Soldier attitudes toward mental health screening and seeking care upon return from combat
Soldier attitudes toward mental health screening and seeking care upon return from combat
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DOI：
10.7205/milmed.173.6.563
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发表时间：
2008-06-01
影响因子：
1.2
通讯作者：
Grieger, Thomas
中科院分区：
文献类型：
--
作者：
Warner, Christopher H.;Appenzeller, George N.;Grieger, Thomas
目的：本研究探讨了士兵对部署后心理健康筛查，治疗，护理障碍，克服障碍的策略，以及进行部署后心理健康筛查的设置，人员和时间的态度。方法：部署士兵参加了自愿匿名调查。结果：在3,294名士兵中，2,678名（81.3%）回答了调查。当三个最认可的感知障碍心理健康护理（单位成员的负面看法，领导人的负面看法，被视为弱）进行了检查，类似于15%的士兵赞同的看法相比，在战争开始时进行的先前的研究。接受培训的重点是管理与寻求治疗的协议增加有关的心理问题。与会者赞同调查、访谈和单位提供者作为部署后筛查的首选工具和提供者。士兵们赞同家庭成员和朋友的鼓励，认为这是减少心理保健障碍的首选方法。结论：广泛的教育计划似乎减少了与接受精神卫生保健有关的耻辱。应该继续开展以朋友和家人鼓励士兵寻求心理健康援助为重点的项目。部署后筛查应在士兵最有可能诚实报告问题的条件下进行。
Objective: This study examined soldier attitudes about postdeployment mental health screening, treatment, barriers to care, strategies for overcoming barriers, and settings, personnel and timing for conducting postdeployment mental health screening. Methods: Deploying soldiers participated in a voluntary anonymous survey. Results: Of 3,294 soldiers, 2,678 (81.3%) responded to the survey. When the three most endorsed perceived barriers to mental health care (negative perception by unit members, negative perception by leaders, and being viewed as weak) were examined, similar to 15% fewer soldiers endorsed the perceptions, compared with a previous study conducted at the beginning of the war. Receipt of training focused on managing psychological problems associated with increased agreement to seek treatment. Participants endorsed surveys, interviews, and unit providers as preferred instruments and providers for postdeployment screening. Soldiers endorsed encouragement from family members and friends as the preferred approach to reducing barriers to mental health care. Conclusion: Extensive educational programs seemed to have reduced the stigma related to receiving mental health care. Programs that focus on friend and family member encouragement of soldiers to seek mental health assistance should continue. Postdeployment screening should be conducted under conditions in which soldiers are most likely to report problems honestly.