The National Health and Resilience in Veterans Study: A Narrative Review and Future Directions.
The National Health and Resilience in Veterans Study: A Narrative Review and Future Directions.
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DOI：
10.3389/fpsyt.2020.538218
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发表时间：
2020
影响因子：
4.7
通讯作者：
Pietrzak RH
中科院分区：
文献类型：
--
作者：
Fogle BM;Tsai J;Mota N;Harpaz-Rotem I;Krystal JH;Southwick SM;Pietrzak RH
美国(美国)退伍军人比非退伍军人年龄大得多。然而，缺乏具有全国代表性的、以人口为基础的关于这一人群独特卫生需求的数据。这些数据对于设计大规模外展举措以及确保在退伍军人事务部医疗保健系统内外提供服务护理的有效性至关重要。国家退伍军人健康和复原力研究(NHRVS)是一项当代的、具有全国代表性的前瞻性研究，对两个独立的美国退伍军人队列(n=3,157和n=1,484)进行了研究，该研究正在检查纵向变化，以及几种健康结果的关键风险和保护因素。在这篇叙述性综述中，我们总结了截至2020年6月发表的所有NHRVS研究(n=82)的主要发现，并讨论了这项研究的临床意义、局限性和未来方向。对这些文章的审查分为六个主要主题领域：创伤后应激障碍、自杀、老龄化、复原力和创伤后成长、与退伍军人有关的特别主题以及遗传学和表观遗传学。总而言之，这些研究的结果表明，尽管有相当少数的退伍军人筛查出精神障碍，但大多数人在心理上是有弹性的。他们还指出，旨在促进保护性心理社会特征(即复原力、感恩、生活目标)和社会联系(即安全依恋、社区融合、社会参与)的预防和治疗努力有助于减少精神障碍的风险，并促进这一群体的心理复原力和创伤后成长。
United States (U.S.) veterans are substantially older than their non-veteran counterparts. However, nationally representative, population-based data on the unique health needs of this population are lacking. Such data are critical to informing the design of large-scale outreach initiatives, and to ensure the effectiveness of service care delivery both within and outside of the Veterans Affairs healthcare system. The National Health and Resilience in Veterans Study (NHRVS) is a contemporary, nationally representative, prospective study of two independent cohorts (n = 3,157 and n = 1,484) of U.S. veterans, which is examining longitudinal changes, and key risk and protective factors for several health outcomes. In this narrative review, we summarize the main findings of all NHRVS studies (n = 82) published as of June 2020, and discuss the clinical implications, limitations, and future directions of this study. Review of these articles was organized into six major topic areas: post-traumatic stress disorder, suicidality, aging, resilience and post-traumatic growth, special topics relevant to veterans, and genetics and epigenetics. Collectively, results of these studies suggest that while a significant minority of veterans screen positive for mental disorders, the majority are psychologically resilient. They further suggest that prevention and treatment efforts designed to promote protective psychosocial characteristics (i.e., resilience, gratitude, purpose in life), and social connectedness (i.e., secure attachment, community integration, social engagement) help mitigate risk for mental disorders, and promote psychological resilience and post-traumatic growth in this population.
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影响因子：
2.9
作者：
Baldassarri SR;Kachadourian LK;Esterlis I;Pietrzak RH
通讯作者：
Pietrzak RH
影响因子：
2.9
作者：
Nustad HE;Almeida M;Canty AJ;LeBlanc M;Page CM;Melton PE
通讯作者：
Melton PE
影响因子：
25.8
作者：
Andersen, Allan M.;Pietrzak, Robert H.;Han, Shizhong
通讯作者：
Han, Shizhong
影响因子：
3.8
作者：
Byers, Amy L.;Arean, Patricia A.;Yaffe, Kristine
通讯作者：
Yaffe, Kristine
影响因子：
10.3
作者：
Contractor, Ateka A.;Armour, Cherie;Pietrzak, Robert H.
通讯作者：
Pietrzak, Robert H.