Suchergebnisse

Introduction : Le risque accru d'un fardeau émotionnel des partenaires des vétéran(e)s militaires avec des problèmes de santé mentale a été identifié. Cette étude visait à explorer les expériences et les besoins des conjointes de vétérans qui demandent de l'aide. Méthodologie : Notre échantillon qui comprenait huit conjointes a été établi à partir d'une population de vétérans demandant de l'aide et qui recevaient des traitements pour l'état de stress post-traumatique (ESPT). Les auteur(e)s ont recueilli des données qualitatives en utilisant une grille d'entrevue semi-structurée. Résultats : Les thèmes principaux « les grands défis », « le type de soutien désiré » et « les obstacles au soutien » ont tous été définis selon des sous-thèmes. Les grands défis ont été définis par le recours aux thèmes suivants : l'inégalité dans la relation, l'absence de cohérence dans leur propre identité, un environnement volatile et la détresse émotionnelle, ainsi que l'isolement. Le type de soutien désiré a été décrit par les thèmes pratiques qui se portent sur l'amélioration, le partage avec les autres expert(e)s et un soutien adapté à la partenaire. Les défis au soutien ont été décrits par les thèmes de restrictions de barrière pratique et des ambivalences des autres groupes. Discussion : Cette étude a décrit les défis vécus par les partenaires de vétéran(e)s avec des troubles de santé mentale. Les interventions pour cette population doivent prendre en considération leur besoin individuel, se concentrer sur les techniques pratiques et tenir compte des limites pratiques.

Introduction: An increased risk of emotional burden in partners of military Veterans with mental health difficulties has been observed. This study aimed to explore the experiences and needs of female partners of Veterans seeking help. Methods: Our sample of eight female partners was drawn from a population of help-seeking Veterans who had received treatment for PTSD. Qualitative data were collected using a semi-structured interview schedule. Results: Super-ordinate themes of challenges faced, desired type of support, and barriers to support were each described by a set of sub-themes. Challenges faced were described with the themes of inequality in relationship, loss of congruence with own identity, volatile environment, and emotional distress and isolation. Desired type of support was described by the themes of practical focus on improving, sharing with fellow experts, and support tailored to the partner. Barriers to support were described by the themes feeling restricted by practical barriers and ambivalence about the involvement of others. Discussion: Interventions to support partners of Veterans with mental health difficulties need to address their individual needs, focus on practical techniques, and consider practical limitations.

Introduction: An increased risk of emotional burden in partners of military Veterans with mental health difficulties has been observed. This study aimed to explore the experiences and needs of female partners of Veterans seeking help. Methods: Our sample of eight female partners was drawn from a population of help-seeking Veterans who had received treatment for PTSD. Qualitative data were collected using a semi-structured interview schedule. Results: Super-ordinate themes of challenges faced, desired type of support, and barriers to support were each described by a set of sub-themes. Challenges faced were described with the themes of inequality in relationship, loss of congruence with own identity, volatile environment, and emotional distress and isolation. Desired type of support was described by the themes of practical focus on improving, sharing with fellow experts, and support tailored to the partner. Barriers to support were described by the themes feeling restricted by practical barriers and ambivalence about the involvement of others. Discussion: Interventions to support partners of Veterans with mental health difficulties need to address their individual needs, focus on practical techniques, and consider practical limitations.

Background: Previous research exploring the psychometric properties of the scores of measures of posttraumatic stress disorder (PTSD) suggests there is variation in their functioning depending on the target population. To date, there has been little study of these properties within UK veteran populations. Objective: This study aimed to determine optimally efficient cut-off values for the Impact of Event Scale-Revised (IES-R) and the PTSD Checklist for DSM-5 (PCL-5) that can be used to assess for differential diagnosis of presumptive PTSD. Methods: Data from a sample of 242 UK veterans assessed for mental health difficulties were analysed. The criterion-related validity of the PCL-5 and IES-R were evaluated against the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). Kappa statistics were used to assess the level of agreement between the DSM-IV and DSM-5 classification systems. Results: The optimal cut-off scores observed within this sample were 34 or above on the PCL-5 and 46 or above on the IES-R. The PCL-5 cut-off is similar to the previously reported values, but the IES-R cut-off identified in this study is higher than has previously been recommended. Overall, a moderate level of agreement was found between participants screened positive using the DSM-IV and DSM-5 classification systems of PTSD. Conclusions: Our findings suggest that the PCL-5 and IES-R can be used as brief measures within veteran populations presenting at secondary care to assess for PTSD. The use of a higher cut-off for the IES-R may be helpful for differentiating between veterans who present with PTSD and those who may have some sy`mptoms of PTSD but are sub-threshold for meeting a diagnosis. Further, the use of more accurate optimal cut-offs may aid clinicians to better monitor changes in PTSD symptoms during and after treatment.