Help-seeking and receipt of treatment among UK service personnel
Help-seeking and receipt of treatment among UK service personnel
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DOI：
10.1192/bjp.bp.109.075762
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发表时间：
2010-08-01
影响因子：
10.5
通讯作者：
Fear, Nicola T.
中科院分区：
文献类型：
--
作者：
Iversen, Amy C.;van Staden, Lauren;Fear, Nicola T.
背景对于武装部队人员来说，关于寻求帮助行为和接受精神障碍治疗的数据对于研究和政策都很重要。目的调查英国军队精神卫生保健服务的使用和接受治疗的情况。方法参与者从现有的英国军人健康队列中抽取。样本按预备役状态和参加伊拉克战争主要战斗时期的情况进行分层。参与者完成了一项基于电话的结构化诊断访谈，包括患者健康问卷和初级保健创伤后应激障碍筛查（PC-PTSD），以及一系列关于服务利用和治疗接受的问题。结果只有23%的患有常见精神障碍且仍在军队服役的人接受了任何形式的医疗专业帮助。非医疗来源的帮助，如牧师，被更广泛地使用。在接受专业帮助的常规人员中，大多数是在初级保健（79%），最常见的治疗是药物或咨询/心理治疗。很少有常规员工接受认知行为疗法（CBT）。这些发现与一般人群报告的结果相当。结论：在英国军队中，大多数患有精神障碍的人目前没有为他们的症状寻求医疗帮助。考虑到这是一个有职业精神伤害风险的群体，进一步了解护理障碍是重要和及时的。
BackgroundFor armed forces personnel, data on help-seeking behaviour and receipt of treatment for mental disorders are important for both research and policy.AimsTo examine mental healthcare service use and receipt of treatment in a sample of the UK military.MethodParticipants were drawn from an existing UK military health cohort. The sample was stratified by reserve status and by participation in the main war-fighting period of the Iraq War. Participants completed a telephone-based structured diagnostic interview comprising the Patient Health Questionnaire and Primary Care Post-Traumatic Stress Disorder Screen (PC-PTSD), and a series of questions about service utilisation and treatment receipt.ResultsOnly 23% of those with common mental disorders and still serving in the military were receiving any form of medical professional help. Non-medical sources of help such as chaplains were more widely used. Among regular personnel in receipt of professional help, most were seen in primary care (79%) and the most common treatment was medication or counselling/psychotherapy. Few regular personnel were receiving cognitive-behavioural therapy (CBT). These findings are comparable with those reported for the general population.ConclusionsIn the UK armed forces, the majority of those with mental disorders are not currently seeking medical help for their symptoms. Further work to understand barriers to care is important and timely given that this is a group at risk of occupational psychiatric injury.