Wellness checks: Piloting a universal intervention for soldiers.

IF 1.9 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Psychological Services Pub Date : 2024-05-01 Epub Date: 2023-08-17 DOI:10.1037/ser0000794
Amy B Adler, Paul D Bliese, Yvonne S Allard, Douglas Sharp
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引用次数: 0

Abstract

As part of an Army pilot program, mandatory annual wellness checks were initiated to introduce individuals to counseling and to support psychological resilience and thriving. The program was evaluated using a cross-sectional survey completed by 7,831 soldiers. Findings revealed that about half of soldiers who reported a wellness check rated the check at least moderately helpful in their professional and personal lives. Participants receiving a wellness check reported being more likely to report willingness to seek help if they were to have mental health problems and to report higher levels of resilience and thriving even after controlling for rank, age, education, months in the unit, and trait negative affect. Participants were also less likely to report stigma-related concerns compared to those who had not received a wellness check. Consistent with theory on the common factors in counseling and the contextual model of psychotherapy (Laska et al., 2014), feeling listened to and learning new skills partially mediated the association between perceived wellness check usefulness and study outcomes, although acquiring a new perspective about problems did not. While not a randomized trial, this evaluation suggests that wellness checks are associated with programmatic goals: improved attitudes toward care seeking, resilience, and thriving. Future work should consider ways to ensure counselors address therapeutic common factors and should use a randomized, longitudinal design. Study findings have implications for implementing programs like wellness checks for military personnel and others working in high-stress occupations like first responders. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

健康检查:试行士兵普遍干预措施。
作为陆军试点计划的一部分,启动了强制性年度健康检查,以向个人介绍心理咨询,并支持心理复原力和茁壮成长。该计划通过一项由 7831 名士兵完成的横断面调查进行了评估。调查结果显示,在接受健康检查的士兵中,约有一半的人认为健康检查对他们的职业和个人生活至少有中等程度的帮助。即使在控制了军衔、年龄、教育程度、在部队的月数和特质消极情绪等因素后,接受健康检查的参与者也更有可能表示,如果他们有心理健康问题,他们愿意寻求帮助,并表示他们有更高水平的复原力和茁壮成长。与那些没有接受过健康检查的人相比,参与者也不太可能报告与耻辱相关的担忧。与心理咨询中的共同因素理论和心理治疗的情境模型(Laska 等人,2014 年)相一致的是,感觉被倾听和学习新技能在一定程度上调节了感知健康检查的有用性与研究结果之间的关联,但获得对问题的新视角则没有调节作用。虽然这不是一项随机试验,但这项评估表明,健康检查与计划目标相关:改善寻求护理的态度、复原力和茁壮成长。未来的工作应考虑如何确保咨询师解决治疗的共同因素,并应采用随机、纵向设计。研究结果对于为军人和其他从事高压力职业(如急救人员)的人员实施健康检查等项目具有重要意义。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
Psychological Services
Psychological Services PSYCHOLOGY, CLINICAL-
CiteScore
4.20
自引率
13.00%
发文量
216
期刊介绍: Psychological Services publishes high-quality data-based articles on the broad range of psychological services. While the Division"s focus is on psychologists in "public service," usually defined as being employed by a governmental agency, Psychological Services covers the full range of psychological services provided in any service delivery setting. Psychological Services encourages submission of papers that focus on broad issues related to psychotherapy outcomes, evaluations of psychological service programs and systems, and public policy analyses.
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