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患有精神疾病退伍军人的社会隔离与幸福感

Social isolation and well-being in veterans with mental illness.

作者信息

Grenawalt Teresa Ann, Lu Junfei, Hamner Karl, Gill Christopher, Umucu Emre

机构信息

The University of Alabama, Tuscaloosa, AL, USA.

Department of Counseling, Educational Psychology & Special Education, Michigan State University, East Lansing, MI, USA.

出版信息

J Ment Health. 2023 Apr;32(2):407-411. doi: 10.1080/09638237.2021.2022625. Epub 2022 Jan 10.

Abstract

BACKGROUND

Veterans with mental illness are a growing population in the United States (US). For some veterans, their military service has a negative effect on well-being. Social isolation is problematic for veterans' mental health by increasing incidence of depression, suicidal ideation or attempts, and readmittance to psychiatric hospitals. Social support is a protective factor for individuals with mental illness and is key to a successful military-to-civilian transition.

AIM

Thus, we examine the relationship of social isolation on well-being among veterans with any mental illness.

METHODS

This cross-sectional correlational study consisted of a sample of 146 US veterans with any mental illness. A three-step hierarchical regression analysis was used to determine if social isolation is a predictor of well-being after controlling for demographics, functional limitations and depression.

RESULTS

Findings revealed social isolation was positively correlated with functional limitations ( = 0.48,  < 0.001), depression ( = 0.66,  < 0.001) and negatively correlated with well-being ( = -.64,  < 0.001). Hierarchical regression analysis revealed social isolation was negatively correlated ( = -.44,  < 0.001) with well-being. Overall, our three-step model accounted a total of 50% of variance in well-being, a large effect size.

CONCLUSION

The findings underscore the importance of assessing the relationship of social isolation on well-being in veterans with mental illness. The findings also highlight promising targets to improve prevention and psychosocial interventions to improve well-being among veterans with mental illness.

摘要

背景

在美国,患有精神疾病的退伍军人数量日益增加。对一些退伍军人而言,他们的军事服役经历对其幸福感有负面影响。社会隔离对退伍军人的心理健康存在问题,因为它会增加抑郁症、自杀意念或自杀企图的发生率,以及再次入住精神病院的几率。社会支持是患有精神疾病个体的一个保护因素,也是成功实现从军队到平民过渡的关键。

目的

因此,我们研究社会隔离与患有任何精神疾病的退伍军人幸福感之间的关系。

方法

这项横断面相关性研究包括146名患有任何精神疾病的美国退伍军人样本。采用三步分层回归分析来确定在控制人口统计学、功能限制和抑郁因素后,社会隔离是否是幸福感的预测因素。

结果

研究结果显示,社会隔离与功能限制呈正相关(r = 0.48,p < 0.001),与抑郁呈正相关(r = 0.66,p < 0.001),与幸福感呈负相关(r = -0.64,p < 0.001)。分层回归分析显示,社会隔离与幸福感呈负相关(β = -0.44,p < 0.001)。总体而言,我们的三步模型解释了幸福感总方差的50%,效应量较大。

结论

研究结果强调了评估患有精神疾病的退伍军人中社会隔离与幸福感之间关系的重要性。研究结果还突出了有希望的目标,以改进预防和心理社会干预措施,从而提高患有精神疾病的退伍军人的幸福感。

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