RAND Corporation.
Psychol Addict Behav. 2022 Jun;36(4):419-427. doi: 10.1037/adb0000804. Epub 2021 Dec 30.
To examine the prevalence of co-occurring alcohol and mental health (MH) problems (COPs), perceived MH service need, and MH service utilization among active duty service members, and to identify differences in gender, race/ethnicity, age, and sexual orientation and gender identity.
16,699 active duty service members participated in the Department of Defense's 2015 Health Related Behaviors Survey. Measures included demographics, combat deployment, smoking status, problematic alcohol use (Alcohol Use Disorders Identification Test-C, AUDIT-C), posttraumatic stress disorder (PTSD Checklist, Civilian Version, PCL-C), depression (Patient Health Questionnaire-9, PHQ-9), anxiety (Generalized Anxiety Disorder-7, GAD-7), and perceived need for and use of MH services. We examined groups of service members with probable: COP, alcohol problem only, MH problem only, and neither.
Eight percent of service members reported COPs, 26.89% reported alcohol use problem only, and 9.41% reported a MH condition only. COPs were more common among those who were lesbian, gay, bisexual, and transgender (LGBT), those who had three or more combat deployments, and smokers, and less common among those aged 35 years and older, Asian or Black, and in the Air Force and Coast Guard (relative to Navy). Those reporting a probable MH problem only were significantly less likely to report use of past year MH counseling than those with probable COPs; otherwise, patterns of service utilization and perceived need were similar.
COPs are common enough that screening for and attention to their co-occurrence are needed in the military, and some subgroups of service members are at particularly high risk for COPs. Future research and policy should delve deeper into how the needs of service members with COPs can be addressed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
研究现役军人中同时存在酒精和心理健康（MH）问题（COPs）、感知到的 MH 服务需求以及 MH 服务利用的流行情况，并确定性别、种族/民族、年龄以及性取向和性别认同的差异。
16699 名现役军人参加了国防部 2015 年的健康相关行为调查。措施包括人口统计学、战斗部署、吸烟状况、问题性酒精使用（酒精使用障碍识别测试-C，AUDIT-C）、创伤后应激障碍（平民版 PTSD 清单，PCL-C）、抑郁（患者健康问卷-9，PHQ-9）、焦虑（广泛性焦虑障碍-7，GAD-7）以及对 MH 服务的需求和利用。我们检查了有以下可能情况的服务成员群体：COPs、仅酒精问题、仅 MH 问题以及两者都没有。
8%的服务成员报告存在 COPs，26.89%报告仅存在酒精使用问题，9.41%报告仅存在 MH 状况。在女同性恋、男同性恋、双性恋和跨性别者（LGBT）、有三次或更多战斗部署的人以及吸烟者中，COPs 更为常见，而在 35 岁及以上、亚裔或非裔以及在空军和海岸警卫队（与海军相比）的人则较少见。与可能存在 COPs 的人相比，报告可能存在 MH 问题的人过去一年接受 MH 咨询的可能性显著较低；否则，服务利用和感知需求的模式相似。
COPs 非常普遍，因此在军队中需要对其进行筛查并关注其同时存在的情况，某些服务成员群体尤其存在 COPs 的高风险。未来的研究和政策应该更深入地探讨如何满足存在 COPs 的服务成员的需求。
