Mental Health of Canadian Forces Members While on Deployment to Afghanistan
Mental Health of Canadian Forces Members While on Deployment to Afghanistan
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DOI：
10.1177/070674371205701205
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发表时间：
2012-12-01
影响因子：
4
通讯作者：
Jetly, Col Rakesh
中科院分区：
文献类型：
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作者：
Garber, Bryan G.;Zamorski, Mark A.;Jetly, Col Rakesh
目标：部署的环境对提供有效的战区精神卫生保健提出了特殊的挑战。我们的研究旨在确定在阿富汗特遣部队服役的加拿大部队（CF）人员中心理健康问题症状的患病率和影响;并确定CF人员在部署时对心理健康服务的使用和感知需求。方法：我们的研究包括对2010年2月15日起部署到阿富汗坎大哈省的所有2779名CF人员的横断面调查，结果：在1572名被调查者中，有8.5%的人（应答率为57%）的急性创伤性应激、重度抑郁或广泛性焦虑症状超过了平民标准。这3个心理健康问题的患病率随着战斗暴露程度的增加和在更孤立的岗位上的位置而增加。更大比例（31%）的人报告在部署期间遭受压力，情绪，酒精或家庭问题。只有少数有心理健康问题的受访者（26%）目前有兴趣获得帮助。几乎一半的受访者认为职业功能障碍的心理健康问题的结果，虽然三分之二的受访者与职业功能障碍的组中没有3心理健康问题assessed.Conclusions：心理支持的需求基础延伸超出人员谁满足传统的问卷标准创伤性应激，抑郁症，或广泛性焦虑。未来的研究需要了解哪些确切的问题正在推动这一更大的需求基础，以及哪些确切的支持（临床或非临床）是最合适的。
Objective: The deployed environment poses special challenges to the delivery of effective in-theatre mental health care. Our study sought to identify the prevalence and impact of symptoms of mental health problems in Canadian Forces (CF) personnel serving in Task Force Afghanistan; and, to determine the use of, and perceived need for, mental health services in CF personnel while deployed.Methods: Our study consisted of a cross-sectional survey of all 2779 CF personnel deployed to the province of Kandahar, Afghanistan, from February 15, 2010, to March 15, 2010.Results: An important minority (8.5%) of the 1572 respondents (response rate = 57%) exceeded civilian criteria for symptoms of acute traumatic stress, major depression, or generalized anxiety. Prevalence of these 3 mental health problems increased with higher combat exposure and location in more isolated posts. A much larger fraction (31%) reported suffering a stress, emotional, alcohol, or family problem during the deployment. Only a minority of respondents with a mental health problem (26%) were currently interested in getting help. Almost one-half of respondents with a mental health problem perceived occupational dysfunction as a result, though two-thirds of respondents with occupational dysfunction were in the group without the 3 mental health problems assessed.Conclusions: The needs base for psychosocial support extends beyond personnel who meet conventional questionnaire criteria for traumatic stress, depression, or generalized anxiety. Future research is needed to understand what precise problems are driving this larger needs base and what precise supports (clinical or nonclinical) would be most appropriate.