The Role of Student Coping Strategies on Success in the Command Actions Course: A Special Operations Selection Course of the Brazilian Army.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Military Medicine Pub Date : 2025-01-16 DOI:10.1093/milmed/usae340
Filipe de Carvalho Tolentino, Daniele Bittencourt Ferreira
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Abstract

Introduction: Army Command Action units in Brazil are recognized for their operational effectiveness, operating in hostile scenarios. However, these operations are extremely stressful, requiring specific stress-coping skills. The objective of this study was to identify the profile of stress-coping strategies of military personnel enrolled in the Command Actions Course (CAC) and their relationship with completion of the course.

Materials and methods: A prospective cohort study was carried out with 87 military personnel from the CAC class of 2022. Data were collected on personal characteristics, coping strategies, and stress levels, among other variables. Specific instruments were used to assess coping (Brief-COPE), stress (DASS-21), social support (MOSS), and sociodemographic variables (own instrument) to evaluate the relationship between coping with stress and course completion. Descriptive analyses were performed (central tendency and dispersion measures), and overall survival analysis was performed using the log-rank test for comparison (P < .05). Cox regression was used for multiple analyses considering a statistical significance of 5%.

Results: A total of 31% of the participants completed the course. The profile of graduates is mainly composed of young people with higher education, single status, and White. Certain coping strategies such as Active Coping (hazard ratio (HR) = 1.48; 95% CI, 1.25-1.75) as well as high stress levels (HR = 1.07; 95% CI, 1.02-1.11) were associated with disengagement, while the Humor-based coping strategy reduced the chance of disengagement by 15% (HR = 0.85; 95% CI, 0.74-0.98).

Conclusions: This study highlights the importance of investigation using coping strategies in the military context as a useful tool in coping with stress in the CAC.

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学生应对策略对指挥行动课程成功的作用:巴西陆军特种作战选拔课程。
导言:巴西陆军指挥行动部队因其在敌对情况下的行动效率而得到认可。然而,这些行动压力极大,需要特定的压力应对技能。本研究旨在确定参加指挥行动课程(CAC)的军事人员的压力应对策略概况及其与完成课程的关系:对 87 名来自 2022 级 CAC 的军人进行了前瞻性队列研究。研究收集了有关个人特征、应对策略和压力水平等变量的数据。研究使用了特定的工具来评估应对策略(Brief-COPE)、压力(DASS-21)、社会支持(MOSS)和社会人口学变量(自己的工具),以评估应对压力和课程完成之间的关系。研究人员进行了描述性分析(中心倾向和离散度量),并使用对数秩检验对总体生存率进行了比较分析(P 结果:共有 31% 的参与者完成了课程。毕业学员的特征主要是受过高等教育的年轻人、单身和白人。某些应对策略,如积极应对(危险比 (HR) = 1.48; 95% CI, 1.25-1.75)和高压力水平(HR = 1.07; 95% CI, 1.02-1.11)与脱离相关,而基于幽默的应对策略则将脱离的几率降低了 15%(HR = 0.85; 95% CI, 0.74-0.98):本研究强调了在军事背景下使用应对策略作为应对 CAC 压力的有用工具的重要性。
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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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