A Mixed-Method Analysis of an Equine Complementary Therapy Program to Heal Combat Veterans

E. Gehrke
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引用次数: 3

Abstract

There are more than 500,000 veterans who participated in various US military wars over the past 60 years who suffer from symptoms diagnosed as PTSD and traumatic brain injury (TBI). It is becoming clear that military personnel exposed to combat operations are at an increased risk for PTSD [1]. According to Makinson & Young [2], “PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization”. The DSM-5 handbook describes intrusion symptoms, avoidance, negative alterations in cognition and mood, and alteration in alertness and negativity [3]. Intrusion symptoms include the reoccurrence of the event in thoughts, dreams, illusions, or flashbacks. Those suffering from PTSD will also avoid thoughts and feelings connected to the event/people or places that trigger recollections of the trauma and possess negative alterations to include negative beliefs about oneself, diminished interest in social activities, or detachment from others. Veterans will express alteration in alertness and activity and exhibit irritable behavior, insomnia, and hypervigilance. Most importantly is that veterans who suffer from the impacts of PTSD experience an overall impairment in their day-to-day living.
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治疗退伍军人的马补充治疗项目的混合方法分析
在过去的60年里,参加过美国各种军事战争的50多万名退伍军人患有创伤后应激障碍和创伤性脑损伤(TBI)。越来越清楚的是,暴露于战斗行动中的军事人员患创伤后应激障碍的风险增加[1]。根据Makinson & Young的说法[2],“创伤后应激障碍是一种精神障碍,其特征是由于环境暴露于心理压力事件(如战争、自然灾害或性侵害)而突然发作的症状。”DSM-5手册描述了入侵症状、回避、认知和情绪的负面改变以及警觉性和消极性的改变[3]。入侵症状包括该事件在思想、梦境、幻觉或闪回中反复出现。那些患有PTSD的人也会避免与事件/人或地方有关的想法和感觉,这些想法和感觉会引发创伤的回忆,并产生消极的改变,包括对自己的消极信念,对社会活动的兴趣减少,或与他人疏远。退伍军人会表现出警觉性和活动的改变,并表现出急躁的行为、失眠和高度警惕。最重要的是,遭受创伤后应激障碍影响的退伍军人在日常生活中会受到全面损害。
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