退伍军人成功处理创伤后应激障碍的经验

IF 1 Q4 PSYCHIATRY Mental Health Review Journal Pub Date : 2021-04-01 DOI:10.1108/MHRJ-01-2020-0003
Gemma N Parry, S. Hodge, Alan Barrett
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引用次数: 0

摘要

目的:英国退伍军人中创伤后应激障碍(PTSD)的患病率高于普通人群。然而,患病率数字并没有反映出这一现象的复杂性,也没有反映出它可能与退伍军人适应平民生活的经历有关的方式。本研究旨在探讨退伍军人成功管理PTSD的经验。设计/方法/方法对6名曾在英国武装部队服役的退伍军人进行了半结构化访谈,并使用解释性现象学分析进行了分析。本研究发展了三个主题:(1)接受问题、承担责任和获得控制;(2)与合适的人交谈;(3)策略、解药和绕回来。创伤后应激障碍的管理似乎与退伍军人重新协商他们的身份的经历有关,在离开军队时失去的身份的积极方面得到重建,而有问题的方面受到挑战。与会者试图与其他了解军事背景的人谈论他们的困难。他们觉得自己的经历使他们成为他人的宝贵资源,并将其与积极的认同感和价值观联系起来。实际意义研究结果表明,更广泛地提供同伴支持和教育的重要性,为平民卫生服务退伍军人的需求。独创性/价值这项研究增加了我们对创伤后应激障碍有意义的恢复可能涉及退伍军人的理解,特别是它与适应平民生活过程的潜在相互联系。
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Veterans’ experiences of successfully managing post-traumatic stress disorder
Purpose Prevalence of post-traumatic stress disorder (PTSD) amongst UK veterans is higher than in the general population. However, prevalence figures do not reflect the complexity of this phenomenon and ways in which it may be bound up with veterans’ experiences of adjusting to civilian life. The purpose of this study was to explore veterans’ experiences of successfully managing PTSD. Design/methodology/approach Semi-structured interviews were conducted with six veterans who had served in the UK armed forces, and analysed using interpretative phenomenological analysis. Findings Three themes were developed: (1) accepting the problem, taking responsibility and gaining control; (2) talking to the right people; and (3) strategies, antidotes and circling back around. Managing PTSD appeared to be bound up with veterans’ experience of renegotiating their identity, where positive aspects of identity lost on leaving the military were rebuilt, and problematic aspects were challenged. Participants sought to speak about their difficulties with others who understood the military context. They felt that their experiences made them a valuable resource to others, and they connected this with a positive sense of identity and value. Practical implications The findings suggest the importance of wider provision of peer support, and education for civilian health services on veterans’ needs. Originality/value This study adds to our understanding of what meaningful recovery from PTSD may involve for veterans, in particular its potential interconnectedness with the process of adjusting to civilian life.
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来源期刊
CiteScore
2.20
自引率
8.30%
发文量
32
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