URebecca K Blais
Imithi YamaMpi, usa241, https://doi.org/10.1093/milmed/usaa241
27 October 2020
abstract
Isingeniso
Ukuziphatha okuphoqelekile ngokocansi (CSB) akubhekwa kumalungu enkonzo yezempi / ama-veteran naphezu kwengozi ephakeme yokuphazamiseka kwengqondo okuhlobene ne-CSB, kufaka phakathi i-posttraumatic stress disorder (PTSD), ukudangala, nokusebenzisa kabi utshwala. Ucwaningo lwezomphakathi lukhombisa ukuthi ukuhlukunyezwa ngokocansi kuhlotshaniswa ne-CSB ephezulu. Phakathi kwamalungu omsebenzi wezempi / omakadebona, ukuhlukunyezwa ngokocansi okwenzeka ngaphambi kokuya empini kubonwa njengengozi ye-CSB, kepha umthelela wokuhlolwa okuhle kokuhlukunyezwa ngokocansi okwenzeka ngesikhathi senkonzo yezempi (ukuhlukunyezwa ngokocansi kwezempi [MSH] / ukuhlaselwa ngokocansi kwezempi [MSA ]) ku-CSB akwaziwa. Ngaphezu kwalokho, ukuhlolwa okuhle kwe-MSH / A kunika ubungozi obukhulu bokuhlukumezeka okuhlobene nokuhlukumezeka ngokocansi okwenzeka ngaphambi noma ngemuva kwenkonzo yezempi, okuphakamisa ukuthi i-MSH / A ingaba isibikezelo esinamandla se-CSB. Ucwaningo lwamanje luhlolisise ukuthi ngabe ukuhlolwa okuhle kwe-MSH / A kuhlotshaniswa ne-CSB ephezulu ngemuva kokubalwa kwezimpawu zezempilo yengqondo nezimpawu zabantu. Ucwaningo lwamanje lubhekise ngqo kumalungu ezinsizakalo zamadoda / ama-veteran anikezwe ukuthi amadoda akhombisa ukuzibandakanya okuphezulu nokucindezeleka okuhambisana ne-CSB ngokuhlobene nabesifazane.
Izinto zokwakha kanye nendlela
Ilungu lezinsizakalo zabesilisa / ama-veteran (n = 508) aqedele izinyathelo zokuzibika ze-CSB, i-MSH / A, i-PTSD nobunzima bokudangala, ukuphuza okuyingozi nobudala. I-CSB ibuyiselwe emuva kwi-MSH / A, i-PTSD nobukhulu bokudana, ukuphuza okuyingozi, nobudala bokuthola ukuthi i-MSH / A yayihlotshaniswa ngokukhethekile ne-CSB ngemuva kokubalwa kwezinye izinto ezinobungozi.
Imiphumela
Ingqikithi yama-9.25% kuya ku-12.01% wesampula abike izikolo eziphakamisa amazinga aphezulu we-CSB. Ukuhlehliswa kwe-CSB esimweni sesikrini se-MSH / A, i-PTSD, ukudangala, ukusetshenziswa kotshwala, nobudala kuchaze i-22.3% yomehluko. Ukuhlola okuhle kwe-MSH / A, izimpawu eziphakeme ze-PTSD, kanye nezimpawu zokucindezeleka eziphakeme kwakuhlotshaniswa ne-CSB ephezulu, kepha ukusetshenziswa kweminyaka noma ukusetshenziswa kotshwala kwakungekho.
Isiphetho
Ukuhlola okuhle kwe-MSH / A kubonakala kuyingcuphe eyingqayizivele ye-CSB ephezulu nangaphezulu kwemiphumela yokudangala ne-PTSD. Njengoba ukuhlolwa kwe-CSB kungeyona ingxenye yokunakekelwa kwempilo yengqondo, odokotela bangabheka isikrini esihle se-MSH / A njengenkomba yokuthi i-CSB ingaba nokukhathazeka emtholampilo. Ucwaningo lwangaphambilini lwe-MSH / A kanye nemiphumela yezempilo yomuntu ngamunye kanye neyezocansi iphakamisa ukuthi ukwehlukanisa phakathi kobunzima be-MSH / A (ukuhlukumeza kuphela nokushaya) kubalulekile njengoba ukungasebenzi kahle kakhulu kubonakala ngokuhlukumezeka ngokocansi okubandakanya ukuhlaselwa. Ngenxa yokuvunyelwa okuphansi kwe-MSA, lolu cwaningo aluzange luhlole umehluko phakathi kwe-MSA ne-MSH. Ucwaningo lwesikhathi esizayo kule ndawo luzoqiniswa ngokuhlola ubunzima be-MSH / A njenge-correlate ye-CSB.
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