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战斗中的急性应激反应:新出现的证据和基于同行的干预措施。

Acute Stress Reaction in Combat: Emerging Evidence and Peer-Based Interventions.

机构信息

Walter Reed Army Institute of Research, 503 Robert Grant Ave, Silver Spring, MD, 20910, USA.

出版信息

Curr Psychiatry Rep. 2022 Apr;24(4):277-284. doi: 10.1007/s11920-022-01335-2. Epub 2022 Mar 30.

DOI:10.1007/s11920-022-01335-2
PMID:35353322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8965216/
Abstract

PURPOSE OF REVIEW

This paper highlights the topic of combat-related acute stress reactions (ASRs) in service members. Specifically, we contrast ASRs with related psychiatric conditions, report the estimated prevalence of ASRs for soldiers deployed to combat, and discuss how team members can effectively respond to these reactions.

RECENT FINDINGS

Although not regarded as a clinical disorder, ASRs can have a significant impact on high-risk occupations like the military in which impaired functioning can imperil team members and others. Based on self-report, 17.2% of soldiers who have deployed to combat report having experienced a possible ASR. To our knowledge, this is the first such prevalence estimate. The prevalence of ASRs underscores the need for improved prevention, management, and recovery strategies. Peer-based intervention protocols such as iCOVER may provide a useful starting point to address ASRs in team members.

摘要

目的综述

本文强调了与战斗相关的急性应激反应(ASR)在现役军人中的主题。具体来说,我们将 ASR 与相关精神疾病进行对比,报告部署到战斗中的士兵的 ASR 估计患病率,并讨论团队成员如何有效地应对这些反应。

最新发现

虽然 ASR 不被视为一种临床疾病,但它会对军队等高风险职业产生重大影响,因为功能受损可能会危及团队成员和其他人。根据自我报告,17.2%部署到战斗的士兵报告经历过可能的 ASR。据我们所知,这是第一个此类患病率估计。ASR 的患病率突出表明需要改进预防、管理和恢复策略。基于同伴的干预协议,如 iCOVER,可能为解决团队成员中的 ASR 提供一个有用的起点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e6a/9010381/07b01bdc9732/11920_2022_1335_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e6a/9010381/07b01bdc9732/11920_2022_1335_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e6a/9010381/07b01bdc9732/11920_2022_1335_Fig1_HTML.jpg

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2
Post-traumatic stress disorder risk and witnessing team members in acute psychological stress during combat.创伤后应激障碍风险与战斗期间急性心理应激中的目击团队成员。
BJPsych Open. 2020 Sep 3;6(5):e98. doi: 10.1192/bjo.2020.81.
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Witnessing Acute Stress Reaction in Team Members: The Moderating Effect of Peer-Based Training.
现役军人自杀及自杀倾向的社会决定因素:一项全球范围综述
Health Promot J Austr. 2025 Apr;36(2):e70030. doi: 10.1002/hpja.70030.
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A novel intervention for acute stress reaction: exploring the feasibility of ReSTART among Norwegian soldiers.一种新的急性应激反应干预措施:探索 ReSTART 在挪威士兵中的可行性。
Eur J Psychotraumatol. 2024;15(1):2400011. doi: 10.1080/20008066.2024.2400011. Epub 2024 Sep 17.
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Exploring metabolomic dynamics in acute stress disorder: amino acids, lipids, and carbohydrates.探索急性应激障碍中的代谢组学动态:氨基酸、脂质和碳水化合物。
Front Genet. 2024 Jul 25;15:1394630. doi: 10.3389/fgene.2024.1394630. eCollection 2024.
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Healthcare (Basel). 2023 Dec 29;12(1):82. doi: 10.3390/healthcare12010082.
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