COVID-19 大流行对退伍军人配偶心理健康和幸福感的影响：一项横断面分析。
Impact of the COVID-19 pandemic on the mental health and well-being of Veterans' spouses: a cross sectional analysis.
机构信息
MacDonald Franklin OSI Research Centre, Lawson Health Research Institute, London, ON, Canada.
Department of Psychiatry, Western University, London, ON, Canada.
出版信息
BMC Psychiatry. 2023 Mar 22;23(1):188. doi: 10.1186/s12888-023-04687-y.
BACKGROUND
COVID-19 has negatively impacted the mental health and well-being of both Canadians and the world as a whole, with Veterans, in particular, showing increased rates of depression, anxiety, and PTSD. Spouses and common-law partners often serve as primary caregivers and sources of support for Veterans, which may have a deleterious effect on mental health and increase risk of burnout. Pandemic related stressors may increase burden and further exacerbate distress; yet the effect of the pandemic on the mental health and well-being of Veterans' spouses is currently unknown. This study explores the self-reported mental health and well-being of a group of spouses of Canadian Armed Forces Veterans and their adoption of new ways to access healthcare remotely (telehealth), using baseline data from an ongoing longitudinal survey.
METHODS
Between July 2020 and February 2021, 365 spouses of Veterans completed an online survey regarding their general mental health, lifestyle changes, and experiences relating to the COVID-19 pandemic. Also completed were questions relating to their use of and satisfaction with health-care treatment services during the pandemic.
RESULTS
Reported rates of probable major depressive disorder (MDD), generalized anxiety disorder (GAD), alcohol use disorder (AUD), and PTSD were higher than the general public, with 50-61% believing their symptoms either directly related to or were made worse by the pandemic. Those reporting being exposed to COVID-19 were found to have significantly higher absolute scores on mental health measures than those reporting no exposure. Over 56% reported using telehealth during the pandemic, with over 70% stating they would continue its use post-pandemic.
CONCLUSIONS
This is the first Canadian study to examine the impact of the COVID-19 pandemic specifically on the mental health and well-being of Veterans' spouses. Subjectively, the pandemic negatively affected the mental health of this group, however, the pre-pandemic rate for mental health issues in this population is unknown. These results have important implications pertaining to future avenues of research and clinical/programme development post-pandemic, particularly relating to the potential need for increased support for spouses of Veterans, both as individuals and in their role as supports for Veterans.
背景
COVID-19 对加拿大乃至全世界民众的心理健康和福祉产生了负面影响，退伍军人的抑郁、焦虑和 PTSD 发生率尤其升高。配偶和事实伴侣通常是退伍军人的主要照顾者和支持来源，这可能对他们的心理健康产生有害影响，并增加倦怠的风险。与大流行相关的压力源可能会增加负担并进一步加剧痛苦；然而，大流行对退伍军人配偶心理健康和福祉的影响目前尚不清楚。本研究利用正在进行的纵向调查的基线数据，探讨了一组加拿大武装部队退伍军人配偶的自我报告心理健康和福祉状况，以及他们采用远程医疗（远程医疗）获取医疗保健的新方式。
方法
在 2020 年 7 月至 2021 年 2 月期间，365 名退伍军人的配偶完成了一项关于他们的一般心理健康、生活方式改变以及与 COVID-19 大流行相关经历的在线调查。还完成了与他们在大流行期间使用和对医疗保健治疗服务的满意度相关的问题。
结果
报告的可能患有重度抑郁症（MDD）、广泛性焦虑症（GAD）、酒精使用障碍（AUD）和 PTSD 的比率高于一般公众，其中 50-61%的人认为他们的症状与大流行直接相关或因大流行而恶化。与报告未接触 COVID-19 的人相比，报告接触 COVID-19 的人在心理健康测量方面的绝对得分明显更高。超过 56%的人在大流行期间使用远程医疗，超过 70%的人表示他们在大流行后会继续使用。
结论
这是加拿大第一项专门研究 COVID-19 大流行对退伍军人配偶心理健康和福祉影响的研究。从主观上讲，大流行对这群人的心理健康产生了负面影响，然而，目前尚不清楚这一人群在大流行前的心理健康问题发生率。这些结果对未来的研究和大流行后临床/项目开发具有重要意义，特别是与退伍军人配偶作为个人和作为退伍军人支持的角色的潜在需求增加有关。
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