加拿大退伍军人与子女之间与部署相关的接触的性质和影响:定性分析。

IF 4.2 2区 医学 Q1 PSYCHIATRY European Journal of Psychotraumatology Pub Date : 2024-01-01 Epub Date: 2024-06-04 DOI:10.1080/20008066.2024.2353534
Stephanie A Houle, Catherine Baillie Abidi, Michelle Birch, Kathryn Reeves, William Younger, Carl Conradi, San Patten, Stéphanie Bélanger, J Don Richardson, Anthony Nazarov, Samantha Wells
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引用次数: 0

摘要

背景:随着武装冲突日趋复杂,儿童参与不同角色的武装暴力事件也在增加。因此,军事人员在部署期间更有可能遇到儿童。然而,人们对与部署相关的儿童遭遇及其对军人和退伍军人心理健康的影响知之甚少:本研究从定性角度探讨了与部署相关的儿童接触的性质和影响:我们对 16 名加拿大武装部队退伍军人进行了半结构化访谈,获得了有关部署中与儿童接触的性质、这些接触的心理-社会-精神影响以及对支持的看法等丰富信息。采用主题分析法对访谈记录进行了分析:结果:确定了六个主要专题:遭遇的类型(即与部署有关的与儿童遭遇的事实方面)、背景因素(即与个人遭遇体验相关的任务、环境和个人背景方面)、遭遇的评价(即与个人遭遇体验相关的感官或感觉体验)、遭遇的心理影响(即与部署有关的与儿童遭遇的心理影响)、遭遇的社会影响(即与部署有关的与儿童遭遇的社会影响)、遭遇的精神影响(即与部署有关的与儿童遭遇的精神影响)以及对支持的看法。遭遇的影响(即社会心理、生存和职业影响)、部署期间和部署后的应对策略,以及支持经历(描述正式和非正式的支持来源):与儿童的接触多种多样,压力很大,会对心理健康造成影响,包括心理和精神痛苦,以及身份认同、灵性和人际关系方面的困难。这些影响是由评价、道德期望、文化规范和职业职责之间复杂的相互作用引起的,并因各种个人因素(如童年受虐待史、父母身份)、无准备感和缺乏部署后支持而加剧。本文讨论了预防、干预和政策方面的影响,旨在为今后保护和支持极有可能与儿童发生接触的军事人员提供信息。
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The nature and impacts of deployment-related encounters with children among Canadian military Veterans: a qualitative analysis.

Background: As armed conflict grows increasingly complex, the involvement of children in armed violence across diverse roles is rising. Consequently, military personnel are more likely to encounter children during deployment. However, little is known about deployment-related encounters with children and their impact on the mental health of military personnel and Veterans.Objective: This study qualitatively examines the nature and impacts of deployment-related encounters with children.Methods: We conducted semi-structured interviews with 16 Canadian Armed Forces Veterans, eliciting rich information on the nature of child encounters on deployment, the psycho-social-spiritual impacts of these encounters, and perceptions of support. Interview transcripts were analysed using thematic analysis.Results: Six primary themes were identified: types of encounters (i.e. factual aspects of deployment-related encounters with children), contextual factors (i.e. aspects of the mission, environment, and personal context relevant to one's experience of the encounter), appraisals of encounters (i.e. sensory or sense-making experiences relevant to the encounter), impacts of encounters (i.e. psycho-social, existential, and occupational impacts), coping strategies engaged in both during and after deployment, and support experiences, describing both formal and informal sources of support.Conclusions: Encounters with children are diverse and highly stressful, resulting in impacts pertinent to mental health, including psychological and moral distress, and difficulties with identity, spirituality, and relationships. These impacts are prompted by complex interactions among appraisals, expectations of morality, cultural norms, and professional duties and are amplified by various personal factors (e.g. childhood maltreatment history, parenthood), feelings of unpreparedness, and lack of post-deployment support. Implications for prevention, intervention, and policy are discussed with the aim of informing future efforts to safeguard and support military personnel facing a high likelihood of encounters with children.

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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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