Koshes R J, Rothberg J M
Department of Military Psychiatry, Walter Reed Army Institute of Research, Washington, DC 20307, USA.
Mil Med. 1995 Oct;160(10):507-13.
A study of ambulatory mental health services on a U.S. Army post where logistic support personnel are stationed compared utilization of psychiatric services before, during, and after the Persian Gulf War. Rates were calculated for service utilization for the at-risk groups from consecutive cases presenting at the post's ambulatory mental health services in the Department of Psychiatry. Our findings include a high rate of dysfunction for soldiers in training during the war; significant age, race, and sex differences between utilizers and non-utilizers throughout the study period; increased routine evaluations for military schools following the war; and significant increases in utilization of services by identified high-stress units during this conflict. Rates of utilization for a combat support post can be used for resource allocation and have implications for mental health manpower planning and stress prevention.
一项针对美国陆军基地（该基地驻扎有后勤保障人员）门诊心理健康服务的研究，比较了海湾战争前、战争期间及战后精神科服务的利用率。从该基地精神病科门诊心理健康服务连续就诊的病例中，计算了高危人群的服务利用率。我们的研究结果包括：战争期间训练士兵的功能障碍发生率较高；在整个研究期间，服务使用者和非使用者之间存在显著的年龄、种族和性别差异；战后军事学校的常规评估增加；以及在此冲突期间，已确定的高压力部队的服务利用率显著增加。战斗支援基地的利用率可用于资源分配，并对心理健康人力规划和压力预防具有启示意义。
