Early Intervention for Post-Traumatic Stress Disorder, Depression, and Quality of Life in Mortuary Affairs Soldiers Postdeployment.
Early Intervention for Post-Traumatic Stress Disorder, Depression, and Quality of Life in Mortuary Affairs Soldiers Postdeployment.
复制标题
早期干预太平间事务士兵部署后的创伤后应激障碍、抑郁症和生活质量。
作者：
Quinn M. Biggs;C. Fullerton;J. McCarroll;Xian Liu;Leming Wang;Nicole M Dacuyan;D. Zatzick;R. Ursano
美国陆军太平间事务（MA）士兵经历部署和接触死者的压力，增加了创伤后应激障碍和抑郁症的风险。本研究探讨军队士气，部署后的早期干预的基础上心理急救部队教育。MA士兵（N = 126）在部署后1个月随机分为干预组或对照组。在2、3、4和7个月时进行干预。在1、2、3、4、7和10个月时对两组进行创伤后应激障碍（PTSD）、抑郁和生活质量（QOL）评估。在基线时，总样本中有25.0%可能患有PTSD（17项PTSD检查表M = 35.4，SD = 16.9），23.6%可能患有抑郁症（9项患者健康问卷抑郁量表M = 7.8，SD = 6.9）。在10个月内，PTSD和抑郁症状减少，总样本的QOL改善。在研究结束时，干预组和对照组没有差异。干预组男性在2至3个月时表现出短暂的症状增加。男性参加干预会议的人数少于女性。较低的出勤率与更多的症状和较低的生活质量。更高的出勤率与更大的干预效益相关。调查结果强调，需要更好地了解部署后的干预措施，并促进出席。需要对MA士兵进行进一步干预。
U.S. Army mortuary affairs (MA) soldiers experience stressors of deployment and exposure to the dead, increasing risk for post-traumatic stress and depression. This study examines Troop Education for Army Morale, a postdeployment early intervention based on Psychological First Aid. MA soldiers (N = 126) were randomized to intervention or comparison groups 1-month postdeployment. Intervention sessions were held at 2, 3, 4, and 7 months. Assessments of post-traumatic stress disorder (PTSD), depression, and quality of life (QOL) were conducted at 1, 2, 3, 4, 7, and 10 months for both groups. At baseline, 25.0% of the total sample had probable PTSD (17-item PTSD Checklist M = 35.4, SD = 16.9) and 23.6% had probable depression (9-item Patient Health Questionnaire Depression Scale M = 7.8, SD = 6.9). Over 10 months, PTSD and depression symptoms decreased and QOL improved for the total sample. At study conclusion, intervention and comparison groups were not different. Intervention group males showed a transient symptom increase at 2 to 3 months. Males attended fewer intervention sessions than females. Lower attendance was associated with more symptoms and lower QOL. Higher attendance was associated with greater intervention benefits. Findings highlight the need for better understanding postdeployment interventions and facilitating attendance. Further intervention for MA soldiers is indicated.
影响因子：
120.7
作者：
Monson, Candice M.;Fredman, Steffany J.;Macdonald, Alexandra;Pukay-Martin, Nicole D.;Resick, Patricia A.;Schnurr, Paula P.
通讯作者：
Schnurr, Paula P.
对重伤创伤幸存者进行分级协作护理的随机有效性试验。
DOI：
10.1001/archpsyc.61.5.498
发表时间：
2004
期刊：
Archives of general psychiatry.
影响因子：
--
作者：
Zatzick,Douglas;Roy-Byrne,Peter;Russo,Joan;Rivara,Frederick;Droesch,RoseAnne;Wagner,Amy;Dunn,Chris;Jurkovich,Gregory;Uehara,Edwina;Katon,Wayne
通讯作者：
Katon,Wayne