Military Behavioral Health最新文献_第7页

Team Resilience: Practical Implications for Military Service Members 团队韧性：对军人的实际意义

Military Behavioral Health Pub Date : 2022-01-18 DOI: 10.1080/21635781.2021.2019630

Kimberly D. Gomes, Israel Sánchez-Cardona, Brian A. Moore

{"title":"Team Resilience: Practical Implications for Military Service Members","authors":"Kimberly D. Gomes, Israel Sánchez-Cardona, Brian A. Moore","doi":"10.1080/21635781.2021.2019630","DOIUrl":"https://doi.org/10.1080/21635781.2021.2019630","url":null,"abstract":"Abstract Team resilience is a multidimensional, multi-level construct that can be influenced by individual, team, and organizational factors. Current research indicates that team resilience enhances organizational outcomes, and potentially can contribute to efforts to enhance the well-being of individuals within the military. Despite a steadily growing literature, few studies have addressed the implications of team resilience in the military. The present monograph addresses the definition, measurement, and implications of team resilience for military personnel. Our review of the current literature indicates that theoretical models of team resilience have not been well tested in military samples. Similarly, current assessments of team resilience have not been extensively validated in military personnel. Finally, no formal training programs exist to target the development of team resilience in military personnel. Future studies would benefit from addressing these gaps in literature among different military populations (e.g., trainees, and reserve components) and if conducted appropriately could help inform the development of targeted military appropriate interventions.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"10 1","pages":"345 - 356"},"PeriodicalIF":0.0,"publicationDate":"2022-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49238025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coping with Stress While Awaiting Covid-19 Test Results: Survey of Israeli Air Force Personnel 在等待Covid-19测试结果时应对压力:对以色列空军人员的调查

Military Behavioral Health Pub Date : 2022-01-17 DOI: 10.1080/21635781.2022.2026847

S. Gordon, Dror Garbi, Shahar Ben Bassat, S. Shapira, Leah Shelf

{"title":"Coping with Stress While Awaiting Covid-19 Test Results: Survey of Israeli Air Force Personnel","authors":"S. Gordon, Dror Garbi, Shahar Ben Bassat, S. Shapira, Leah Shelf","doi":"10.1080/21635781.2022.2026847","DOIUrl":"https://doi.org/10.1080/21635781.2022.2026847","url":null,"abstract":"Abstract belowThe uncertainty involved in the period of waiting for the COVID-19 test results often accompanied by anxiety. The purpose of the present survey was to examine the level of emotional distress among Air Force personnel awaiting COVID-19 test results. The survey included 284 participants, 62% male (mean age = 24.3, SD = 7.61). Participants received an online questionnaire that covered the following topics: type of isolation (e.g., home, military unit, a military inpatient facility); COVID-19 status (e.g., awaiting testing, tested); a self-evaluation questionnaire of health, and a Generalized Anxiety Disorder questionnaire (GAD-7). At the time of the survey, over 50% were waiting to be tested or to receive the test results. The degree of distress was higher in the group that was in isolation at home than at a military medical facility. Women had higher levels of anxiety than men. Soldiers in compulsory military service had higher levels of distress than career personnel. The isolation environment provided in a military facility had a beneficial effect on the soldiers’ mental state. An accumulation of several stressors such as the operation assignments and the marital and financial status may increase the likelihood of distress.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"10 1","pages":"357 - 367"},"PeriodicalIF":0.0,"publicationDate":"2022-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47945918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevention is Better than the Cure: The Development of Gray-Zone Situational Judgment Tests to Deter Sex and Gender Discrimination 预防胜于治疗:灰色地带情境判断测试的发展以阻止性别和性别歧视

Military Behavioral Health Pub Date : 2022-01-17 DOI: 10.1080/21635781.2022.2026848

G. Thomas, D. Gibbons, S. Baho

{"title":"Prevention is Better than the Cure: The Development of Gray-Zone Situational Judgment Tests to Deter Sex and Gender Discrimination","authors":"G. Thomas, D. Gibbons, S. Baho","doi":"10.1080/21635781.2022.2026848","DOIUrl":"https://doi.org/10.1080/21635781.2022.2026848","url":null,"abstract":"Abstract The purpose of this study was to develop a Situational Judgment Test (SJT) for gray-zone behaviors related to sex and gender discrimination in a military population. While not technically illegal, “gray-zone” behaviors are inappropriate and detrimental to morale and unit productivity, and they may act as precursors to sexual harassment or assault. Current training and legal procedures primarily focus on the response to sexual harassment and sexual assault. Less work has supported preventative measures to address and decrease gray-zone behaviors. This study targeted active-duty first-line supervisors, both enlisted and officers, because their responses to gray-zone behaviors can influence their subordinates and their unit’s climate. This article explains the process for developing context-relevant SJT scenarios, creating response choices, and scoring the SJT. The test was validated empirically by collecting data from 129 enlisted and 44 officers in the U.S. military. Results showed that the test has appropriate item difficulty and item-test correlation. It measures first-line supervisors’ ability to choose appropriate ways to respond to gray-zone behaviors related to sex and gender discrimination. Guidelines for development of SJTs, as well as additional uses of SJTs are discussed.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"10 1","pages":"368 - 378"},"PeriodicalIF":0.0,"publicationDate":"2022-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47860013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlates of Perceived Military-to-Civilian Transition Challenges by Medical Release: An Analysis of the Canadian Armed Forces Transition and Well-Being Survey 医疗释放对军事到民事过渡挑战的感知相关性：加拿大武装部队过渡和幸福调查分析

Military Behavioral Health Pub Date : 2022-01-03 DOI: 10.1080/21635781.2021.2007183

H. McCuaig Edge, Jennifer E. C. Lee, Sanela Dursun

{"title":"Correlates of Perceived Military-to-Civilian Transition Challenges by Medical Release: An Analysis of the Canadian Armed Forces Transition and Well-Being Survey","authors":"H. McCuaig Edge, Jennifer E. C. Lee, Sanela Dursun","doi":"10.1080/21635781.2021.2007183","DOIUrl":"https://doi.org/10.1080/21635781.2021.2007183","url":null,"abstract":"Abstract The transition from military-to-civilian life may be difficult for military members, but early or unplanned release can be especially stressful, and may be associated with different challenges from those who planned their release. This study examined transition challenges, and identified whether associated factors differed by release type. The Canadian Armed Forces (CAF) Transition and Well-being Survey surveyed 1,414 recently released CAF Veterans (86% male; 52% 30‒49 years old; 58% Noncommissioned Members; 51% 20+ years of service; 58% Army) using a stratified random sample. Respondents indicated how challenging they perceived ten items related to the military-to-civilian transition (e.g., financial preparedness). They also were asked about their current health, release type (i.e., medical or non-medical release), demographic, and military characteristics. Results revealed that being female, releasing mid-career, having poorer health, and having fewer social provisions may place all Veterans at higher risk for transition challenges. However, certain correlates, such as age, rank, or education level, may be differentially associated with challenging transitions depending on whether Veterans released for medical or for other reasons. Identifying patterns of correlates for perceived challenges can provide insight into how to best support CAF members who are releasing for varying reasons – whether medically, or other circumstances.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"10 1","pages":"37 - 48"},"PeriodicalIF":0.0,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49487662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Qualitative Inquiry on the Health and Well-Being of Canadian Armed Forces Members and Veterans during Medical Release 关于加拿大武装部队成员和退伍军人在医疗释放期间的健康和福利的定性调查

Military Behavioral Health Pub Date : 2022-01-03 DOI: 10.1080/21635781.2021.2007184

L. Williams, A. Skomorovsky, Cynthia Wan, Jennifer E. C. Lee

{"title":"Qualitative Inquiry on the Health and Well-Being of Canadian Armed Forces Members and Veterans during Medical Release","authors":"L. Williams, A. Skomorovsky, Cynthia Wan, Jennifer E. C. Lee","doi":"10.1080/21635781.2021.2007184","DOIUrl":"https://doi.org/10.1080/21635781.2021.2007184","url":null,"abstract":"Abstract Introduction The transition from military to civilian life can be a difficult adjustment, particularly for those members who have medically released. However little research has been conducted to gain a nuanced understanding of the experiences of ill and/or injured Canadian members and veterans throughout the transition period. Methodology Forty-five semi-structured interviews were conducted to gain insight on the challenges that medically releasing Canadian Armed Forces (CAF) members (N = 14) and medically released veterans (N = 31) encountered during their transition process. Topics explored their current health and well-being, as well as transition stressors and challenges experienced during and post-release. Transcripts of interviews were subjected to a thematic analysis. Results Findings demonstrated that numerous ill and injured members experienced both physical and mental health challenges, which caused significant stress and impacted their psychological well-being. The present study also highlighted the stress and challenges that participants experienced both during and after release. Common themes found for medically-releasing members were: (1) uncertainty, (2) transition process and CAF support, and (3) lack of readiness. Veterans’ most common stressors related to: (1) managing their illness and/or injury, (2) managing employment, (3) pensions and disability support, and (4) finding meaning and purpose. Discussion Recommendations and implications regarding improving veteran well-being, as well as the implementation and development of various types of services and programs are discussed.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"10 1","pages":"27 - 36"},"PeriodicalIF":0.0,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43683987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Young Adults May Be Engaging in Risky Behaviors with their E-Cigarettes. 年轻人吸电子烟可能会有危险行为。

Military Behavioral Health Pub Date : 2022-01-01 DOI: 10.1080/21635781.2022.2040661

Kinsey Pebley, Rebecca A Krukowski, Gerald W Talcott, Melissa A Little

引用次数: 0

Resilience to Suicidal Ideation Among U.S. Military Veterans with Posttraumatic Stress: Results from the National Health and Resilience in Veterans Study. 美国退伍军人创伤后应激对自杀意念的恢复力:来自退伍军人国家健康和恢复力研究的结果。

Military Behavioral Health Pub Date : 2022-01-01 DOI: 10.1080/21635781.2021.2015019

Shaina A Kumar, Christina L Hein, David DiLillo, Robert H Pietrzak

{"title":"Resilience to Suicidal Ideation Among U.S. Military Veterans with Posttraumatic Stress: Results from the National Health and Resilience in Veterans Study.","authors":"Shaina A Kumar, Christina L Hein, David DiLillo, Robert H Pietrzak","doi":"10.1080/21635781.2021.2015019","DOIUrl":"https://doi.org/10.1080/21635781.2021.2015019","url":null,"abstract":"<p><p>Veterans with combat exposure experience high rates of posttraumatic stress symptoms (PTSS) and associated suicidal ideation. The current study examined whether social support (i.e., social connectedness and social engagement) and protective psychological factors (i.e., resilience and altruism) moderated the relation between PTSS and suicidal ideation severity in a sample of 149 U.S. military combat veterans who served in the Vietnam War or Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND). Consistent with expectations, initial PTSS were positively associated with concurrent and three-year follow-up severity of suicidal ideation. Moderation analyses revealed the relation between initial PTSS and concurrent suicidal ideation severity was no longer significant at above average levels of social connectedness, social engagement, and psychological resilience. Further, the relation between initial PTSS and suicidal ideation severity three years later continued to be buffered by above average levels of social engagement. Results suggest social connectedness, psychological resilience, and social engagement help moderate initial severe thoughts of suicide linked to PTSS, while social engagement might be the strongest protective factor against severe suicidal ideation over time. Empirically-supported prevention and treatment efforts enhancing social engagement may help promote resilience to severe PTSS-related suicidal ideation among veterans from Vietnam and OEF/OIF/OND combat eras.</p>","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"10 4","pages":"328-337"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9642972/pdf/nihms-1765997.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10451061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Stress-Coping Strategies on Personnel’s Mental Health during Naval Dispatch of the Japan Maritime Self Defense Force (JMSDF) Destroyer 日本海上自卫队驱逐舰出航期间压力应对策略对人员心理健康的影响

Military Behavioral Health Pub Date : 2021-12-28 DOI: 10.1080/21635781.2021.2019629

Tetsufumi Suda, Atsuko Takizawa, Kazumi Hatano, Takahide Kanatake, Kazuhiro Fujino

{"title":"Impact of Stress-Coping Strategies on Personnel’s Mental Health during Naval Dispatch of the Japan Maritime Self Defense Force (JMSDF) Destroyer","authors":"Tetsufumi Suda, Atsuko Takizawa, Kazumi Hatano, Takahide Kanatake, Kazuhiro Fujino","doi":"10.1080/21635781.2021.2019629","DOIUrl":"https://doi.org/10.1080/21635781.2021.2019629","url":null,"abstract":"Abstract Predicting mental health problems is an important military concern as such problems have a negative impact on continuity of operations, especially at sea. One component of resilience, generally a strong predictor of mental health, is coping strategies which are more specific, measurable and easier to discuss than resilience. To examine whether such strategies would have a positive impact on mental health while at sea, we collected the 30-item General Health Questionnaire (GHQ-30) for 134 of 199 crew members dispatched overseas for four months at the beginning (Time 1; T1) and the end of the dispatch (Time 2; T2). Stress-coping strategies were assessed using the Way of Coping Checklist at T1. The relationships between demographic factors, coping strategies, and GHQ-30 scores at T1 survey were examined. Subsequently, using factors associated with the differences in GHQ-30 scores between T1 and T2 (ΔGHQ-30), we created a multivariate model to identify predictor of ΔGHQ-30. In T1 survey, no demographic features but five stress-coping strategies were associated with GHQ-30 scores. In the multivariate model, positive cognitive coping was the only predictor of ΔGHQ-30. Assessing stress-coping strategies could predict individual’s resilience to occupational stress at sea, and teaching positive cognitive coping would improving their resilience.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"10 1","pages":"338 - 344"},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41511880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Service-Connected Disabilities and Suicide Attempts in Veterans: The Moderating Role of Mental Health Care Utilization 退伍军人服务相关残疾与自杀企图:心理保健利用的调节作用

Military Behavioral Health Pub Date : 2021-12-14 DOI: 10.1080/21635781.2021.2013350

Shane T. W. Kuhlman, T. Bishop, Patrick Walsh, W. Pigeon

{"title":"Service-Connected Disabilities and Suicide Attempts in Veterans: The Moderating Role of Mental Health Care Utilization","authors":"Shane T. W. Kuhlman, T. Bishop, Patrick Walsh, W. Pigeon","doi":"10.1080/21635781.2021.2013350","DOIUrl":"https://doi.org/10.1080/21635781.2021.2013350","url":null,"abstract":"Abstract United States veteran suicide rates have increased over the past two decades. Designations of service-connected disabilities (designations tied to injury during military service) are also increasing, especially those associated with mental health disorders. However, recent research around disability and suicide in veterans is mixed, and no research has been completed on the association between disability and mental health service utilization. The current study hoped to fill these gaps in the literature with a secondary data analysis of a sample of 36,048 Veterans Healthcare Administration (VHA) veterans. Mental health disorders and demographics were controlled for in a logistic regression model predicting suicide attempt status by the intersection of service-connected disability and mental health care utilization. Mental health service visits moderated the positive relationship between service-connected disability designations and suicide attempts; those who utilized services were less likely to attempt suicide, especially those at higher service-connected disability designations with mental health disorders. The results suggest individuals who have disability designations that also seek help are less likely to make a suicide attempt. The study was limited by scope of the sample (only VHA veterans with service connected disabilities). Results have implications for preventative interventions in the VHA/Veterans Benefits Administration.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"10 1","pages":"311 - 318"},"PeriodicalIF":0.0,"publicationDate":"2021-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45809141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Anxiety and Depression Mediate the Relationship of Medication-Resistant PTSD to Quality of Life in Service Members 焦虑和抑郁介导服役人员耐药PTSD与生活质量的关系

Military Behavioral Health Pub Date : 2021-12-14 DOI: 10.1080/21635781.2021.2013352

Maegan M. Paxton Willing, Larissa L. Tate, Patricia T Spangler, D. Benedek, D. Riggs

{"title":"Anxiety and Depression Mediate the Relationship of Medication-Resistant PTSD to Quality of Life in Service Members","authors":"Maegan M. Paxton Willing, Larissa L. Tate, Patricia T Spangler, D. Benedek, D. Riggs","doi":"10.1080/21635781.2021.2013352","DOIUrl":"https://doi.org/10.1080/21635781.2021.2013352","url":null,"abstract":"Abstract Posttraumatic stress disorder (PTSD) is a significant problem for military service members. For many, PTSD symptoms do not fully remit with available treatments; however, little is known about patients with medication-resistant PTSD. The present research sought to examine the complex relationship of PTSD to patients’ quality of life (QoL) utilizing data previously collected as part of a larger randomized clinical trial of a pharmacological augmentation treatment for individuals with PTSD who did not responded to standard medication treatments. Comorbid psychological conditions, including anxiety and depression, may interfere with treatment response and are known to have debilitating consequences on QoL. Therefore, we sought to examine whether anxiety and depression mediated the relationship of PTSD to QoL across multiple domains. Results indicated depression completely mediated the relation of PTSD to physical, psychological, and social QoL, while anxiety mediated relations to physical and social QoL. This study provides insight into the challenges of individuals who retain PTSD symptoms following treatment as well as the complex relationship of PTSD, co-occurring conditions, and QoL.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"10 1","pages":"319 - 327"},"PeriodicalIF":0.0,"publicationDate":"2021-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47819271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1