英国退伍军人的创伤后成长。

"It didn't bring back the old me but helped me on the path to the new me": exploring posttraumatic growth in British veterans with PTSD.

机构信息

Psychology Department, University of East London, London, UK.

出版信息

Disabil Rehabil. 2022 Dec;44(24):7455-7463. doi: 10.1080/09638288.2021.1995056. Epub 2021 Oct 29.

Abstract

PURPOSE

This study explores the role of scuba diving therapy in growth experiences of ex-servicemen. Previous research has focused on difficulties arising from re-entering civilian life after deployment. Known mental health challenges occurring after severe combat related trauma exposure include depression, anxiety, and posttraumatic stress disorder (PTSD). However, less is known about the potential positive transformation which can occur when individuals navigate these challenges. Known facilitators of this positive transformation, often referred to as posttraumatic growth (PTG), are still sparse in this participant pool.

METHODS

This study utilized an in-depth qualitative approach of interpretative phenomenological analysis utilizing semi-structured interviews. A homogeneous sample of five male British ex-service personnel with a diagnosis of PTSD who identified with PTG was recruited.

RESULTS

All participants reported positive mental health benefits from diving with four themes emerging: human connection; meaningful leisure; embodiment; and the calm.

CONCLUSIONS

Scuba diving appeared to afford instant access to lasting relief of anxiety, stress, and symptoms of PTSD and reduction of physical symptoms of their trauma connected to underwater weightlessness. The reduction of PTSD symptoms carved space for PTG, facilitated through a meaningful leisure environment with opportunities for human connection with individuals who had gone through similar experiences.Implications for rehabilitationVeterans with posttraumatic stress disorder (PTSD) respond less well to conventional treatments for PTSD than civilian populations.Scuba diving has the potential to benefit veterans by giving access to relief from anxiety and symptoms of PTSD, such as hypervigilance and invasive thoughts.Scuba diving not only reduces symptoms of physical and psychological ill health but can facilitate wellbeing and growth.Scuba diving, as a meaningful leisure activity, could potentially enhance medical and psychological therapy.

摘要

目的

本研究探讨了水肺潜水疗法在退役军人成长经历中的作用。先前的研究主要集中在部署后重新融入平民生活所带来的困难上。已知在经历严重与战斗相关的创伤后,会出现包括抑郁、焦虑和创伤后应激障碍(PTSD)在内的心理健康挑战。然而,对于个体在应对这些挑战时可能发生的潜在积极转变,人们知之甚少。通常被称为创伤后成长(PTG)的这种积极转变的已知促进因素在该参与者群体中仍然很少。

方法

本研究采用深入的定性方法,即解释现象学分析,利用半结构化访谈。招募了五名被诊断患有 PTSD 的英国退役军人,他们具有创伤后成长的特征,属于同质样本。

结果

所有参与者都报告了潜水带来的积极心理健康益处,有四个主题出现:人际联系;有意义的休闲;体现;以及平静。

结论

水肺潜水似乎可以立即缓解焦虑、压力和 PTSD 症状,并减轻与水下失重相关的创伤的身体症状。PTSD 症状的减轻为创伤后成长腾出了空间,这是通过一个有意义的休闲环境实现的,其中有机会与经历过类似经历的人建立人际联系。

康复意义

患有创伤后应激障碍(PTSD)的退伍军人对 PTSD 的常规治疗反应不如平民人群好。水肺潜水有可能通过缓解焦虑和 PTSD 症状(如过度警觉和侵入性思维)使退伍军人受益。水肺潜水不仅可以减轻身体和心理健康不良的症状,还可以促进幸福感和成长。水肺潜水作为一种有意义的休闲活动,有可能增强医疗和心理治疗。

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