Posttraumatic growth among Israeli female combat veterans: The mediating roles of posttraumatic stress symptoms and self‐efficacy

Stress & Health Pub Date : 2024-09-19 DOI:10.1002/smi.3486
Gadi Zerach
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Abstract

Posttraumatic growth (PTG) is a possible common reaction to exposure to potentially traumatic events (PTEs) during military service. However, knowledge about correlates of PTG among female combat veterans is sparse. This study examines associations between combat exposure, posttraumatic stress symptoms (PTSS), general self‐efficacy (GSE), and PTG among Israeli female veterans. This is a cross‐sectional studyA volunteer sample of female Israeli combat veterans (n = 616) and non‐combat veterans (n = 484) responded to self‐report questionnaires. Combat veterans reported higher levels of combat exposure, PTSS, GSE, and PTG, as compared to non‐combat veterans. Among combat veterans, combat exposure and GSE were associated with greater PTG. Importantly, PTSS and GSE mediated the link between combat exposure and PTG. The study's findings are among the first to report about possible psychological growth outcomes among Israeli combat veterans. Clinicians treating female veterans coping with combat trauma should be aware of the heterogeneity of reactions to military service challenges and the importance of enhancing veterans' GSE to facilitate PTG.
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以色列女性退伍军人的创伤后成长:创伤后应激症状和自我效能的中介作用
创伤后成长(PTG)是服兵役期间遭遇潜在创伤事件(PTEs)后可能出现的一种常见反应。然而,有关女性退伍军人中创伤后成长的相关知识却很少。本研究探讨了以色列女性退伍军人的战斗暴露、创伤后应激症状(PTSS)、一般自我效能感(GSE)和 PTG 之间的关联。这是一项横断面研究。以色列女性参战退伍军人(616 人)和非参战退伍军人(484 人)的志愿者样本回答了自我报告问卷。与非战斗退伍军人相比,战斗退伍军人报告的战斗暴露、PTSS、GSE 和 PTG 水平更高。在参战退伍军人中,战斗暴露和 GSE 与 PTG 的增加有关。重要的是,PTSS 和 GSE 在战斗暴露与 PTG 之间起到了中介作用。该研究结果是首次报告以色列退伍军人可能出现的心理成长结果。为应对战斗创伤的女性退伍军人提供治疗的临床医生应该意识到她们对兵役挑战的反应的异质性,以及增强退伍军人的 GSE 以促进 PTG 的重要性。
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