{"title":"Examining prolonged exposure outcomes when session frequency is limited: Preliminary findings from a Veteran sample.","authors":"Charles A Hayes, Rachel K Bieu, Ryan W Schroeder","doi":"10.1080/08995605.2025.2502182","DOIUrl":"https://doi.org/10.1080/08995605.2025.2502182","url":null,"abstract":"<p><p>Unlike in efficacy trials, there can be notable variability in session frequency when PTSD treatment protocols, such a Prolonged Exposure (PE), are disseminated in clinical practice. The current study aimed to examine the impact of PE session frequency on treatment outcomes in a clinical Veteran sample. This study utilized retrospective data drawn from the Veterans Health Administration's Corporate Data Warehouse, a national data repository which includes Electronic Health Records. The extracted cohort of 648 Veterans was majority White-non-Hispanic and male [(<i>M</i><sub><i>age</i></sub> = 55.66 (14.08)]. All Veterans had a diagnosis of PTSD and completed in-person PE in outpatient Veterans Affairs behavioral health clinics between 2017 and 2018. The treatment outcome measure was the PTSD Checklist for DSM-5 (PCL-5). Linear multiple regression analyses did not find that session frequency predicted treatment outcome. Likewise, t-test results did not find differences in PCL-5 change scores based on session frequency. Effect sizes for pre- to post-treatment PCL-5 change scores ranged from <i>d</i> = 1.25 to 1.40. Overall, the current study suggests that PE may still be a useful intervention even when the treatment manual recommendation of weekly or twice weekly sessions cannot feasibly be conducted in clinical practice. Cross-validation is needed.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-11"},"PeriodicalIF":1.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079112","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":"Human resource management practices for achieving workplace well-being: Exploring the effects of human resource management practices on military social responsibility and workplace well-being and the moderating roles of abusive supervision climate and military culture in these relationships.","authors":"Tai-Wei Chang, Qilin Hu","doi":"10.1080/08995605.2025.2501479","DOIUrl":"https://doi.org/10.1080/08995605.2025.2501479","url":null,"abstract":"<p><p>Extensive research on human resource management practices (HRM) practices has been conducted within traditional corporations, yet their application within military organizations remains largely unexplored. Drawn upon institutional theory, this study investigates the impact of HRM practices on workplace well-being (WWB) among military officers and soldiers in Taiwan, with a particular focus on the mediating role of military social responsibility (MSR). Furthermore, we examine the influence of an abusive supervision climate and military culture on the relationship between HRM practices and MSR. Our findings reveal that MSR mediates the relationship between HRM practices and WWB. Interestingly, while an abusive supervision climate weakens the positive relationship between HRM practices and MSR, a strong military culture can mitigate this negative impact. Our study contributes new insights into the relationship between HRM practices and WWB within the unique context of the military, highlighting the complex interplay of MSR, abusive supervision climate, and military culture.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-17"},"PeriodicalIF":1.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028306","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}
Casey L Straud, Kiara H Buccellato, Sarah Vacek, Willie J Hale, Monty T Baker, William C Isler, Brett T Litz, Richard J McNally, Alan L Peterson
{"title":"The General Military Support Scale: An examination of factor structure and psychological correlates.","authors":"Casey L Straud, Kiara H Buccellato, Sarah Vacek, Willie J Hale, Monty T Baker, William C Isler, Brett T Litz, Richard J McNally, Alan L Peterson","doi":"10.1080/08995605.2025.2495371","DOIUrl":"https://doi.org/10.1080/08995605.2025.2495371","url":null,"abstract":"<p><p>Social support is an important protective factor against psychological health problems secondary to potentially traumatic events experienced during deployment in military populations. Measures of military social support are available but are often constrained to a single construct, requiring multiple measures to be administered. A brief tool that assesses multiple sources of support is needed. Accordingly, we examined the psychometric characteristics of a novel measure of military social support, the <i>General Military Support Scale</i> (GMSS), and its relationship with psychological health outcomes. Participants (<i>N</i> = 1,145) were U.S. medical service members deployed to Iraq. A sequential approach using exploratory structural equation modeling (ESEM) and confirmatory factor analyses was completed to examine the GMSS. Initial analyses supported a 3-factor solution with moderately correlated factors representative of perceived <i>military unit belongingness, military unit trust</i>, and <i>non-military support</i> (from significant others and the public). Bifactor-ESEM best fit the data and supported a well-defined general factor and strong loadings on specific factors, suggesting the utility of a GMSS total and three subscale scores. Findings provide initial evidence for the GMSS as a reliable and valid instrument of military social support that is significantly related to psychological health outcomes. The GMSS offers a brief measure to assess various social supports in the military unit and from nonmilitary sources that can screen and monitor service members. Future research is needed to further validate the psychometric properties of the GMSS and its generalizability across different military samples.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-11"},"PeriodicalIF":1.1,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018327","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}
Kim E Goldstein, Alice Medalia, Emily R Nicholas, Robert H Pietrzak, Tasnova Ahmed, M Mehmet Haznedar, Regan Sweeney, Joseph T Wrobleski, Ariana Dichiara, Katelyn N Challman, Margaret M McClure, Erin A Hazlett
{"title":"Targeting problem-solving with a cognitive remediation intervention for suicide prevention in veterans: A pilot study.","authors":"Kim E Goldstein, Alice Medalia, Emily R Nicholas, Robert H Pietrzak, Tasnova Ahmed, M Mehmet Haznedar, Regan Sweeney, Joseph T Wrobleski, Ariana Dichiara, Katelyn N Challman, Margaret M McClure, Erin A Hazlett","doi":"10.1080/08995605.2025.2494868","DOIUrl":"https://doi.org/10.1080/08995605.2025.2494868","url":null,"abstract":"<p><p>Despite research identifying cognitive deficits that are specific to individuals with major depressive disorder and a history of suicidal behavior (SB), no known study has investigated cognitive remediation (CR) for suicide risk reduction in this patient population. The aim was to evaluate feasibility, acceptability and outcomes of a brief-format (10-week), group-based CR program adapted from the evidence-based CR intervention NEAR (Neuropsychological Educational Approach to Cognitive Remediation) for veterans with major depressive disorder and SB. Nine US Veteran outpatients participated in 20 sessions of remotely-delivered NEAR-Suicidal Behavior (NEAR-SB). Feasibility and acceptability were assessed. Outcomes for suicidal ideation/behavior, depression, adaptive-functioning, and problem-solving were measured at pre-treatment, post-treatment, and 10-weeks post-treatment, and effect sizes (Hedges' <i>g</i>) were calculated for both follow-up time points. NEAR-SB was feasible and acceptable in terms of engagement, satisfaction, therapy fidelity, and retention. Clinical, cognitive, and adaptive functioning outcomes improved at completion and 10-weeks post-treatment. Greater improvement in problem-solving post-treatment was associated with greater reduction in depression. Pilot data supports further research with a randomized clinical trial to confirm efficacy of incorporating the NEAR-SB program for veterans with MDD and SB and to pilot a control condition.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033551","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":"A model of command, leadership and management competency as a predictor of the performance, potential and rate of advancement of Royal Navy senior officers.","authors":"Mike Young, Victor Dulewicz","doi":"10.1080/08995605.2025.2493392","DOIUrl":"https://doi.org/10.1080/08995605.2025.2493392","url":null,"abstract":"<p><p>The CLM \"supra-competencies\" of 481 senior RN officers were measured by relevant personality and motivation scales and compared with their formal organizational appraisal and promotion data. Results suggest the CLM Competency Model is reliable, valid and adds important insight into the appraised Performance and Potential along with previous Rate of Advancement (ROA) of senior RN Officers. This study demonstrates the potential for criterion-anchored and validated competencies, such as the CLM Model, to add insight to organizational selection and development. Results could be cautiously applied to other militaries but need to be replicated with civilian directors and senior executives to demonstrate equal value outside the services. This is a rare example of a study into a large population of very senior leaders, validated against both formal appraisal data and actual rates of advancement.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-17"},"PeriodicalIF":1.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033524","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}
Cameron Grant, Lydia Woodyatt, Henry Bowen, Jonathan Lane
{"title":"\"Once a Soldier, always a Soldier\" until you're not: The effect of identity loss on mental health and well-being following military discharge.","authors":"Cameron Grant, Lydia Woodyatt, Henry Bowen, Jonathan Lane","doi":"10.1080/08995605.2025.2479895","DOIUrl":"10.1080/08995605.2025.2479895","url":null,"abstract":"<p><p>An report from the Australian Royal Commission on Veteran Suicide has suggested that transition-related losses (loss of purpose, identity, and culture) adversely affect veteran mental illness and suicide risk. Subjective Loss of Self Theory posits that significant life transitions can cause a range of changes to group memberships, relationships, and roles and consequently can disrupt our sense of identity. To the extent that these disruptions lead to a subjective feeling of a loss as to who one was (past self) or will become (future self) can create a vulnerability to mental health and well-being challenges. Across two studies involving American (<i>n</i> = 179) and Australian veterans (<i>n</i> - 379), both subjective loss of past and future self were associated with worse mental health and well-being, with loss of future self being the stronger predictor. Additionally, a negative discharge experience directly predicted worse mental health and well-being and increased subjective loss of past and future self. However, Study 2 demonstrated that the effects of negative discharge experiences were fully or partially mediated by the perception that these experiences amounted to military institutional betrayal. Collectively, these results indicate that military discharge can result in identity disruption via a perceived lost sense of self, increasing vulnerability to mental health and well-being challenges. Additionally, negative discharge experiences (especially when perceived as institutional betrayal) can exacerbate these sense of self losses and mental health and wellbeing vulnerability, both directly through the experience of betrayal, and indirectly through the resultant increased losses of past and future self.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-14"},"PeriodicalIF":1.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803808","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 Danson, Katrina Spontak, Ai-Nghia Do, Nicole Taylor, Matthew Stapleton, Nicholas Rattray
{"title":"Exploring Moral Injury and Reintegration Challenges Among Post-9/11 U.S. Veterans: A Qualitative Study.","authors":"Leah Danson, Katrina Spontak, Ai-Nghia Do, Nicole Taylor, Matthew Stapleton, Nicholas Rattray","doi":"10.1080/08995605.2025.2486242","DOIUrl":"https://doi.org/10.1080/08995605.2025.2486242","url":null,"abstract":"<p><p>Military Veterans face many barriers when reintegrating into civilian society. A growing body of evidence shows that Veterans may experience identity confusion, social isolation, and moral pain during Veteran reintegration. These issues might compound with exposure to traumatic events, leading to the development of moral injury (MI). This study utilizes an exploratory, qualitative approach to look at the relationship between MI and Veteran reintegration to better understand their impact on each other. Twelve Veterans who endorsed experiences of MI completed a cognitive interview utilizing two existing measures of MI. MI and Veteran reintegration appeared to have a dynamic relationship that significantly impacted Veteran's experiences of moral emotions, their ability to trust others, disclose potentially morally injurious experiences, and make meaning of their service. Mental health practitioners may need to be especially attuned to and assess for MI in reintegrating Veterans, particularly as onset of MI may occur during reintegration as Veterans reflect on their military experiences and come to new moral conclusions. Clinicians and researchers must also foster a significant degree of trust to facilitate disclosure of potentially morally injurious experiences (PMIEs).</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-11"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753444","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":"Psychological, personal, and professional development needs of military mental health clinicians: Identifying implications for wellbeing and best practice utilizing the Delphi method.","authors":"Dorota O'Brien, John Bogue","doi":"10.1080/08995605.2025.2481342","DOIUrl":"https://doi.org/10.1080/08995605.2025.2481342","url":null,"abstract":"<p><p>Improving pathways of care should be based on a recognition of the distinct and specific groups of professionals within the military environment. This study looked to explore the types of development needs of military mental health providers, examine the implications of unmet needs, discover mitigating factors, and evaluate barriers and challenges experienced by uniformed healthcare staff. This research project used a mixed-method approach utilizing the Delphi Method to find consensus and measure importance. A group of 23 senior international military mental health experts (<i>N</i> = 23) took part in the study. Findings revealed that <i>growth, respect, sense of belonging, satisfaction, competence, expertise, good communication, time for self-care, physical training, rest</i>, and <i>nutrition</i>, were the most important needs. Main ways to mitigate the aversive effects of unmet needs were <i>effective lines of communication</i> and <i>consideration of needs</i>. The study found that neglecting the needs of clinicians caused wide-ranging implications, mainly <i>burnout</i> and <i>stress</i>, but also <i>poor work motivation, poor treatment outcome, decreased morale</i>, and <i>lack of trust and belief in the organization</i>. The Delphi methodology revealed that within the organizational domain, <i>leaders' general support, having a team</i>, and <i>good relationships</i> were crucial, while <i>resilience, independence, sense of purpose</i>, and <i>sense of meaning</i> were the key factors in the professional attribute category. Subject matter experts (SMEs) agreed that <i>overwhelming demands</i> posed the biggest challenge for this group of professionals.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-14"},"PeriodicalIF":1.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730672","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}
Kaitlyn E Panza, Alexander C Kline, Alexandra B Klein, Erica Johnson, Brittany C Davis, Michelle T Lyons, Christy Capone, Sonya B Norman
{"title":"Reduction in reintegration stress among post-9/11 Veterans in a clinical trial for trauma-related guilt.","authors":"Kaitlyn E Panza, Alexander C Kline, Alexandra B Klein, Erica Johnson, Brittany C Davis, Michelle T Lyons, Christy Capone, Sonya B Norman","doi":"10.1080/08995605.2025.2479907","DOIUrl":"https://doi.org/10.1080/08995605.2025.2479907","url":null,"abstract":"<p><p>Reintegration stress is commonly reported by returning Veterans with post-trauma distress and associated with mental health and functioning difficulties. Interventions are needed to reduce reintegration stress and provide a pathway to improve Veterans' connections with their families, friends, and communities. The present study compared the effectiveness of Trauma Informed Guilt Reduction Therapy (TrIGR) and Supportive Care Therapy (SCT) in reducing reintegration stress, assessed by the Military to Civilian Questionnaire (M2C-Q) at post-treatment and 3- and 6-month follow-up. Data were derived from a randomized controlled trial treating U.S. military Veterans endorsing trauma-related guilt stemming from an event that occurred during deployment to the recent conflicts in Iraq and Afghanistan (<i>N</i> = 145). Intent to treat analyses using mixed models indicated a significant treatment * time interaction (<i>p</i> = .004) whereby patients randomized to TrIGR reported significantly lower reintegration stress compared to those in SCT by the 6-month follow-up. Between-condition effect sizes were <i>d</i> = 0.11 at post-treatment and <i>d</i> = 0.37 and <i>d</i> = 0.57 at 3- and 6-month follow-up assessments, respectively. Targeting trauma-related guilt may be an effective pathway to help facilitate the process of reintegration to civilian life for some Veterans.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730673","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":"Steeping in how \"shut up and color\" mindset manifests: Semantic analysis of open-ended responses for barriers to support seeking among veterans.","authors":"Megumi Sakamoto, Nandita Chaudhuri","doi":"10.1080/08995605.2025.2481673","DOIUrl":"https://doi.org/10.1080/08995605.2025.2481673","url":null,"abstract":"<p><p>Despite the long use of surveys in veterans' needs assessments, a disconnect persists between the veterans' needs and the available services. This study employs a hermeneutical framework to semantically analyze open-ended responses and investigate how veterans' perceptions of service barriers are formed. We analyzed 3,325 open-ended responses specifying their perceived barriers in Texas Veterans Needs Survey data from 2023 (<i>n</i> = 16,733). Our analysis revealed that the hurdles stem from the combination of (1) obedience to authority, (2) covert mental health challenges, (3) hopelessness, and (4) self-defeating prophecy created by complex systems and lack of trust. For instance, many reported being told they were not eligible for services or only hinted at their psychological struggles as a hurdle rather than explicitly citing a history of denial or mental health conditions. Fear of unwanted consequences, procrastination due to the self-sufficient mindset, and comparisons to other veterans were observed in relation to the \"military mind-set.\" Minorities and those who withheld their demographic information were more presented in the analytical sample than in the overall survey. Contextualization of qualitative data revealed how the military mindset is intertwined with the veterans' service-seeking behavior. The findings may improve the interpretability and validity of future veteran needs assessments.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677089","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}