The prospective association between psychological strengths and incident musculoskeletal injury in active duty Army soldiers.

IF 1.7 Q3 PSYCHOLOGY, CLINICAL Health Psychology Open Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.1177/20551029241256220

Loryana L Vie, Tiffany E Ho, Kerry S Whittaker, Jacob Hawkins

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Abstract

Extensive training, overuse, overexertion, and repetitive movements put Soldiers at increased risk for musculoskeletal injuries (MSIs). The present study investigated the prospective association between psychological strengths, physiological and social factors, and non-combat-related MSI in a sample of 24,746 active duty Army Soldiers. Over a mean follow-up period of 21.07 months (SD = 16.07), 65.42% of the Soldiers examined were treated for an MSI. Applying survival analysis techniques and adjusting for relevant physiological and social factors, we found greater baseline Optimism, Positive Affect, Coping, and Adaptability were each associated with a modest reduction in risk of MSI (4-8%). Additionally, being older, female, married, and having a higher BMI were each associated with an increased MSI risk, whereas being an officer (relative to enlisted) and obtaining post-secondary education were each associated with a decreased MSI risk. Future research should examine the mechanisms through which psychological-based interventions may impact Soldiers' risk of MSI.

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现役陆军士兵的心理优势与意外肌肉骨骼损伤之间的前瞻性关联。

大量的训练、过度使用、过度劳累和重复性动作使士兵的肌肉骨骼损伤（MSI）风险增加。本研究以 24746 名现役陆军士兵为样本，调查了心理优势、生理和社会因素与非战斗相关 MSI 之间的前瞻性关联。在平均 21.07 个月（SD = 16.07）的随访期间，65.42% 的受检士兵接受了 MSI 治疗。应用生存分析技术并对相关生理和社会因素进行调整后，我们发现基线乐观度、积极情绪、应对能力和适应能力越高，患 MSI 的风险就越低（4%-8%）。此外，年龄较大、女性、已婚和体重指数较高分别与 MSI 风险增加有关，而军官（相对于士兵）和受过高等教育则分别与 MSI 风险降低有关。未来的研究应探讨心理干预可能影响士兵 MSI 风险的机制。

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来源期刊

Health Psychology Open Psychology-Clinical Psychology

CiteScore

5.90

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Health Psychology Open (HPO) is an international, peer-reviewed, open access, online-only journal providing rapid publication. HPO is dedicated to publishing cutting-edge research in health psychology from around the world. HPO seeks to provide a platform for both traditional empirical analyses and more qualitative and/or critically oriented approaches to health psychology. All areas of health psychology are covered, but these topics are of particular interest: Clinical health psychology Critical health psychology Community health psychology Health psychology practice Health psychology through a social, cultural or regional lens The journal particularly favours papers that focus on health psychology in practice, including submissions concerning community and/or clinical applications and interventions. Review articles are also welcomed. There is no fixed limit to the length of manuscripts, which is normally strictly limited in other journals, for example HPO’s sister journal, Journal of Health Psychology (JHP). Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.