Use of mental health services by veterans with PTSD after the terrorist attacks of September 11.

Use of mental health services by veterans with PTSD after the terrorist attacks of September 11.
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9 月 11 日恐怖袭击后,患有 PTSD 的退伍军人使用心理健康服务。

DOI:
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发表时间:
2003
影响因子:
17.7
通讯作者:
A. Fontana
A. Fontana
中科院分区:
医学1区
文献类型:
--
作者:
R. Rosenheck;A. Fontana

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客观化 社区调查显示,自9·11恐怖袭击以来,人们遭受了严重的心理困扰。11,2001年。由于患有创伤后应激障碍(PTSD)和其他精神疾病的人特别容易受到应激事件的影响,作者调查了袭击发生后纽约市和其他地方退伍军人事务部(VA)医疗中心使用PTSD治疗服务和其他精神健康服务的情况。 方法 采用方差分析方法比较9·11事件前6个月和9·11事件后6个月平均每日服务使用量的变化,以及前两年同一月份的服务使用量变化。使用卡方检验来检验9月11日之后进入治疗的新患者(即在过去6个月内没有接受治疗的患者)的比例与前几年的差异。 结果 9·11事件后,纽约市使用退伍军人管理局服务治疗创伤后应激障碍或其他精神障碍或前往精神科或非精神科诊所就诊的人数没有显著增加,服务使用模式与前几年相比也没有明显变化。在大纽约地区、华盛顿特区或俄克拉何马城,创伤后应激障碍的治疗也没有显著增加,新患者的比例也没有显著增加。 结论 9·11恐怖袭击后,退伍军人中患有创伤后应激障碍或其他精神疾病的患者使用精神卫生服务的情况没有增加。
OBJECTIVE Community surveys have demonstrated significant psychological distress since the terrorist attacks of Sept. 11, 2001. Since people with posttraumatic stress disorder (PTSD) and other mental illnesses are especially vulnerable to stressful events, the authors examined the use of PTSD treatment services and other mental health services at Department of Veterans Affairs (VA) medical centers in New York City and elsewhere after the attacks. METHOD Analysis of variance was used to compare changes in average daily service use in the 6 months before and the 6 months after September 11, with changes in service use across the same months in the 2 previous years. Chi-square tests were used to examine differences from previous years in the proportion of new patients (i.e., who had not received treatment in the previous 6 months) entering treatment after September 11. RESULTS There was no significant increase in the use of VA services for the treatment of PTSD or other mental disorders or in visits to psychiatric or nonpsychiatric clinics in New York City after September 11 and no significant change in the pattern of service use from previous years. Nor was there a significant increase in PTSD treatment in the greater New York area, Washington, D.C., or Oklahoma City or in the proportion of new patients. CONCLUSIONS No increase was observed in the use of mental health services among VA patients with PTSD or other mental illnesses in response to the terrorist attacks of September 11.
DOI: 10.1056/nejm200111153452024
发表时间: 2001-11-15
影响因子: 158.5
作者:
Schuster, MA;Stein, BD;Berry, SH
通讯作者: Berry, SH
DOI: 10.1037/0882-7974.8.4.606
发表时间: 1993-12-01
影响因子: 3.7
作者:
THOMPSON, MP;NORRIS, FH;HANACEK, B
通讯作者: HANACEK, B
DOI: 10.1176/ajp.155.5.630
发表时间: 1998-05-01
影响因子: 17.7
作者:
Shalev, AY;Freedman, S;Pitman, RK
通讯作者: Pitman, RK
DOI: 10.1023/a:1010622909643
发表时间: 2001-04-01
影响因子: 3.8
作者:
Montella, M;Crispo, A;D'Aiuto, G
通讯作者: D'Aiuto, G