Developing a Problem-Solving Treatment for Gulf War Illness: Cognitive Rehabilitation of Veterans with Complex Post-Deployment Health Concerns
Developing a Problem-Solving Treatment for Gulf War Illness: Cognitive Rehabilitation of Veterans with Complex Post-Deployment Health Concerns
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DOI：
10.1007/s10615-017-0616-7
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发表时间：
2018-06-01
影响因子：
2.8
通讯作者：
McAndrew, Lisa M.
中科院分区：
文献类型：
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作者：
Greenberg, Lauren M.;Litke, David R.;McAndrew, Lisa M.
社会工作者在促进退伍军人重新融入社区和日常生活方面发挥着至关重要的作用。许多退伍军人，特别是那些已经被部署的退伍军人，经历了身体、心理和神经认知方面的共病问题，这些问题严重影响了他们在多个领域的健康功能。部署到沙漠盾牌行动/沙漠风暴行动的退伍军人报告了一系列持续的、多样的、医学上无法解释的症状，这些症状后来被称为海湾战争病（GWI）。这些症状使退伍军人难以参加日常活动，从而影响健康功能。目前还没有有效的治疗方法来改善GWI患者的健康功能。本文的目的是为社会工作者提供有关GWI的信息，并描述我们如何修改基于证据的治疗方法，解决问题的治疗方法，用于GWI退伍军人。这种对现有治疗的量身定制可以作为一种模式，为患有多种慢性症状和其他复杂健康问题的退伍军人和平民调整循证治疗。此外，所提供的详细描述可能有助于在社会工作者和学员中传播问题解决疗法。
Social workers play an essential role in facilitating veterans' reintegration into their communities and daily lives. Many veterans, particularly those who have been deployed, experience comorbid physical, psychological, and neurocognitive problems that significantly impact their health function in multiple domains. Veterans deployed to Operation Desert Shield/Operation Desert Storm have reported a wide range of persistent, diverse, medically unexplained symptoms that have come to be known as Gulf War Illness (GWI). These symptoms make it difficult for veterans to participate in daily activities, thereby impacting health function. There are few effective treatments to improve the health function for those with GWI. The goals of this article are to provide social workers with information about GWI, and describe how we modified an evidence-based treatment, problem-solving therapy, for veterans with GWI. This tailoring of an existing treatment may serve as a model for adapting evidence-based treatments for veterans and civilians with multiple chronic symptoms and other complex health concerns. Furthermore, the detailed description provided may facilitate dissemination of problem-solving therapy among social workers and trainees.