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Relationships of deployment and combat experiences to postdeployment negative health conditions among Army National Guard soldiers

机译:部署和作战经验与国民警卫队士兵部署后不良健康状况的关系

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An interest of researchers and practitioners has been postdeployment adjustment of returned soldiers, though the primary focus has been investigating the prevalence of psychiatric conditions. Less attention has been paid to nonclinical conditions, which still have posed significant adjustment problems for soldiers, in particular, for reserve soldiers who revert back to civilian life, family, and employment. The present study examined the occurrence of postdeployment problems among returned Army National Guard soldiers (N =4,567 in 50 company-sized units). Survey items reliably indicated 7 problem areas. Highest prevalence of problems was being angry (35.9%) and being unable to sleep (43.3%), followed by alcohol abuse (25.1% reported 5 or more drinks in 1 day). Longer deployment lengths were associated with troubled relationships and aggression toward the significant other adult and children in the household. More deployments were associated with aggression toward household children. Self-reported general combat trauma and having killed or wounded someone were associated with all problem areas. Findings are discussed relative to how combat exposure likely alters soldiers' perceptions and behaviors, including feelings of loneliness and isolation, and risk-taking behaviors of alcohol abuse and aggression toward others.
机译:研究人员和从业人员的兴趣在于对返回士兵进行部署后调整,尽管主要重点是调查精神病的患病率。对非临床条件的关注较少,非临床条件对士兵,尤其是对恢复平民生活,家庭和就业的后备士兵,仍然构成重大的调整问题。本研究调查了返回的陆军国民警卫队士兵中部署后问题的发生(在50个公司规模的单位中,N = 4,567)。调查项目可靠地指出了7个问题领域。问题中患病率最高的是生气(35.9%)和无法入睡(43.3%),其次是酗酒(25.1%的人在1天内报告了5杯或更多酒)。部署时间越长,关系就越困难,对家庭中其他成年人和儿童的攻击也会越发激烈。更多的部署与对家庭儿童的侵略有关。自我报告的一般战斗创伤以及杀死或伤害某人的情况与所有问题领域有关。讨论了有关接触战斗如何可能改变士兵的观念和行为的发现,包括孤独感和孤独感以及酗酒和对他人的侵略的冒险行为。

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