"Operator syndrome": A unique constellation of medical and behavioral health-care needs of military special operation forces
"Operator syndrome": A unique constellation of medical and behavioral health-care needs of military special operation forces
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DOI：
10.1177/0091217420906659
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发表时间：
2020-02-13
影响因子：
2
通讯作者：
Beidel, Deborah C.
中科院分区：
文献类型：
--
作者：
Frueh, B. Christopher;Madan, Alok;Beidel, Deborah C.
简体中文特种作战部队是美国武装部队中最精锐的部队。他们的选拔竞争非常激烈，在他们的服役生涯中，他们经历了密集的作战训练和战斗部署周期。然而，人们对这一特殊人群的保健需求知之甚少。（和许多配偶或女朋友）在过去的6年里创造了一个自然主义，观察基础的知识，使我们的团队，以确定一个独特的模式相互关联的医疗和行为的卫生保健需求。我们和其他特种作战部队医疗保健提供者称之为“操作员综合征”。这包括相互关联的健康和功能障碍，包括创伤性脑损伤影响;内分泌功能障碍;睡眠障碍;阻塞性睡眠呼吸暂停;慢性关节/背痛，骨科问题和头痛;药物滥用;抑郁和自杀;愤怒;担忧，沉思和压力反应;婚姻，家庭和社区功能障碍;性健康和亲密关系问题;“警惕”或过度警惕;结论“操作员综合征”可以理解为异常高的非稳态负荷的自然后果，长期慢性应激导致的生理、神经和神经内分泌反应的积累，以及长期慢性应激导致的神经内分泌反应的累积，是一种慢性应激综合征。以及在特种部队工作对身体的要求需要临床研究和全面、强化的沉浸式项目来满足该社区的独特需求。
ObjectiveU.S. military special operation forces represent the most elite units of the U.S. Armed Forces. Their selection is highly competitive, and over the course of their service careers, they experience intensive operational training and combat deployment cycles. Yet, little is known about the health-care needs of this unique population.MethodProfessional consultations with over 50 special operation forces operators (and many spouses or girlfriends) over the past 6 years created a naturalistic, observational base of knowledge that allowed our team to identify a unique pattern of interrelated medical and behavioral health-care needs.ResultsWe identified a consistent pattern of health-care difficulties within the special operation forces community that we and other special operation forces health-care providers have termed "Operator Syndrome." This includes interrelated health and functional impairments including traumatic brain injury effects; endocrine dysfunction; sleep disturbance; obstructive sleep apnea; chronic joint/back pain, orthopedic problems, and headaches; substance abuse; depression and suicide; anger; worry, rumination, and stress reactivity; marital, family, and community dysfunction; problems with sexual health and intimacy; being "on guard" or hypervigilant; memory, concentration, and cognitive impairments; vestibular and vision impairments; challenges of the transition from military to civilian life; and common existential issues.Conclusions"Operator Syndrome" may be understood as the natural consequences of an extraordinarily high allostatic load; the accumulation of physiological, neural, and neuroendocrine responses resulting from the prolonged chronic stress; and physical demands of a career with the military special forces. Clinical research and comprehensive, intensive immersion programs are needed to meet the unique needs of this community.