Life in and after the Armed Forces: social networks and mental health in the UK military
Life in and after the Armed Forces: social networks and mental health in the UK military
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DOI：
10.1111/1467-9566.12022
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发表时间：
2013-09-01
影响因子：
2.9
通讯作者：
Wessely, Simon
中科院分区：
文献类型：
--
作者：
Hatch, Stephani L.;Harvey, Samuel B.;Wessely, Simon
本研究侧重于社会融合的结构性方面(社会网络和工作之外的社会参与)对心理健康的影响(常见精神障碍(CMD)，即抑郁和焦虑症状，创伤后应激障碍(PTSD)症状和酗酒)。本研究考察了离职者和在职人员在社会融合水平上的差异以及社会融合与心理健康之间的关系。数据来自正规现役人员(n=6511)和正规现役人员(n=1753)，来自英国武装部队的代表性队列研究。我们发现，与现役军人相比，退伍军人报告的工作外社会参与度较低，与军队的社会交往总体上脱节。离职者报告CMD和PTSD症状的可能性更大。患有慢性精神疾病的风险增加，但不是创伤后应激障碍症状，部分原因是服务离职者中社会融入程度的降低。维持大多数成员仍在军队中的社交网络对两个群体来说都与酗酒有关，但只与退役人员的CMD和PTSD症状有关。
This study focuses on the influence of structural aspects of social integration (social networks and social participation outside work) on mental health (common mental disorders (CMD), that is, depression and anxiety symptoms, post-traumatic stress disorder (PTSD) symptoms and alcohol misuse). This study examines differences in levels of social integration and associations between social integration and mental health among service leavers and personnel still in service. Data were collected from regular serving personnel (n=6511) and regular service leavers (n=1753), from a representative cohort study of the Armed Forces in the UK. We found that service leavers reported less social participation outside work and a general disengagement with military social contacts in comparison to serving personnel. Service leavers were more likely to report CMD and PTSD symptoms. The increased risk of CMD but not PTSD symptoms, was partially accounted for by the reduced levels of social integration among the service leavers. Maintaining social networks in which most members are still in the military is associated with alcohol misuse for both groups, but it is related to CMD and PTSD symptoms for service leavers only.