Psychological Distress in the Active Duty Military Spine Patient
Psychological Distress in the Active Duty Military Spine Patient
复制标题
DOI：
10.7205/milmed-d-13-00162
复制
发表时间：
2013-10-01
影响因子：
1.2
通讯作者：
Mok, James M.
中科院分区：
文献类型：
--
作者：
Brooks, D. Ethan;Agochukwu, Uzondu F.;Mok, James M.
脊柱疾病对军队医疗保健系统来说是一个沉重的负担，降低了整个部队的战备状态。由于治疗结果受到心理社会因素的影响，因此心理困扰的评估对于脊柱疾病患者非常重要。独特的军人群体中心理困扰的发生率尚未得到很好的描述。这项回顾性病例对照研究的目的是确定心理困扰的发生率，并在军事卫生系统收集的许多变量中确定相关的患者特征。使用痛苦和风险评估方法，连续一组到脊柱专科诊所就诊的现役军人被评估为正常、有风险或痛苦。在 74 名现役患者（63 名男性，11 名女性）中，43 名（58%）有一定程度的心理困扰：29 名（39%）有风险，12 名（16%）有痛苦-抑郁，2 名（3%）有痛苦-躯体。多变量回归分析将女性性别（比值比 [OR] 7.90）、通过 Oswestry 残疾指数/颈部残疾指数衡量的较高残疾（每增加 13.8 点，OR 8.0）以及分配到战士过渡单位或医疗评估委员会（OR 7.35）作为统计显着变量。结果表明，现役患者与平民患者一样遭受着同样严重的心理困扰。
Disorders of the spine are a substantial burden to the military health care system that degrades readiness in the overall force. Because treatment outcomes are affected by psychosocial factors, assessment of psychological distress is important for patients with spine complaints. The incidence of psychological distress in the unique military population is not well described. The purpose of this retrospective case control study was to determine the rate of psychological distress and identify associated patient characteristics among many variables collected in the military health system. A consecutive cohort of active duty service members presenting to a spine specialty clinic was assessed as Normal, At Risk, or Distressed using the Distress and Risk Assessment Method. Of 74 active duty patients (63 male, 11 female), 43 (58%) had some level of psychological distress: 29 (39%) At Risk, 12(16%) Distressed-Depressive, and 2 (3%) Distressed-Somatic. Multivariate regression analysis identified female gender (odds ratio [OR] 7.90), higher disability as measured by Oswestry Disability Index/Neck Disability Index (OR 8.0 per 13.8 point increase), and assignment to a Warrior Transition Unit or Medical Evaluation Board (OR 7.35) as statistically significant variables. The results indicate that active duty patients are subject to similarly high levels of psychological distress as their civilian counterparts.