{"title":"Coping with stress among parents of combatants: The Swords of Iron War.","authors":"Liat Kulik","doi":"10.1080/08995605.2025.2561352","DOIUrl":"https://doi.org/10.1080/08995605.2025.2561352","url":null,"abstract":"<p><p>This study explores how Israeli parents of combatants coped with stress during the Swords of Iron War and how their coping strategies related to their mental health. The sample included 187 Israeli parents (94 mothers and 93 fathers) of combatants serving in either compulsory service or reserve duty during the war. Data were collected in November 2024 via an online survey, ensuring geographic representation across Israel, during a period of intense combat on three fronts: south, north, and the West Bank. The findings indicated that as perceived stress increased, the tendency to rely on active coping strategies such as active distraction and seeking emotional support, as well as passive coping strategies, also increased. None of these strategies correlated with improved mental health. In contradistinction, positive reframing and engaging in spiritual practices were linked to better mental health outcomes. Substance use was found to mediate the relationship between stress and mental health. No significant gender differences emerged in the relationship between perceived stress and mental health. The findings suggest that commonly used coping strategies may not protect the mental health of combatants' parents. It is recommended to guide parents toward adaptive, resilience-promoting strategies.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-16"},"PeriodicalIF":1.3,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leah Shelef, Ravit Rubinstein, Yael Shoval-Zuckerman, Jacob Rotschield, Uzi Bechor
{"title":"Guidelines for handling released captives before transfer to medical facilities in Israel.","authors":"Leah Shelef, Ravit Rubinstein, Yael Shoval-Zuckerman, Jacob Rotschield, Uzi Bechor","doi":"10.1080/08995605.2025.2564506","DOIUrl":"https://doi.org/10.1080/08995605.2025.2564506","url":null,"abstract":"<p><p>Once the International Committee of the Red Cross hands over released hostages to Israeli hands, the first persons they meet - before they transfer to hospitals and meet their families - are military mental and medical professionals. This encounter is a challenge to both the returnees and the professionals meeting them. Over the initial handover process, the returnees feel exposed and vulnerable in the intermediate situation between captivity and return to their previous reality. Their reactions at that interim time are likely to be varied, ranging from joy and euphoria to sadness, a sense of alienation, anxiety, and disconnection. The initial reception time could prove an opportunity to offer interventions that might lead to effective adaptive responses upon returning to Israel. The present article describes the preparations made urgently to receive released hostages and the protocol developed to provide the best response to their needs on their arrival. The protocol described in this article, formulated at the IDF Combat Stress Reaction Unit, takes into account the needs of the released hostages and the responses required to meet these needs. The main protocol principles include a warm welcome to instill a sense of security and adjust the human touch to the complex situation and trust-building methods based on mirroring subjects' emotions and leading them gently in the desired directions. Based on strict professional principles, the protocol covers an initial mental assessment, availability of personal, family, and community resources, and establishing contact with medical teams for follow-up treatment in medical facilities.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-10"},"PeriodicalIF":1.3,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Compassion-focused therapy enhances outcomes of PTSD pharmacotherapy: A randomized controlled trial.","authors":"Leila Gonabadi-Nezhad, Fateme Rayyat Moeini, Samira Ghanei Rezae Moghaddam, Omid Golmohamadi, Mohsen Nazemi, Mahboubeh Khojastehmottaghi, Morteza Roostaee","doi":"10.1080/08995605.2025.2561313","DOIUrl":"https://doi.org/10.1080/08995605.2025.2561313","url":null,"abstract":"<p><p>traumatic stress disorder is a debilitating condition often resistant to pharmacotherapy alone. Compassion-focused therapy may offer additional benefits in the treatment of post-traumatic stress disorder. We evaluated the effectiveness of compassion-focused therapy as an adjunct to standard pharmacological treatment for reducing post-traumatic stress disorder symptom severity in male veterans. A randomized controlled trial was conducted involving 50 male veterans with post-traumatic stress disorder diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Participants were randomly allocated to either an intervention group receiving a weekly 8-session compassion-focused therapy program alongside pharmacotherapy or a control group receiving pharmacotherapy alone. Symptom severity, depression, and anxiety were measured at baseline and post-intervention. The compassion-focused therapy group exhibited significant reductions in all post-traumatic stress disorder symptoms, including reexperiencing, avoidance, hyperarousal, emotional numbness, as well as depression and anxiety (all <i>p</i> < .001). The control group showed modest, but statistically significant, decreases in depression and anxiety (both <i>p</i> < .001). Participants in the control group failed to improve reexperience, hyper-arousal, avoidance, and emotional numbness (all <i>p</i> ≥ .162). Between-group analysis demonstrated the superior efficacy of compassion-focused therapy, with statistically and clinically meaningful differences in all outcomes (all <i>p</i> < .001). Compassion-focused therapy is an effective adjunctive treatment for post-traumatic stress disorder, providing substantial symptom reductions beyond pharmacotherapy alone. These findings support its integration into standard care for individuals with post-traumatic stress disorder and encourage further research on its long-term benefits and broader applicability.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-10"},"PeriodicalIF":1.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of alcohol consumption on resilience, emotional intelligence, and self-esteem in army personnel: A cross-sectional study.","authors":"José Gabriel Soriano-Sánchez, Sylvia Sastre-Riba","doi":"10.1080/08995605.2025.2556369","DOIUrl":"https://doi.org/10.1080/08995605.2025.2556369","url":null,"abstract":"<p><p>Military personnel face physical and psychological challenges that may contribute to unhealthy behaviors, such as alcohol consumption. This study aimed to analyze the psychological variables of emotional intelligence, resilience, and self-esteem among Spanish Army personnel, as well as their relationship with the daily consumption or non-consumption of at least one alcoholic beverage. A cross-sectional descriptive study was conducted with a sample of 739 military personnel, with a mean age of 33.29 years (<i>SD</i> = 7.48), of whom 87.7% were men and 12.3% were women. Participants completed an ad hoc questionnaire addressing sociodemographic variables, while psychological variables were assessed using the EQ-i-M20 <i>Emotional Intelligence Inventory</i>, the <i>Resilience Scale</i>, and the <i>Rosenberg Self-Esteem Scale</i>. The results indicated that daily alcohol consumption (equivalent to the intake of at least 10 milliliters of pure alcohol per day, approximately one standard drink) was negatively associated with levels of emotional intelligence, resilience, and self-esteem among Spanish Army personnel. This association becomes particularly relevant when considering that, out of the total sample, <i>N</i> = 114 participants reported engaging in daily alcohol consumption. Of these, 78.10% were male and 21.90% were female, suggesting not only a higher prevalence of daily consumption among men but also the need to consider potential gender differences when designing prevention and intervention strategies focused on the psychological health of military personnel. In conclusion, daily alcohol consumption is negatively associated with the resilience, emotional intelligence, and self-esteem of military personnel, underscoring the importance of prevention and intervention programs to improve their health and well-being.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-11"},"PeriodicalIF":1.3,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brian A Moore, Chris Hess, Kimberly D Gomes, Tyler L Collette, Kristin Horan, Bianca Channer, Thomas Hodges, Katherine E Moore, Patricia M Ross, Israel Sanchez-Cardona
{"title":"An evaluation of the impact of social determinants of health in military reservists.","authors":"Brian A Moore, Chris Hess, Kimberly D Gomes, Tyler L Collette, Kristin Horan, Bianca Channer, Thomas Hodges, Katherine E Moore, Patricia M Ross, Israel Sanchez-Cardona","doi":"10.1080/08995605.2025.2556524","DOIUrl":"https://doi.org/10.1080/08995605.2025.2556524","url":null,"abstract":"<p><p>Military reservists occupy a distinct social position, navigating dual roles as civilians and service members, an intersection that requires tailored intervention strategies. Despite their growing role in the total force, the social determinants of health (SDOH) affecting reservists remain underexamined. We were interested in how SDOH (i.e., education, employment status, financial strain, housing, or social support) influences suicidality, depressive symptoms, and wellbeing. As such, this study analyzed data from 4,007 U.S. military reservists, identifying largely positive mental health outcomes, with low levels of suicidality, low depressive symptoms, and moderate to high psychological wellbeing. Financial strain emerged as the most consistent and robust predictor of poor mental health across all outcomes. Regression analyses also highlighted recent homelessness and having legal challenges as key predictors. The findings highlight potential intervention opportunities, particularly for mid-career reservists aged 25-34, who are at a heightened risk of vulnerability. Targeted, multidisciplinary support, including housing stability, financial education, and legal assistance, may improve mental health and individual readiness among military reservists. Future research should examine variation across reserve components and service branches to better tailor services and support utilization.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chandra E Khalifian, Sumire R Lundell, Katerine Rashkovsky, Leslie Morland, Marylene Cloitre
{"title":"A 3-step theory informed examination of PTSD, interpersonal challenges, hopelessness, and suicidal ideation in women veterans with military sexual trauma.","authors":"Chandra E Khalifian, Sumire R Lundell, Katerine Rashkovsky, Leslie Morland, Marylene Cloitre","doi":"10.1080/08995605.2025.2550228","DOIUrl":"https://doi.org/10.1080/08995605.2025.2550228","url":null,"abstract":"<p><p>U.S. military veterans are at a greater risk of suicide than non-veteran adults, and this risk is exacerbated in women veterans who have experienced military sexual trauma (MST). The Three-Step Theory (3ST) is an evidence-based model which describes the transition from suicidal ideation (SI) into action. It suggests that SI arises when physical and/or psychological pain is paired with hopelessness; SI increases when the pain and hopelessness outweigh feelings of connectedness. Informed by the 3ST, this paper examines PTSD, hopelessness, disconnection, and SI in 220 women veterans with MST who completed baseline assessments for a randomized clinical trial comparing Skills Training in Affective and Interpersonal Regulation (STAIR) to Present-Centered Therapy (PCT). In partial support of the 3ST, we found that higher PTSD severity was related to higher SI when veterans reported high hopelessness. However, we did not find that interpersonal problems exacerbated this interaction. Instead, we found that higher interpersonal problems were related to higher SI when patients reported high hopelessness. Findings highlight the importance of instilling hope, in addition to improving PTSD symptoms and interpersonal relationships, in reducing suicide risk.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Opportunities for enhanced suicide and suicidality surveillance in the Australian Army.","authors":"Samantha A Hodges, Carla Meurk, Ed Heffernan","doi":"10.1080/08995605.2025.2525657","DOIUrl":"https://doi.org/10.1080/08995605.2025.2525657","url":null,"abstract":"<p><p>The prevention of suicide mortality and suicidality (ideation, self-harm, and attempted suicide) is a key concern for the Australian Army. Currently, there are limitations to the scope of surveillance of these events, resulting in a restricted evidence base from which to design prevention and intervention strategies. This study aimed to examine opportunities to improve surveillance through analysis of the existing data landscape. A 10-year, mixed-methods, retrospective review of all events involving suicide or suicidality over the period Jan 2012 - Dec 2021 was conducted utilizing Army administrative records. Variables of interest related to demographics, event characteristics, and outcomes were summarized, and bivariate associations between variables were explored. Misclassification errors were common due to the inconsistent application of event definitions and the reliance on free-text narratives rather than structured data fields led to missing data and inconsistent data quality. Demographic data was the most reliable, while contextual and outcome data was scarce which limited statistical analysis. High-quality surveillance data contributes to many aspects of suicide and suicidality prevention. Our findings suggest the need for improved standardization and structured data fields, in addition to the expansion of data collection, particularly for event context and outcomes.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-10"},"PeriodicalIF":1.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molly Liechty, Paige Murry, August Capiola, Alexis McConnell, Gene M Alarcon, David Burch
{"title":"A cognitive task analysis of emergency aeromedical evacuation personnel to motivate appropriate decision support system design.","authors":"Molly Liechty, Paige Murry, August Capiola, Alexis McConnell, Gene M Alarcon, David Burch","doi":"10.1080/08995605.2025.2542603","DOIUrl":"https://doi.org/10.1080/08995605.2025.2542603","url":null,"abstract":"<p><p>Emergency aeromedical evacuation is a complex context requiring communication and coordination between co-located and distributed medical professionals and other military parties. To support this process in future fights, decision support systems will need to be developed. However, for those tools to serve as force multipliers and not hinderances, a human-centered approach to characterizing the aeromedical evacuation context and situating what features a decision support tool ought to provide must be taken. The current work leveraged a multi-faceted cognitive task analysis, including semi-structured interviews and targeted probing coupled with robust data collection and analysis techniques to provide a comprehensive understanding of the decision-making processes involved in emergency aeromedical evacuation. Several qualitative data products were generated through traditional and novel cognitive task analysis methods. Emergent themes pertaining to decision support system requirements arose, and suggestions for candidate decision support tools in emergency aeromedical evacuation were made and justified with regard to subject-matter experts' interviews and the Human Factors literature.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-14"},"PeriodicalIF":1.3,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leanne K Knobloch, Travis N Ray, Karen Tannenbaum, Hope S McMaster
{"title":"Availability, predictors, and outcomes of actual support for military spouses during deployment and reunion: Findings from the Millennium Cohort Family Study.","authors":"Leanne K Knobloch, Travis N Ray, Karen Tannenbaum, Hope S McMaster","doi":"10.1080/08995605.2025.2485711","DOIUrl":"https://doi.org/10.1080/08995605.2025.2485711","url":null,"abstract":"<p><p>Military spouses with unmet needs for support are particularly vulnerable to stress during cycles of deployment and reintegration. To complement the literature on <i>perceived support</i>, we investigated <i>actual support</i> as the assistance people actually use to manage stressors. Our study sought to identify <i>who uses</i> actual support, <i>what barriers</i> to actual support exist, and <i>what effects</i> actual support has during reintegration. We examined data from 1,325 military spouses participating in the Millennium Cohort Family Study who had experienced deployment and reunion within the past 6 months. Weighted analyses revealed low levels of both formal and informal support during deployment. Only 16.5% of military spouses reported participating in a formal reintegration program; the biggest barriers were a lack of awareness (45.4%) and having no such program available (40.5%). More support from formal sources during deployment was reported by spouses who were non-Hispanic Black, spouses of officers, and spouses with less household income. More support from informal sources during deployment was reported by spouses who were employed and spouses of officers. Spouses were more likely to participate in a reintegration program if they were employed outside the home, if they were non-Hispanic, if they were affiliated with the Army compared with the Air Force, and if the service member experienced combat during deployment. Informal support during deployment was the strongest predictor of military spouses' well-being during reintegration. These findings suggest helping military spouses by facilitating more comprehensive support, enriching existing services, and combating disparities.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-14"},"PeriodicalIF":1.3,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144743136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"War-time experiences and adaptation of foreign volunteers.","authors":"Shiri Shinan-Altman, Inbar Levkovich","doi":"10.1080/08995605.2025.2540657","DOIUrl":"https://doi.org/10.1080/08995605.2025.2540657","url":null,"abstract":"<p><p>This study describes the wartime experiences of foreign volunteers-Jewish foreign nationals who volunteered for the Israeli military - during the Swords of Iron War. Interviews with 20 participants revealed three themes. 1) Between Two Worlds: Foreign Volunteers' Relationships with Family Members Back Home During Wartime highlights the emotional strain, communication challenges, and selective disclosure involved in maintaining transnational family ties. 2) From Strangers to Brothers in Arms: The Social Integration Journey of Non-Israeli Soldiers in Israeli Military Units explores their transition from cultural outsiders to integral members of their units, forming a bicultural military identity. 3) Beyond Combat: Personal and Psychological Journeys of Foreign Volunteers Serving Far from Support Systems addresses the emotional challenges of grief, instability, and loss, alongside personal growth and resilience. The findings emphasize the importance of institutional support, social networks, and cultural adaptation, recommending improved family connection tools, enhanced integration programs, and tailored support initiatives for foreign volunteers.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-12"},"PeriodicalIF":1.3,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}