Michelle M Pebole, Caroline A Sablone, Alexandra Kenna, Dylan Katz, Colleen B Hursh, Arielle R Knight, Alyssa Currao, Adam Lebas, Catherine B Fortier
{"title":"Women veterans' outcomes and experiences with STEP-Home transdiagnostic reintegration workshops: Implications for future implementation.","authors":"Michelle M Pebole, Caroline A Sablone, Alexandra Kenna, Dylan Katz, Colleen B Hursh, Arielle R Knight, Alyssa Currao, Adam Lebas, Catherine B Fortier","doi":"10.1080/08995605.2025.2521952","DOIUrl":"https://doi.org/10.1080/08995605.2025.2521952","url":null,"abstract":"<p><p>Women Veterans (WVs) face unique challenges reintegrating into civilian life after military service. Yet, there is a current dearth of information on treatment outcomes and feasability among WVs, particularly regarding interventions that target reintegration focused content and outcomes. The present study is a secondary analysis of a randomized controlled trial that integrates quantitative and qualitative measures to assess WVs' outcomes and experiences with the STEP-Home (SH) transdiagnostic reintegration workshop. A total of 57 Veterans ages 24-65 years (<i>n</i> = 37 men; <i>n</i> = 20 women) completed SH and provided qualitative feedback post-intervention. Sex-stratified outcomes indicated that both men and women improved in reintegration (ps < 0.01), though the effect was smaller among WVs (ds = 0.42 vs 0.67). Women and men also experienced moderate improvements in neurobehavioral symptoms and frontal system functioning (ps < 0.001; ds = 0.48-1.00). WVs showed unique improvements in communication (<i>p</i> = .007, <i>d</i> = 0.50), and personal control (<i>p</i> = .016, <i>d</i> = 0.58). Men showed unique improvements in anger expression (<i>p</i> < .001, <i>d</i> = 0.52) and impulse control (<i>p</i> = .002, <i>d</i> = 0.57). Women represented 35% of Veterans who completed STEP-Home at follow up, a notable overrepresentation of women when compared to their prevalence in the US military. Dropout rates among WVs were similar to men (<i>p</i> > .05). Qualitative feedback indicated that some WVs (<i>n</i> = 5) preferred women only groups. WVs reported high satisfaction with SH, although women did indicate that women only groups may appeal to some WVs. Findings support the benefits of and satisfaction with virtual reintegration programs among WVs. They also emphasize the opportunity for future research focused on the implementation of virtual reintegration programs tailored to the growing population of WVs.<b>Trial Registration</b>: Clinicaltrials.gov: D2907-R.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475972","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}
Michelle L Kelley, Megan Strowger, Jeffrey M Gabelmann
{"title":"Do betrayal-based moral injury and drinking to cope explain the association between military sexual trauma and alcohol consumption?","authors":"Michelle L Kelley, Megan Strowger, Jeffrey M Gabelmann","doi":"10.1080/08995605.2025.2518360","DOIUrl":"https://doi.org/10.1080/08995605.2025.2518360","url":null,"abstract":"<p><p>The present study examined two sequential mediation models in which betrayal-based moral injury and drinking to cope were hypothesized to explain the associations between sexual assault/sexual harassment and alcohol consumption. Participants were a community sample of 93 current or former U.S. military women (30.4 years; SD = 8.01) who completed an online, anonymous survey. In both models, sexual assault and sexual harassment and alcohol consumption were explained by betrayal-based moral injury and drinking to cope. It may be important to assess for and therapeutically address betrayal-based moral injury as it may be a mechanism that drives alcohol consumption.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317476","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}
Ian A Gutierrez, Shelby N Anderson, Coleen L Crouch, Amy B Adler
{"title":"Engage: A bystander intervention training for U.S. Army soldiers.","authors":"Ian A Gutierrez, Shelby N Anderson, Coleen L Crouch, Amy B Adler","doi":"10.1080/08995605.2025.2497573","DOIUrl":"https://doi.org/10.1080/08995605.2025.2497573","url":null,"abstract":"<p><p>Drug and alcohol misuse, sexual misconduct, and suicidal behaviors can negatively affect the well-being of personnel in high-risk occupations and compromise organizational effectiveness. While the U.S. Army has established policies, programs, and a professional prevention workforce to reduce the occurrence of these behaviors, soldiers who are in the presence of their at-risk peers are best positioned to intervene. Thus, to leverage the impact of peer-based bystander intervention, the Army developed a two-hour training entitled \"Engage.\" Engage provides soldiers with instruction on fostering awareness of risky behaviors, taking responsibility in situations where such behaviors may occur, and having a plan of action for intervening on behalf of those at risk. A longitudinal quasi-randomized evaluation of Engage was conducted with active-duty soldiers over a nine-month period. Eight companies were assigned to receive Engage, and eight companies were assigned to a control condition. Surveys assessed training acceptability, knowledge related to bystander behaviors, confidence in intervening, and perceptions of unit engagement. Soldiers found the training to be acceptable, evidenced improved knowledge of bystander intervention concepts following training, and perceived their units to be more engaged in bystander practices over time. Longitudinal assessment of soldiers' confidence in intervening was moderate to high at baseline; while confidence remained stable over multiple follow-up assessments, no significant changes were observed due to training. These findings highlight the potential value of tailoring bystander intervention training for service members. Results also provide direction for improving such training for the military and other high-risk occupations.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-12"},"PeriodicalIF":1.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234545","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":"Posttraumatic growth and well-being among body handlers: The role of resilience, coping strategies, and belief in a just world.","authors":"Avital Laufer","doi":"10.1080/08995605.2025.2516264","DOIUrl":"https://doi.org/10.1080/08995605.2025.2516264","url":null,"abstract":"<p><p>This study examined psychological adaptation among 161 Israeli reserve soldiers who served as body handlers following the October 7, 2023, Hamas terror attack. The study assessed posttraumatic stress symptoms (PTS), posttraumatic growth (PTG), well-being (WB), resilience, belief in a just world (BJW), and coping strategies. Regression analyses revealed that resilience and BJW were positively associated with WB, while PTS negatively predicted it. PTG was predicted by younger age, higher PTS, resilience, and emotion-focused acceptance coping, whereas emotion-focused distancing coping was a negative predictor. Significant interactions were found: BJW was positively associated with PTG among older participants and those with high PTS; emotional acceptance was linked to WB among younger participants; and resilience was positively related to WB among those experiencing high PTS. The results highlight that PTG and WB are distinct yet coexisting indicators of adaptation. While WB was linked to resilience and cognitive frameworks such as BJW, PTG appeared to emerge from distress combined with reflective and meaning-making processes. These findings underscore the psychological complexity of post-trauma responses in extreme conditions and point to the importance of fostering both resilience and adaptive cognitive coping in trauma-exposed populations.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-11"},"PeriodicalIF":1.1,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225893","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":"The effects of mindfulness based stress reduction on students at a senior military college.","authors":"Scott T Frein, Tinni Sen, Howard Sanborn","doi":"10.1080/08995605.2025.2513132","DOIUrl":"https://doi.org/10.1080/08995605.2025.2513132","url":null,"abstract":"<p><p>This paper examines the effects of mindfulness training on students attending a senior military college in the United States. In a 4-week pilot study (<i>n</i> = 31) and a subsequent in-depth 8-week study (<i>n</i> = 66, 18 women), participants were randomly assigned to a mindfulness training group (MG) or a nutrition training control group (CG). Each group completed a 60 min weekly training workshop, 20 min of daily homework for the remaining 6 days, brief journal entries about the homework, and seven assessments at the start and the conclusion of the study. The duration, frequency, and intensity of training of the intervention and control group were identical. Results indicate a significant decrease in stress in the MG and no change in the CG. The MG also reported a significant increase in their overall score on the Five Facet Mindfulness Questionnaire as well as the Observing, Describing, and Nonreactivity sub scores. CG changes did not reach significance on any of these variables. The sleep quality score on the Pittsburgh Sleep Quality Index (PSQI) indicated improved sleep quality for the MG but not the CG. The PSQI sleep efficiency score indicated lower sleep efficiency for the CG but not the MG. Findings demonstrate the effectiveness of mindfulness training for lowering stress levels, improving sleep quality, and increasing the frequency of behaviors associated with positive mental health such as nonreactivity in a student body that experiences the stresses from both the academic and military rigor that characterizes senior military colleges.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208972","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":"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":"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":"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}