A Schema Conceptualisation of Psychosocial Functioning Among Transitioned Military Personnel

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL Cognitive Therapy and Research Pub Date : 2023-12-24 DOI:10.1007/s10608-023-10455-9

Megan A. Fry, Mark J. Boschen, Shirley A. Morrissey, Ozgur Yalcin, Nicola W. Burton

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Abstract

Background

The military to civilian transition process is often associated with a negative impact on psychosocial functioning. Contemporary approaches to understand this are moving away from focussing on posttraumatic stress disorder (PTSD), to examine the military cultural and environmental impacts of service. Schema theory can provide a useful conceptual framework for understanding these issues. The aim of this study was to explore Early Maladaptive Schemas (EMS) across three samples: transitioned military personnel, veterans and first responders with PTSD, and general adults.

Method

This cross-sectional research used a transitioned military sample recruited specifically for this study (N = 94) and two comparison samples of veterans and first responders diagnosed with PTSD (N = 218), and general adults (N = 264) from previous research. Participants completed a Young Schema Questionnaire (YSQ). Independent t-tests were conducted to compare the three samples.

Results

Transitioned military personnel were significantly higher than the general adults on the EMS of Vulnerability to Harm, Entitlement, Emotional Inhibition, Punitiveness and Unrelenting Standards and lower on the schema of Enmeshment. Transitioned military personnel were significantly lower than the PTSD sample on 11 out of the 18 EMS.

Conclusions

The cluster of EMS evident in the transitioned military sample were conceptualised as ‘The Military Mode’. This conceptual framework can be used to understand the psycho-social issues experienced by transitioned military personnel and to inform interventions to promote successful transition.

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转业军人社会心理功能的模式概念化

背景从军人到平民的转变过程通常会对社会心理功能产生负面影响。当代理解这一问题的方法正在从关注创伤后应激障碍（PTSD）转向研究服役对军事文化和环境的影响。模式理论可以为理解这些问题提供一个有用的概念框架。本研究旨在探讨三个样本中的早期适应不良模式（EMS）：转业军人、患有创伤后应激障碍的退伍军人和急救人员以及普通成年人。方法本横断面研究使用了一个专门为本研究招募的转业军人样本（94 人），以及两个对比样本：被诊断患有创伤后应激障碍的退伍军人和急救人员（218 人）和之前研究中的普通成年人（264 人）。参与者填写了一份 Young Schema Questionnaire (YSQ)。结果转业军人在易受伤害、权利、情感抑制、惩罚性和无情标准的 EMS 上明显高于普通成年人，而在 "依恋 "模式上则低于普通成年人。在 18 项 EMS 中，转业军人在 11 项上明显低于创伤后应激障碍样本。这一概念框架可用于了解转业军人所经历的社会心理问题，并为促进成功转业的干预措施提供依据。

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来源期刊

Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.