PDF(Pubmed)
Abstract：
During the Coronavirus disease pandemic, many U.S. veterans with posttraumatic stress disorder (PTSD) experienced increased symptomology and worsened mental health and well-being due in part to social isolation and loneliness. The Mission Alliance project explored these ramifications and prioritized critical issues expressed by U.S. veterans and stakeholders (N = 182) during virtual regional meetings (N = 32). Field notes created specifically for this project were recorded and thematically analyzed. Emerging themes included: (1) social isolation: missed opportunities, collapsed social circles, work-life balance, fostering relationships, and evolving health care delivery; (2) loneliness: deteriorated mental health, suffered with PTSD together but alone, looked out for each other, ambivalence toward technology, and strained and broken systems; (3) mental health: sense of chaos, increased demand and decreased access, aggravation, implementation of tools, innovative solutions, fear and loss, and availability of resources; (4) wellbeing: sense of purpose, holistic perspective on well-being, recognition of balance, persisting stigma, redefined pressures, freedom to direct treatment, and reconnection and disconnection. A PTSD-related patient centered outcomes research (PCOR)/comparative effectiveness research (CER) agenda was developed from these themes. Establishment of a veteran and stakeholder network is suggested to support, facilitate, and promote the PTSD-related PCOR/CER agenda. Furthermore, enhancement of opportunities for veterans with PTSD and stakeholders to partner in PCOR/CER is required to develop and conduct projects that lead to PTSD-related comprehensive care of veterans affected by traumatic events with the potential to translate findings to other populations.
摘要：
在冠状病毒大流行期间，许多患有创伤后应激障碍（PTSD）的美国退伍军人经历了症状学增加，精神健康和幸福感恶化，部分原因是社会孤立和孤独。任务联盟项目探讨了这些后果，并优先考虑了美国退伍军人和利益相关者（N=182）在虚拟区域会议（N=32）期间表达的关键问题。专门为此项目创建的现场笔记已被记录并进行了主题分析。新兴主题包括：（1）社会孤立：错失的机会，崩溃的社交圈，工作与生活的平衡,培养关系，和不断发展的医疗保健服务；(2)孤独：心理健康恶化，一起遭受创伤后应激障碍，但独自一人，互相照顾,对技术的矛盾，以及紧张和破碎的系统；(3)心理健康：混乱感，需求增加，准入减少，加重,工具的实施，创新的解决方案,恐惧和损失，和资源的可用性；(4)福祉：目标感，关于福祉的整体观点，承认平衡，坚持耻辱，重新定义的压力，直接治疗的自由，重新连接和断开。根据这些主题制定了与PTSD相关的以患者为中心的结果研究（PCOR）/比较有效性研究（CER）议程。建议建立退伍军人和利益相关者网络以支持，方便,并促进与PTSD相关的PCOR/CER议程。此外，需要增加患有创伤后应激障碍的退伍军人和利益相关者与PCOR/CER合作的机会，以开发和开展项目，为受创伤事件影响的退伍军人提供与创伤后应激障碍相关的全面护理，并有可能将调查结果转化为其他人群。
