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Journal of Military, Veteran and Family Health最新文献

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Adding insult to injury: Exploring the relation between moral injury and military sexual trauma 创伤上加创伤:道德创伤与军人性创伤的关系探讨
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-27 DOI: 10.3138/jmvfh-2022-0045
Jillian Lopes, M. McKinnon, Linna Tam-Seto
LAY SUMMARY This article highlights how the current literature conceptualizes and describes the link between military sexual trauma and moral injury. It describes some potential effects of sexual- assault-related moral injury on survivors and contributes to the broader, growing understanding of how sexual assault affects survivors, researchers, clinicians, and policy makers involved in the health and well-being of military members. Furthermore, this work can inform the development of future clinical interventions for individuals with more unique circumstances, such as those who may have experienced moral injury related to sexual trauma in the military.
这篇文章强调了当前的文献是如何概念化和描述军人性创伤和道德伤害之间的联系的。它描述了与性侵犯相关的道德伤害对幸存者的一些潜在影响,并有助于更广泛、更深入地了解性侵犯如何影响幸存者、研究人员、临床医生和参与军人健康和福祉的政策制定者。此外,这项工作可以为具有更独特情况的个人提供未来临床干预措施的发展,例如那些可能在军队中经历过与性创伤相关的道德伤害的人。
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引用次数: 0
Driving the prevention of low back pain in police officers: A systematic review 推动警察预防腰痛:一项系统综述
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-27 DOI: 10.3138/jmvfh-2022-0061
Jerome Range, Charles Côté, H. Castellucci, M. Tremblay, M. Lavallière
LAY SUMMARY Police officers are exposed to multiple risks that increase the prevalence of low back pain. Few interventions have been tailored to help with prevention of low back pain. This systematic literature review aimed to analyse interventions done with civilian or military police officers for this ongoing problem and to identify solutions to help alleviate low back pain in this population. Approaches in the literature regarding police officers and low back pain included an analysis of equipment in patrol vehicles, equipment worn by police officers, and individual factors, such as physical condition and mental state. Findings show multiple methods that can be used to further study low back pain among police officers and reduce its burden.
警察面临着增加腰痛患病率的多重风险。很少有专门的干预措施来帮助预防腰痛。本系统文献综述旨在分析文职或军事警察对这一持续问题的干预措施,并确定有助于缓解这一人群腰痛的解决方案。文献中关于警察与腰痛的研究方法包括对巡逻车设备、警察佩戴的设备以及个人因素(如身体状况和精神状态)的分析。研究结果表明,可以采用多种方法进一步研究警察腰痛并减轻其负担。
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引用次数: 0
Addictions and substance use research should be prioritized for military and Veteran populations 成瘾和药物使用研究应优先考虑军人和退伍军人
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-01 DOI: 10.3138/jmvfh.9.3.ed
S. Bélanger, D. Pedlar
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引用次数: 0
Contemporary prescription opioid use for pain among Canadian Armed Forces Veterans in Ontario 当代处方阿片类药物用于治疗安大略省加拿大武装部队退伍军人的疼痛
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-01 DOI: 10.3138/jmvfh-2022-0027
L. Harrison, S. Kitchen, M. Whitehead, A. Mahar, J. Busse, T. Gomes
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引用次数: 0
Association between modifiable social determinants and mental health among post-9/11 Veterans: A systematic review. 可改变的社会决定因素与9/11后退伍军人心理健康之间的关系:一项系统综述。
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-06-01 DOI: 10.3138/jmvfh-2022-0025
Nipa Kamdar, Sundas Khan, Diana P Brostow, Lia Spencer, Sharmily Roy, Amy Sisson, Natalie E Hundt

Introduction: As U.S. Veterans reintegrate from active duty to civilian life, many are at risk for negative modifiable social determinants of health. The prevalence of mental health conditions among Veterans is also high. Awareness of the associations between these two factors is growing. This systematic review provides a comprehensive analysis of the current state of knowledge of the associations between modifiable social determinants and mental health among U.S. Veterans.

Methods: The authors systematically searched four databases and identified 28 articles representing 25 unique studies that met inclusion criteria. Findings from the studies were extracted and synthesized on the basis of modifiable social determinants. Study quality and risk of bias were assessed using the Methodological Quality Questionnaire.

Results: The studies identified in the systematic review examined three modifiable social determinants of health: 1) housing stability, 2) employment and finances, and 3) social support. Although the lack of validity for measures of housing stability, employment, and finances compromised study quality, the overall evidence suggests that Veterans with access to supportive social determinants had better mental health status. Evidence was particularly robust for the association between strong social support and lower symptoms of posttraumatic stress disorder.

Discussion: Current evidence suggests the need to consider modifiable social determinants of health when designing mental health interventions. However, more research encompassing a wider range of modifiable social determinants such as food security, education, and transportation and using comprehensive methods and validated instruments is needed. Future research also needs to intentionally include Veterans from diverse racial-ethnic groups.

引言:随着美国退伍军人从现役重新融入平民生活,许多人面临着健康的负面可改变的社会决定因素的风险。退伍军人心理健康状况的患病率也很高。人们越来越意识到这两个因素之间的联系。这篇系统综述全面分析了美国退伍军人中可改变的社会决定因素与心理健康之间关系的知识现状。方法:作者系统地检索了四个数据库,确定了28篇文章,代表了25项符合纳入标准的独特研究。研究结果是在可改变的社会决定因素的基础上提取和综合的。使用方法学质量问卷评估研究质量和偏倚风险。结果:系统综述中确定的研究考察了健康的三个可改变的社会决定因素:1)住房稳定性,2)就业和财务,以及3)社会支持。尽管住房稳定性、就业和财务指标缺乏有效性影响了研究质量,但总体证据表明,能够获得支持性社会决定因素的退伍军人的心理健康状况更好。强有力的社会支持与较低的创伤后应激障碍症状之间的联系尤其有力。讨论:目前的证据表明,在设计心理健康干预措施时,需要考虑可改变的健康社会决定因素。然而,需要进行更多的研究,涵盖更广泛的可改变的社会决定因素,如粮食安全、教育和交通,并使用全面的方法和经过验证的工具。未来的研究还需要有意地包括来自不同种族群体的退伍军人。
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引用次数: 0
Reporting of sex and gender in clinical trials of opioids and rehabilitation in military and Veterans with chronic pain 军人和退伍军人慢性疼痛阿片类药物和康复临床试验中的性别和性别报告
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-05-15 DOI: 10.3138/jmvfh-2022-0031
G. Nazari, P. Bobos, D. Walton, Jordan Miller, D. Pedlar, J. Macdermid
LAY SUMMARY This study aimed to understand how well published research on pain management in Veterans considered reporting results based on sex and gender differences. The review identified studies that included active duty military or Veterans with pain who were treated with various methods published from January 2000 to May 2022. Studies about pain management in Veterans that properly reported results based on sex and gender differences were not found. This lack of reporting may limit research progress and understanding of sex and gender differences in pain management for Veterans.
本研究旨在了解已发表的关于退伍军人疼痛管理的研究在多大程度上考虑了基于性别和性别差异的报告结果。该综述确定了2000年1月至2022年5月期间发表的研究,其中包括用各种方法治疗疼痛的现役军人或退伍军人。关于退伍军人疼痛管理的研究没有发现基于性别和性别差异的正确报告结果。这种报告的缺乏可能会限制研究进展和对退伍军人疼痛管理中性别和性别差异的理解。
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引用次数: 0
The end-of-mission airlock: More than a homecoming tool for French Army soldiers 任务结束后的气闸:不仅仅是法国陆军士兵回家的工具
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-05-15 DOI: 10.3138/jmvfh-2022-0026
Léa Ruelle, Candice M. Christmas
LAY SUMMARY French soldiers are prepared and trained to go on missions. Their time in theatres of war is part of a larger training program that includes preparation for the mission and return to civilian/garrison life. This program allows soldiers to enter missions in good condition and return to family and garrison at their best after having faced the stressors of war. Returning home involves an end-of-mission airlock between the geographical location of the mission and France where they can ease out of the daily routine of the mission and back into civilian/post-deployment routines. The entire training program involves what anthropology terms a ritual. This article studies the form of this ritual and the ways in which it impacts French soldiers. Comparing the lived reality of a group that underwent an end-of-mission airlock against a group whose airlock was cancelled revealed the components necessary for soldiers to transition out of a theatre of war. Results from this research offer a potential key to understanding the social mechanisms underlying the success of an end-of-mission airlock to best assist soldiers returning from war.
法国士兵已做好执行任务的准备和训练。他们在战区的时间是一个更大的训练计划的一部分,其中包括为任务做准备和回归平民/驻军生活。这个项目允许士兵以良好的状态进入任务,并在面对战争压力后以最佳状态返回家庭和驻军。回国涉及特派团地理位置和法国之间的任务结束气闸,他们可以轻松地摆脱特派团的日常工作,回到文职/部署后的日常工作。整个训练项目包括人类学所说的仪式。本文研究了这种仪式的形式及其对法国士兵的影响。比较一个经历了任务结束气闸的小组和一个取消气闸的小组的生活现实,揭示了士兵从战区过渡所必需的组成部分。这项研究的结果为理解任务结束气闸成功的社会机制提供了一个潜在的关键,以最好地帮助从战争中返回的士兵。
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引用次数: 0
An analysis of media coverage of the transition from military to civilian life, with a focus on health and well-being 对媒体报道从军人生活向平民生活过渡的分析,重点是健康和福祉
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-05-15 DOI: 10.3138/jmvfh-2022-0072
R. Whitley, A. Saucier
LAY SUMMARY The media can shape the opinions, beliefs, and attitudes of the public toward Veterans and Veteran issues and can also be a vital source of information for Veterans and their families. As such, the authors used social science methods to collect, read, and analyze the tone and content of Canadian media coverage of Veteran transition from military to civilian life. The most common themes included posttraumatic stress disorder (PTSD), suicide, and issues with employment, housing, and social integration. Less common themes included financial issues, depression, and substance use. Comparing coverage between mainstream and specialist media emanating from the Canadian Armed Forces found patterns of reporting differ between military and mainstream media. Mainstream media often focus on PTSD and suicide, especially in the context of extremely rare, one-off events (e.g., the Lionel Desmond incident). In contrast, military media focus on practical aspects of transition, such as employment issues and support programs. Results of this study indicate a need for more educational resources and better outreach to help Canadian journalists report military-to-civilian transition in a comprehensive and balanced manner.
媒体可以塑造公众对退伍军人和退伍军人问题的观点、信仰和态度,也可以成为退伍军人及其家人的重要信息来源。因此,作者使用社会科学的方法来收集、阅读和分析加拿大媒体报道老兵从军队过渡到平民生活的语气和内容。最常见的主题包括创伤后应激障碍(PTSD)、自杀以及就业、住房和社会融合问题。不太常见的主题包括财务问题、抑郁和药物使用。比较来自加拿大武装部队的主流媒体和专业媒体的报道,发现军事媒体和主流媒体的报道模式不同。主流媒体经常关注创伤后应激障碍和自杀,特别是在极其罕见的一次性事件(例如莱昂内尔·德斯蒙德事件)的背景下。相比之下,军事媒体关注的是转型的实际方面,如就业问题和支持计划。这项研究的结果表明,需要更多的教育资源和更好的外联,以帮助加拿大记者以全面和平衡的方式报道军民过渡。
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引用次数: 0
Well-being of Veterans with chronic pain with fewer activities limited by pain: Life After Service Studies 2019 survey 患有慢性疼痛的退伍军人的健康状况,受疼痛限制的活动较少:2019年退伍后生活研究调查
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-05-15 DOI: 10.3138/jmvfh-2022-0030
G. Nazari, Julián Reyes-Vélez, James M. Thompson, J. Sweet, Jordan Miller
LAY SUMMARY This study aimed to understand how common chronic pain is among Canadian Armed Forces (CAF) Veterans and the characteristics that were related with having fewer activities limited by pain using the Life After Service Studies (LASS) 2019 survey. The LASS survey was a Statistics Canada telephone survey of CAF Veterans released in 1998-2018. About 1 in 2 (50.7%) reported living with chronic pain. CAF Veterans between 50 and 59 years who were female, employed, had higher education, higher rank, longer length of service, or higher income had fewer activities limited by chronic pain. High levels of mastery (feeling in control of factors affecting one’s life) was linked to having fewer activities limited by pain among people with moderate to severe pain. The strong link between higher mastery and fewer activities limited by pain points to a need for pain management supports addressing aspects of CAF Veterans’ well-being beyond pain severity and physical health.
本研究旨在通过2019年服务后生活研究(LASS)调查了解加拿大武装部队(CAF)退伍军人中慢性疼痛的常见程度,以及与疼痛限制的活动减少相关的特征。LASS调查是加拿大统计局在1998年至2018年对CAF退伍军人进行的电话调查。约1 / 2(50.7%)的患者报告患有慢性疼痛。年龄在50 - 59岁之间的女性、有工作、受过高等教育、军衔较高、服役时间较长或收入较高的退伍军人因慢性疼痛而限制的活动较少。在中度至重度疼痛患者中,高水平的掌控(对影响自己生活的因素的控制感)与较少受疼痛限制的活动有关。更高的精通程度和更少的受痛点限制的活动之间的紧密联系,以及对疼痛管理的需求,支持解决CAF退伍军人的健康问题,而不仅仅是疼痛严重程度和身体健康。
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引用次数: 0
The space in between: Notes on a research-based play about moral injury and the transition to civilian life 中间的空间:对一部关于道德伤害和向平民生活过渡的研究型戏剧的注释
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-03 DOI: 10.3138/jmvfh-2022-0058
L. Spring
LAY SUMMARY Dominant biomedical framings of military trauma and resulting treatment approaches for mental health issues can sometimes fall short for military members and Veterans and risk individualizing and pathologizing normal human reactions to the emotions at the core of moral injury. As such, philosophical and aesthetic exploration are warranted. This research-based theatre project was inspired by the work of Jonathan Shay, who looked to ancient Greek theatre to develop his concept of moral injury and argued that healing can only take place in community. In-depth interviews with nine Canadian Armed Forces Veterans led to the creation of a research-based play in which each scene represents one of the major themes identified during or after interview sessions (family, betrayal, brotherhood and mothering, public honour, sickness and coping). Sub-themes (heroism, the body, militarized masculinity, the role of women) became smaller or transition scenes in the play.
军事创伤的主流生物医学框架和由此产生的心理健康问题的治疗方法有时可能不适合军人和退伍军人,并有可能个体化和病态化人类对道德伤害核心情绪的正常反应。因此,哲学和美学的探索是必要的。这个以研究为基础的戏剧项目的灵感来自乔纳森·谢伊(Jonathan Shay)的作品,他从古希腊戏剧中发展了他的道德伤害概念,并认为治愈只能在社区中进行。对9名加拿大武装部队退伍军人的深入采访导致了一个基于研究的戏剧的创作,其中每个场景都代表了在采访期间或之后确定的一个主要主题(家庭,背叛,兄弟情谊和母亲,公共荣誉,疾病和应对)。次要主题(英雄主义,身体,军事化的男子气概,女性的角色)在剧中变得更小或过渡场景。
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引用次数: 0
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Journal of Military, Veteran and Family Health
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