Vladyslav Synyahovskyy, Oleh Hukovskyy, Carl Andrew Castro, James A Martin
{"title":"Moral injury among Ukrainian soldiers: Firsthand accounts of psychological struggles in the Russia-Ukraine war.","authors":"Vladyslav Synyahovskyy, Oleh Hukovskyy, Carl Andrew Castro, James A Martin","doi":"10.1080/08995605.2026.2623595","DOIUrl":"https://doi.org/10.1080/08995605.2026.2623595","url":null,"abstract":"<p><p>This article provides firsthand accounts of the combat experiences of Ukrainian soldiers, emphasizing the psychological toll of their exposure to morally injurious events during modern combat operations. Case studies illustrate the various contexts in which moral injuries might occur involving both military members and civilians. Other psychological issues that co-occur with moral issues as a result of combat exposures are presented including traumatic stress, profound grief, and various threats to individual identity. The authors include an analysis of the utility of the recent American Psychiatric Association's (APA) revision of DSM-5-TR that now includes moral issues and how this conceptualization captures the experiences of soldiers fighting in the Russia-Ukraine War. The case studies presented reveal that there remain important experiences and responses that are not fully captured by the new APA conceptualization of moral injury, such as existential ethical crisis, survivor guilt, disruption of one's role or identity, and the failure of others to uphold societal norms and expectations. Various approaches to facilitate recovery from moral injury are discussed. These approaches include the use of debriefings, remembrance memorials and structured therapeutic interventions. These approaches are intended to facilitate the soldier's recovery from moral injury by providing immediate emotional relief, and by facilitating the soldier's cognitive awareness of how morally injurious events can change and shape individual and collective identity. This study highlights the unique challenges faced by military personnel in modern, high-intensity warfare, and the need for early and targeted mental health interventions, including building resilience and promoting psycho-social well-being.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-10"},"PeriodicalIF":1.3,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137508","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":"Leveraging non-specialty personnel for mental health support in large-scale combat operations: A scoping review.","authors":"Felicia N Katzovitz, Julia G Catanese","doi":"10.1080/08995605.2026.2620973","DOIUrl":"10.1080/08995605.2026.2620973","url":null,"abstract":"<p><p>The shift from counterinsurgency to large-scale combat operations (LSCO) presents new challenges for delivering military mental healthcare, including resource limitations, disruptions to medical evacuation, and degraded network connectivity. The anticipated constraints in LSCO may delay access to specialty care, necessitating scalable approaches to address mental health care needs. To explore how mental healthcare needs have been addressed in similar contexts, this scoping review aims to chart the literature on interventions administered by personnel without formal mental health specialization or credentials in military or comparable operational settings. The review followed Arksey and O'Malley's five-stage methodological framework to chart, collate, summarize, and report relevant findings. A systematic search strategy was used to identify literature from four databases (PubMed, CINAHL, PsycINFO, and Embase), and the authors conducted a full-text screening. Twenty-three studies met the inclusion criteria and informed the development of the conceptual model. Interventions were categorized by personnel role and mapped onto the Stress Continuum Model. The model offers a scalable, mission-adaptive approach that accounts for personnel roles and practice scopes. Rather than prescribing a fixed solution, the conceptual model provides leaders and medical planners with flexible, evidence-informed options. Findings illustrate how leaders, informal peers, trained peers, and non-specialty medical personnel may be incorporated into a role-based psychological support strategy for austere environments, including during LSCO.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-13"},"PeriodicalIF":1.3,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132346","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}
Mary Sampson, Kristina Clarke-Walper, Cpt George Mesias, Joshua E Wilk, Katie Nugent
{"title":"Non-providers' attitudes related to offering behavioral healthcare.","authors":"Mary Sampson, Kristina Clarke-Walper, Cpt George Mesias, Joshua E Wilk, Katie Nugent","doi":"10.1080/08995605.2026.2612681","DOIUrl":"https://doi.org/10.1080/08995605.2026.2612681","url":null,"abstract":"<p><p>It is anticipated that behavioral health (BH) support will be limited in future deployed environments. The new BH GEAR training was developed to train non-behavioral health providers (NBHPs) to manage BH needs, bridging this gap. However, it is unknown if NBHPs experience negative beliefs toward offering BH support. This study investigated if these negative attitudes occur among NBHPs and associated factors. As part of a larger study, 86 NBHPs, completed a pre-training and post-deployment survey. Participants were also surveyed on stigma toward receiving BH care, training, their scope of work, demographics, and unit characteristics. Few NBHPs endorsed negative attitudes toward offering BH help (10.6%-23.6%). Negative attitudes toward offering BH care were significantly associated with lower team cohesion, less BH-related training, greater stigma toward receiving BH care, barriers to care and self-reliance, and the belief that BH care is not in their scope of work. When controlling for all significant factors, greater stigma toward receiving BH care and self-reliance, and less team cohesion was predictive of negative attitudes. No association was found between negative attitudes toward offering BH care and discussing BH issues with soldiers post-deployment. There was no significant difference in attitudes pre-training and post-deployment. Units will rely on NBHPs in future environments for BH support, thus it is crucial to understand factors which may inhibit care. Factors that bolster team cohesion and reduce stigma may help to reduce any negative attitudes NBHPs' have toward offering BH help to their soldiers, increasing readiness and mission success.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145912374","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}
Military PsychologyPub Date : 2026-01-01Epub Date: 2025-06-25DOI: 10.1080/08995605.2025.2521950
Marcelo A C Matias, Pedro J Rosa
{"title":"Prevalence of burnout syndrome in the Portuguese Army.","authors":"Marcelo A C Matias, Pedro J Rosa","doi":"10.1080/08995605.2025.2521950","DOIUrl":"10.1080/08995605.2025.2521950","url":null,"abstract":"<p><p>Burnout, characterized by Emotional Exhaustion (EE), Depersonalization (DP), and Reduced Personal Accomplishment (PA), is a significant occupational hazard. Although extensively studied in other contexts, its prevalence and predictors among Portuguese military personnel have not been explored. This study investigates burnout prevalence and its sociodemographic and organizational predictors within the Portuguese Army. A total of 437 active-duty personnel completed the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) alongside sociodemographic and organizational questionnaires. Results revealed that 2.3% of participants exhibited burnout across all dimensions, while 25.2% demonstrated engagement (low scores in all dimensions). High EE, DP, and PA were reported by 35.7%, 13.7%, and 45.5% of respondents, respectively. Logistic regression identified key burnout predictors: feeling undervalued by superiors, being enlisted, and being single significantly increased burnout risk. These findings align with the Job Demands-Resources model, highlighting how low support, high workload, and job insecurity exacerbate burnout, while marital support and stability mitigate it. Despite relatively low burnout prevalence, the study emphasizes the need for targeted interventions. Promoting supportive leadership, recognition, and preventive strategies is essential to improve well-being and operational performance in the military.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"361-373"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13313275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Military PsychologyPub Date : 2026-01-01Epub Date: 2025-04-08DOI: 10.1080/08995605.2025.2479895
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":"163-176"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12934152/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Military PsychologyPub Date : 2026-01-01Epub Date: 2025-03-28DOI: 10.1080/08995605.2025.2481342
Dorota O'Brien, John Bogue
{"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":"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":"211-224"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108363/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Military PsychologyPub Date : 2026-01-01Epub Date: 2026-02-24DOI: 10.1080/08995605.2026.2617843
Thomas W Britt
{"title":"Editorial: The past 5 years of <i>Military Psychology</i> and a look toward the future.","authors":"Thomas W Britt","doi":"10.1080/08995605.2026.2617843","DOIUrl":"10.1080/08995605.2026.2617843","url":null,"abstract":"","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":"38 2","pages":"105-108"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12934155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147284464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Military PsychologyPub Date : 2026-01-01Epub Date: 2026-01-07DOI: 10.1080/08995605.2025.2609244
Carl A Castro, Jordan P Davis, Whitney S Livingston, Liv Canning, Shaddy Saba, Sara Kintzle, Lynsay Ayer, Ben Senator, Eric R Pedersen
{"title":"Longitudinal assessment of anger trajectories following childhood trauma and combat exposure: Associations with PTSD and alcohol use disorder symptoms.","authors":"Carl A Castro, Jordan P Davis, Whitney S Livingston, Liv Canning, Shaddy Saba, Sara Kintzle, Lynsay Ayer, Ben Senator, Eric R Pedersen","doi":"10.1080/08995605.2025.2609244","DOIUrl":"10.1080/08995605.2025.2609244","url":null,"abstract":"<p><p>For veterans, early life stressors, such as childhood trauma and experience of combat-related events, are associated with reporting greater levels of anger. Anger, if maintained over time, can have detrimental effects on mental health such as posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD). Some modifiable factors, such as self-compassion and posttraumatic growth have been shown to mitigate long-term symptomology. Veterans (<i>n</i> = 1,230) completed online surveys at baseline and 9-, 12-, 18-, and 24-month follow-up. We used a latent transition model to understand how emergent classes of childhood trauma and combat experience are associated with trajectories of anger over the study period. We also explored PTSD and AUD as outcomes of emergent transitions and, further, how self-compassion and posttraumatic growth moderate transition patterns. Veterans in the <i>High severity/polytrauma exposure</i> trauma class had a transition probability (<i>Pr</i>) of 0.76 into the <i>stable high anger</i> trajectory class. Those veterans in the <i>combat exposure only</i> class had a high probability of transitioning into the <i>stable low anger</i> class (<i>Pr</i> = 0.97). Veterans in the <i>moderate childhood trauma - moderate combat</i> class had a greater probability of transitioning into the <i>stable high anger</i> class (<i>Pr</i> = 0.66). Results show that PTSD and AUD symptoms are greatest when veterans transition into the <i>stable high anger</i> class. However, this is partially mitigated by higher levels of self-compassion and posttraumatic growth. While anger and trauma are both often associated with all of these mental health conditions, they do not appear to function and interact in a similar way.</p>","PeriodicalId":18696,"journal":{"name":"Military Psychology","volume":" ","pages":"702-716"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Military PsychologyPub Date : 2026-01-01Epub Date: 2025-09-20DOI: 10.1080/08995605.2025.2564506
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":"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":"535-544"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523921/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}