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首页> 外文期刊>American journal of public health >Use of the Air Force Post-Deployment Health Reassessment for the identification of depression and posttraumatic stress disorder: Public health implications for suicide prevention
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Use of the Air Force Post-Deployment Health Reassessment for the identification of depression and posttraumatic stress disorder: Public health implications for suicide prevention

机译：空军部署后健康重新评估在识别抑郁症和创伤后应激障碍中的应用：公共卫生对自杀预防的影响

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Objectives: Military members are required to complete the Post-Deployment Health Assessment on return from deployment and the Post-Deployment Health Reassessment (PHDRA) 90 to 180 days later, and we assessed the PDHRA's sensitivity and specificity in identifying posttraumatic stress disorder (PTSD) and depression after a military deployment among US Air Force personnel. Methods: We computed the PDHRA's sensitivity and specificity for depression and PTSD and developed a structural model to suggest possible improvements to it. Results: For depression, sensitivity and specificity were 0.704 and 0.651, respectively; for PTSD, they were 0.774 and 0.650, respectively. Several variables produced significant direct effects on depression and trauma, suggesting that modifications could increase its sensitivity and specificity. Conclusions: The PDHRA was moderately effective in identifying airmen with depression and PTSD. It identified behavioral health concerns in many airmen who did not develop a diagnostic mental health condition. Its low level of specificity may result in reduced barriers to care and increased support services, key components of a public health approach to suicide prevention, for airmen experiencing subacute levels of distress after deployment, which may, in part, account for lower suicide rates among airmen after deployment.
机译：目标：要求军事人员在完成部署后90至180天后完成部署后健康评估和部署后健康重新评估（PHDRA），我们评估了PDHRA在确定创伤后应激障碍（PTSD）方面的敏感性和特异性。在美国空军人员进行军事部署后陷入低迷。方法：我们计算了PDHRA对抑郁症和PTSD的敏感性和特异性，并建立了结构模型以提出可能的改善方法。结果：抑郁症的敏感性和特异性分别为0.704和0.651; PTSD分别为0.774和0.650。几个变量对抑郁症和创伤产生了直接的显著作用，表明修饰可以增加其敏感性和特异性。结论：PDHRA在识别患有抑郁症和PTSD的飞行员方面是中等有效的。它确定了许多没有诊断出精神健康状况的飞行员的行为健康问题。它的低特异性可能会导致减少护理障碍和增加支持服务，这是预防自杀的公共卫生方法的关键组成部分，因为飞行员在部署后经历了亚急性危难程度，这可能部分是导致自杀率降低的原因之一。部署后的飞行员。

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