Identifying psychological risk and resilience in high-risk military personnel.

IF 1.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Bmj Military Health Pub Date : 2024-09-20 DOI:10.1136/military-2024-002724
Neanne Bennett, E Lawrence-Wood, A McFarlane
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Abstract

Introduction: Combat exposure has been associated with the emergence of post-traumatic stress disorder (PTSD) symptoms in military personnel; however, not all veterans are negatively impacted by their operational experience. In many instances, the absence of symptoms following operational service is attributed to resilience. This study explored the construct of resilience by examining the relationship between levels of deployment-related exposures and psychological symptoms, as well as identifying factors that may contribute to resilience and emerging risk.

Method: Participants were special forces personnel who completed self-report questionnaires 1 month before deployment and 4 months post deployment. Subgroups were created based on psychological reactivity to deployment exposures, representing risk, vulnerability and resilience. Regression analysis assessed the contribution of factors that were predictive of risk or resilience groups specifically.

Results: Results showed the overall levels of psychological reactivity in this population post deployment were low; however, differences between risk and resilience subgroups were found. Subthreshold indicators of psychological reactivity, as well as deployment factors such as increased deployment frequency and time spent away from home, were found to contribute to differences between risk and resilient trajectories.

Conclusion: Findings reflect a military population with low psychological symptoms despite high trauma exposure. However, subtle underlying differences between subgroups suggest that the early identification of risk and emerging trajectories is possible. Risk and resilience in military populations needs to consider subthreshold indicators and individual differences over time.

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识别高风险军事人员的心理风险和复原力。
介绍:战斗经历与军人出现创伤后应激障碍(PTSD)症状有关;然而,并非所有退伍军人都会受到作战经历的负面影响。在许多情况下,服役后没有出现症状归因于复原力。本研究通过研究与部署相关的暴露水平与心理症状之间的关系,以及确定可能有助于恢复能力和新风险的因素,来探索恢复能力的概念:参与者为特种部队人员,他们在部署前 1 个月和部署后 4 个月填写了自我报告问卷。根据对部署暴露的心理反应创建了代表风险、脆弱性和复原力的分组。回归分析评估了对风险组或复原力组有具体预测作用的因素的贡献:结果表明,部署后人群的总体心理反应水平较低;但是,风险和复原力分组之间存在差异。心理反应性的次阈值指标以及部署因素(如部署频率和离家时间的增加)被发现导致了风险和复原力轨迹之间的差异:结论:研究结果反映出,尽管军人遭受的创伤较多,但他们的心理症状较轻。然而,不同亚群之间的微妙差异表明,早期识别风险和新出现的轨迹是可能的。军事人群的风险和复原力需要考虑阈下指标和随时间变化的个体差异。
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来源期刊
Bmj Military Health
Bmj Military Health MEDICINE, GENERAL & INTERNAL-
CiteScore
3.10
自引率
20.00%
发文量
116
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