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首页> 外文期刊>Journal of psychiatric research >Stress and mental disorders in female military personnel: Comparisons between the sexes in a male dominated profession
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Stress and mental disorders in female military personnel: Comparisons between the sexes in a male dominated profession

机译：女军人的压力和精神障碍：男性占主导地位的职业中的性别比较

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The proportion of women in militaries is growing; however, many studies in the area of military mental health have been conducted with majority male samples. The present study examined sex differences in trauma exposure, work stress, and mental disorders in the Canadian Community Health Survey - Canadian Forces Supplement, a representative sample of 5155 regular force personnel and 3286 reservists ages 16-54. Past-year DSM-IV mental disorders (depression, generalized anxiety disorder, panic disorder, social phobia, PTSD, and alcohol dependence), lifetime exposure to 28 traumatic events, and work stress were assessed. Regular and reserve female personnel were less likely than males to experience deployment-related traumas, accidents, and several events involving violence (adjusted odds ratio [AOR] range 0.10-0.62). Women were more likely to endorse sexual trauma, partner abuse, and being stalked (AOR range 3.60-13.63). For work stress, regular force women reported higher levels of job demand and stress around social support than men, whereas regular and reserve force women reported less physical exertion. After adjusting for a range of covariates, regular female personnel were more likely than males to have PTSD (AOR 1.88, 99% CI 1.01-3.50), while reservist women were more likely than men to have depression, panic disorder, and any mood or anxiety disorder (AOR range 1.87-6.98). Both regular and reservist women had lower rates of alcohol dependence (AOR range 0.30-0.34). Clinicians working with female personnel should screen for trauma/stressors and mental disorders that are particularly common in this population.
机译：妇女在军队中的比例正在增加;但是，在军事心理健康领域的许多研究都是针对大多数男性样本进行的。本研究在“加拿大社区健康调查-加拿大部队补编”（5​​155名正规部队人员和3286名16-54岁的预备役人员）的代表样本中检查了创伤暴露，工作压力和精神障碍方面的性别差异。评估了去年的DSM-IV精神障碍（抑郁症，广泛性焦虑症，恐慌症，社交恐惧症，PTSD和酒精依赖），一生遭受28次创伤事件和工作压力的影响。正规和后备女性人员比男性更不容易遭受与部署相关的创伤，事故以及一些涉及暴力的事件（调整后的优势比[AOR]范围为0.10-0.62）。妇女更有可能认可性创伤，伴侣虐待和被跟踪（AOR范围3.60-13.63）。在工作压力方面，正规部队妇女报告的工作需求和社会支持压力高于男性，而正规部队和预备役妇女的体力消耗较少。在对一系列协变量进行调整之后，普通女性比男性更容易患PTSD（AOR 1.88，99％CI 1.01-3.50），而女性女性比男性更容易患上抑郁症，恐慌症，任何情绪或焦虑症（AOR范围为1.87-6.98）。普通妇女和预备役妇女的酒精依赖率均较低（AOR范围为0.30-0.34）。与女性人员一起工作的临床医生应筛查在该人群中特别常见的创伤/压力源和精神障碍。

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