首页 > 最新文献

Military Behavioral Health最新文献

英文 中文
The Association between Early Life Trauma and Veteran Reintegration to Civilian Life 早期生活创伤与退伍军人重返平民生活之间的关系
Q2 Social Sciences Pub Date : 2023-10-12 DOI: 10.1080/21635781.2023.2267434
Patrick M. Mendez, Laurie M. Slifka, Lori B. Daniels, Cheri Hansen
AbstractThe rate of early life trauma (ELT) is higher among military service members than civilians. While ELT is associated with higher post-traumatic stress disorder following deployment, it is unknown whether other reintegration difficulties are associated with various types of ELT. The present study investigated the relationship between ELT and reintegration difficulties among veterans. Additionally, the influence of the desire to escape ELT as enlistment motivation on this relationship was examined. Data were obtained from 257 veterans between the ages of 20 and 76 years who served in the U.S. Armed Forces during the Global War on Terrorism. Results revealed a significant positive relationship between emotional abuse, sexual abuse, physical abuse, and physical neglect with veterans’ reintegration difficulties. Additionally, enlisting as motivation to escape ELT significantly influenced the relationship between emotional abuse and physical neglect with intimate relationship problems and career challenges, respectively. These findings help facilitate our understanding of factors contributing to reintegration difficulties. In particular, information about the individual history of veterans’ ELT and their enlistment motivation can be used by social workers and other mental health care professionals to successfully assist veterans with the transition to civilian life.Keywords: Veteran reintegrationmilitary transitionreintegration challengeschild abusechild neglectearly life traumamental healthchildhood maltreatmentpost-deploymentenlistment motivation Disclosure statementThe authors have no conflicts of interest to disclose.Data availability statementThe data supporting this study’s findings are available from the corresponding author upon a reasonable request.
摘要军人早期生活创伤发生率高于平民。虽然ELT与部署后较高的创伤后应激障碍有关,但尚不清楚其他重返社会困难是否与各种类型的ELT有关。本研究旨在探讨英语学习与退伍军人重返社会困难的关系。此外,我们还研究了逃避英语学习作为入伍动机的愿望对这种关系的影响。数据来自257名在全球反恐战争期间在美国武装部队服役的年龄在20到76岁之间的退伍军人。结果显示,情绪虐待、性虐待、身体虐待和身体忽视与退伍军人重返社会困难呈显著正相关。此外,入伍作为逃避英语教学的动机,显著影响了情感虐待和身体忽视与亲密关系问题和职业挑战之间的关系。这些发现有助于我们理解导致重返社会困难的因素。特别是,社会工作者和其他精神卫生保健专业人员可以利用有关退伍军人的个人ELT历史及其入伍动机的信息,成功地帮助退伍军人过渡到平民生活。关键词:退伍军人;重返社会;挑战;虐待儿童;数据可用性声明支持本研究结果的数据可在合理要求下从通讯作者处获得。
{"title":"The Association between Early Life Trauma and Veteran Reintegration to Civilian Life","authors":"Patrick M. Mendez, Laurie M. Slifka, Lori B. Daniels, Cheri Hansen","doi":"10.1080/21635781.2023.2267434","DOIUrl":"https://doi.org/10.1080/21635781.2023.2267434","url":null,"abstract":"AbstractThe rate of early life trauma (ELT) is higher among military service members than civilians. While ELT is associated with higher post-traumatic stress disorder following deployment, it is unknown whether other reintegration difficulties are associated with various types of ELT. The present study investigated the relationship between ELT and reintegration difficulties among veterans. Additionally, the influence of the desire to escape ELT as enlistment motivation on this relationship was examined. Data were obtained from 257 veterans between the ages of 20 and 76 years who served in the U.S. Armed Forces during the Global War on Terrorism. Results revealed a significant positive relationship between emotional abuse, sexual abuse, physical abuse, and physical neglect with veterans’ reintegration difficulties. Additionally, enlisting as motivation to escape ELT significantly influenced the relationship between emotional abuse and physical neglect with intimate relationship problems and career challenges, respectively. These findings help facilitate our understanding of factors contributing to reintegration difficulties. In particular, information about the individual history of veterans’ ELT and their enlistment motivation can be used by social workers and other mental health care professionals to successfully assist veterans with the transition to civilian life.Keywords: Veteran reintegrationmilitary transitionreintegration challengeschild abusechild neglectearly life traumamental healthchildhood maltreatmentpost-deploymentenlistment motivation Disclosure statementThe authors have no conflicts of interest to disclose.Data availability statementThe data supporting this study’s findings are available from the corresponding author upon a reasonable request.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135967902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges and Opportunities to Maximize Mental Health among Shipboard Sailors: A Qualitative Study 最大限度地提高船员心理健康的挑战和机遇:一项定性研究
Q2 Social Sciences Pub Date : 2023-09-19 DOI: 10.1080/21635781.2023.2258785
Emily A. Schmied, Elizabeth M. Harrison, Robyn M. Englert, Cynthia J. Thomsen, Lisa H. Glassman
Recent reports show U.S. sailors have the highest rates of self-reported psychological health symptoms of any service, perhaps in part due to the unique challenges of serving in a shipboard environment. Resources are available to maximize the psychological health of sailors while at sea, though no empirical research is available regarding sailors’ perspectives on what strategies, services, and programs they find most helpful and accessible. To address this knowledge gap, thirteen focus groups were conducted with sailors from two different ships (n = 86) to determine how they manage stress and maximize psychological health while underway. Content analysis of focus group transcripts conducted by two independent reviewers identified themes within three content areas: strategies and resources to manage stress and maximize psychological health; challenges to accessing supportive services and resources; and opportunities to improve psychological health. Five themes emerged for managing stress underway, the most common of which was engaging in physical fitness. Others included participating in organized social events, general comradery and social support, seeking help from medical, and communicating with Chaplains. Social and logistical barriers to seeking psychological healthcare were identified, including stigma, fear of adverse career repercussions, and too few providers/long wait times. Suggestions for improving psychological health at sea included improving sleep health, changes to workload and scheduling, increased shipboard providers trained in psychological healthcare, and increased social support. Specific interventions that may benefit shipboard sailors are sleep health education, improvements to berthing areas, adoption of circadian watchbills, telemedicine, and an increased number of social events aboard ships.
最近的报告显示,在所有服役中,美国水兵自我报告的心理健康症状比例最高,部分原因可能是在船上服役的独特挑战。虽然目前还没有关于海员们认为哪些策略、服务和项目最有帮助和最容易获得的经验研究,但可以利用的资源可以最大限度地提高海员在海上的心理健康。为了解决这一知识差距,研究人员对来自两艘不同船只的水手进行了13个焦点小组(n = 86),以确定他们在航行中如何管理压力并最大限度地提高心理健康。两名独立审查人员对焦点小组记录进行了内容分析,确定了三个内容领域的主题:管理压力和最大限度地提高心理健康的战略和资源;获得支助性服务和资源方面的挑战;以及改善心理健康的机会。管理压力的五个主题出现了,其中最常见的是参加体育锻炼。其他包括参加有组织的社会活动,一般的同志和社会支持,寻求医疗帮助,以及与牧师沟通。确定了寻求心理保健的社会和后勤障碍,包括耻辱、对不利职业影响的恐惧、提供者太少/等待时间过长。改善海上心理健康的建议包括改善睡眠健康、改变工作量和日程安排、增加船上心理保健培训提供者以及增加社会支持。可能有利于船上水手的具体干预措施包括睡眠健康教育、改善停泊区域、采用昼夜节律表、远程医疗以及增加船上社交活动的数量。
{"title":"Challenges and Opportunities to Maximize Mental Health among Shipboard Sailors: A Qualitative Study","authors":"Emily A. Schmied, Elizabeth M. Harrison, Robyn M. Englert, Cynthia J. Thomsen, Lisa H. Glassman","doi":"10.1080/21635781.2023.2258785","DOIUrl":"https://doi.org/10.1080/21635781.2023.2258785","url":null,"abstract":"Recent reports show U.S. sailors have the highest rates of self-reported psychological health symptoms of any service, perhaps in part due to the unique challenges of serving in a shipboard environment. Resources are available to maximize the psychological health of sailors while at sea, though no empirical research is available regarding sailors’ perspectives on what strategies, services, and programs they find most helpful and accessible. To address this knowledge gap, thirteen focus groups were conducted with sailors from two different ships (n = 86) to determine how they manage stress and maximize psychological health while underway. Content analysis of focus group transcripts conducted by two independent reviewers identified themes within three content areas: strategies and resources to manage stress and maximize psychological health; challenges to accessing supportive services and resources; and opportunities to improve psychological health. Five themes emerged for managing stress underway, the most common of which was engaging in physical fitness. Others included participating in organized social events, general comradery and social support, seeking help from medical, and communicating with Chaplains. Social and logistical barriers to seeking psychological healthcare were identified, including stigma, fear of adverse career repercussions, and too few providers/long wait times. Suggestions for improving psychological health at sea included improving sleep health, changes to workload and scheduling, increased shipboard providers trained in psychological healthcare, and increased social support. Specific interventions that may benefit shipboard sailors are sleep health education, improvements to berthing areas, adoption of circadian watchbills, telemedicine, and an increased number of social events aboard ships.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135060653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bullying in the Military: Do the Effects on Mental Health and Wellbeing Depend on the Source? 军队中的欺凌:对心理健康和福祉的影响取决于欺凌的来源吗?
Q2 Social Sciences Pub Date : 2023-09-14 DOI: 10.1080/21635781.2023.2253731
Nicole M. Steele, Gerard J. Fogarty, Bryan Rodgers
AbstractThe current study explored the prevalence and consequences of being bullied by coworkers, subordinates, and/or superiors within 21 Australian Defence Force units (N = 2,960). Data were collected as part of an organizational climate survey administered to each unit at the request of the unit commander. Bullying from multiple sources was more common than bullying from a single source, indicating climates of workplace bullying. Of the 945 respondents (31.9%) who reported experiencing workplace bullying, coworkers and superiors were the main sources either in isolation or in combination with other levels in the organization. Furthermore, there was evidence that the impact varied according to source. Compared to bullying from coworkers or subordinates, more detrimental effects were experienced when superiors were the sole source of workplace bullying; 23.6% of respondents in this situation reported ongoing distress or having to seek medical/mental health care. The associations between experiencing bullying and psychological distress, affective commitment, and job satisfaction were also stronger when superiors were the source of bullying. These results emphasize the importance of supervisors showing respect to all employees. Bullying behaviors are likely to be copied, creating climates where bullying can come from multiple sources, with consequent negative effects on the targets of these behaviors.Keywords: Bullyingmobbingharassmentmilitarysourceperpetratorpsychological distressmental healthcommitmentsatisfaction Disclosure statementNo potential conflict of interest was reported by the authors.
摘要本研究探讨了21个澳大利亚国防军单位(N = 2960)被同事、下属和/或上级欺负的普遍性和后果。数据收集作为组织气候调查的一部分,应单位指挥官的要求对每个单位进行管理。来自多个来源的欺凌比来自单一来源的欺凌更常见,这表明了工作场所欺凌的气候。在报告遭受职场欺凌的945名受访者(31.9%)中,同事和上级是主要的欺凌来源,或者是单独的,或者是与组织中的其他级别一起。此外,有证据表明,影响因来源而异。与来自同事或下属的欺凌相比,当上级是唯一的职场欺凌来源时,所经历的有害影响更大;在这种情况下,23.6%的答复者报告持续痛苦或不得不寻求医疗/精神保健。当上司是欺凌的源头时,遭受欺凌与心理困扰、情感承诺和工作满意度之间的关联也更强。这些结果强调了主管尊重所有员工的重要性。欺凌行为很可能被复制,造成欺凌可能来自多个来源的氛围,从而对这些行为的目标产生负面影响。关键词:霸凌、围堵、骚扰、军事、来源、施暴者、心理困扰、健康、承诺、满意度披露声明作者未发现潜在利益冲突。
{"title":"Bullying in the Military: Do the Effects on Mental Health and Wellbeing Depend on the Source?","authors":"Nicole M. Steele, Gerard J. Fogarty, Bryan Rodgers","doi":"10.1080/21635781.2023.2253731","DOIUrl":"https://doi.org/10.1080/21635781.2023.2253731","url":null,"abstract":"AbstractThe current study explored the prevalence and consequences of being bullied by coworkers, subordinates, and/or superiors within 21 Australian Defence Force units (N = 2,960). Data were collected as part of an organizational climate survey administered to each unit at the request of the unit commander. Bullying from multiple sources was more common than bullying from a single source, indicating climates of workplace bullying. Of the 945 respondents (31.9%) who reported experiencing workplace bullying, coworkers and superiors were the main sources either in isolation or in combination with other levels in the organization. Furthermore, there was evidence that the impact varied according to source. Compared to bullying from coworkers or subordinates, more detrimental effects were experienced when superiors were the sole source of workplace bullying; 23.6% of respondents in this situation reported ongoing distress or having to seek medical/mental health care. The associations between experiencing bullying and psychological distress, affective commitment, and job satisfaction were also stronger when superiors were the source of bullying. These results emphasize the importance of supervisors showing respect to all employees. Bullying behaviors are likely to be copied, creating climates where bullying can come from multiple sources, with consequent negative effects on the targets of these behaviors.Keywords: Bullyingmobbingharassmentmilitarysourceperpetratorpsychological distressmental healthcommitmentsatisfaction Disclosure statementNo potential conflict of interest was reported by the authors.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134912849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of Bridge with Path Drawings with Military Service Members Experiencing Traumatic Brain Injury and Post-Traumatic Stress Disorder 在经历创伤性脑损伤和创伤后应激障碍的军人中使用路径图桥
Q2 Social Sciences Pub Date : 2023-09-14 DOI: 10.1080/21635781.2023.2254223
Gioia Chilton, Christine S. Brady, Heechin Chae
This article introduces the use of an art therapy assessment, the Bridge with Path Drawing, for service members experiencing effects of Traumatic Brain Injury (TBI) and/or Post-Traumatic Stress Disorder (PTSD) during treatment at an outpatient clinic. Brief clinical vignettes describe the processes and outcomes of Bridge with Path Drawing Assessment for two service members. Bridge to Path Drawing aided service members with TBI/PTSD in discovering and disclosing thoughts and feelings through symbolic and metaphorical associations to their drawings. Service members shared meanings related to their senses of identity, their futures, the transitions to civilian lives, strategies to overcome obstacles, and purposes and meanings in their lives. Providers working with service members experiencing effects of TBI/PTSD and military-to-civilian transition found an art therapy assessment, the Bridge with Path Drawing, useful to explore patients’ meaning in life at an outpatient medical clinic on a military base.
本文介绍了一种艺术治疗评估的使用,即路径绘制桥,用于在门诊治疗期间经历创伤性脑损伤(TBI)和/或创伤后应激障碍(PTSD)影响的服务人员。简短的临床小插曲描述了两名服务成员的桥梁路径绘制评估的过程和结果。“通往道路的桥梁”绘画帮助TBI/PTSD军人通过与绘画的象征性和隐喻性联系来发现和揭示思想和感受。服役人员分享了与他们的认同感、他们的未来、向平民生活的过渡、克服障碍的策略以及他们生活中的目的和意义相关的意义。与经历创伤性脑损伤/创伤后应激障碍和军民过渡的服务人员一起工作的提供者发现了一种艺术治疗评估,即“路径绘制的桥梁”,对于在军事基地的门诊医疗诊所探索病人的生活意义很有用。
{"title":"Use of Bridge with Path Drawings with Military Service Members Experiencing Traumatic Brain Injury and Post-Traumatic Stress Disorder","authors":"Gioia Chilton, Christine S. Brady, Heechin Chae","doi":"10.1080/21635781.2023.2254223","DOIUrl":"https://doi.org/10.1080/21635781.2023.2254223","url":null,"abstract":"This article introduces the use of an art therapy assessment, the Bridge with Path Drawing, for service members experiencing effects of Traumatic Brain Injury (TBI) and/or Post-Traumatic Stress Disorder (PTSD) during treatment at an outpatient clinic. Brief clinical vignettes describe the processes and outcomes of Bridge with Path Drawing Assessment for two service members. Bridge to Path Drawing aided service members with TBI/PTSD in discovering and disclosing thoughts and feelings through symbolic and metaphorical associations to their drawings. Service members shared meanings related to their senses of identity, their futures, the transitions to civilian lives, strategies to overcome obstacles, and purposes and meanings in their lives. Providers working with service members experiencing effects of TBI/PTSD and military-to-civilian transition found an art therapy assessment, the Bridge with Path Drawing, useful to explore patients’ meaning in life at an outpatient medical clinic on a military base.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134970524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental Health, Alcohol Use, and Associations with Pre-deployment Family Functioning in Active-duty Service Members 现役军人的心理健康、酒精使用与部署前家庭功能的关系
Q2 Social Sciences Pub Date : 2023-09-14 DOI: 10.1080/21635781.2023.2246899
M. Jia-Richards, S. B. Morissette, J. W. Ellor, D. R. Myers, J. Crow, J. Whitacre, S. L. Dolan
AbstractAs service members prepare to deploy, poor mental health and increased alcohol use associated with the difficulties of the pre-deployment period may negatively impact service members’ family functioning. The etiology of poor family functioning may also differ for men and women serving in the military. The current study recruited U.S. military service members (N = 343, 28% women, 59% White) preparing to deploy to Iraq or Afghanistan to examine the effects of symptoms of depression, anxiety, stress, post-traumatic stress (PTS), and alcohol use (frequency and quantity) on family functioning. We also sought to identify whether those effects differed between genders. Across participants, PTS was the only factor significantly associated with worse family functioning (β = .01, SE = .00, t(251.99) = 2.03, p = .043), however the effect of depression was similar in magnitude and trending toward significance (β = .01, SE = .00, t(297.49) = 1.96, p = .051). Interactions between gender, mental health, and alcohol use were non-significant. Findings suggest that addressing service members’ PTS and depression symptoms pre-deployment could improve family functioning. Gender may not be a major factor for pre-deployment mental health and family functioning, although more research is warranted. Contrary to expectations, alcohol use was unrelated to family functioning. Future studies should consider using measures of drinking that capture alcohol-related problems in addition to consumption. As service members prepare to deploy, it is important to understand which factors are most impactful on family functioning as this may help target preventative interventions during the pre-deployment stage.Keywords: Militarypre-deploymentfamily functioningmental healthanxietydepressionstressposttraumatic stressalcohol usegender differences Disclosure statementNo potential conflict of interest was reported by the author(s).
摘要在服役人员准备部署时,与部署前困难相关的心理健康状况不佳和酗酒增加可能会对服役人员的家庭功能产生负面影响。在军队服役的男性和女性,家庭功能不佳的病因也可能不同。目前的研究招募了准备部署到伊拉克或阿富汗的美国军人(N = 3443, 28%为女性,59%为白人),以检查抑郁、焦虑、压力、创伤后应激(PTS)和酒精使用(频率和数量)对家庭功能的影响。我们还试图确定这些影响是否因性别而异。在所有参与者中,PTS是唯一与家庭功能恶化显著相关的因素(β = 0.01, SE = 0.00, t(251.99) = 2.03, p = 0.043),但抑郁的影响在程度和趋势上相似(β = 0.01, SE = 0.00, t(297.49) = 1.96, p = 0.051)。性别、心理健康和酒精使用之间的相互作用不显著。研究结果表明,在部署前解决服役人员的PTS和抑郁症状可以改善家庭功能。性别可能不是部署前心理健康和家庭功能的主要因素,但有必要进行更多的研究。与预期相反,饮酒与家庭功能无关。未来的研究应考虑使用除消费外还能捕捉到酒精相关问题的饮酒测量方法。在服役人员准备部署时,重要的是要了解哪些因素对家庭功能影响最大,因为这可能有助于在部署前阶段进行针对性的预防性干预。关键词:军队部署前家庭功能心理健康抑郁应激创伤后应激酒精使用性别差异披露声明作者未报告潜在的利益冲突
{"title":"Mental Health, Alcohol Use, and Associations with Pre-deployment Family Functioning in Active-duty Service Members","authors":"M. Jia-Richards, S. B. Morissette, J. W. Ellor, D. R. Myers, J. Crow, J. Whitacre, S. L. Dolan","doi":"10.1080/21635781.2023.2246899","DOIUrl":"https://doi.org/10.1080/21635781.2023.2246899","url":null,"abstract":"AbstractAs service members prepare to deploy, poor mental health and increased alcohol use associated with the difficulties of the pre-deployment period may negatively impact service members’ family functioning. The etiology of poor family functioning may also differ for men and women serving in the military. The current study recruited U.S. military service members (N = 343, 28% women, 59% White) preparing to deploy to Iraq or Afghanistan to examine the effects of symptoms of depression, anxiety, stress, post-traumatic stress (PTS), and alcohol use (frequency and quantity) on family functioning. We also sought to identify whether those effects differed between genders. Across participants, PTS was the only factor significantly associated with worse family functioning (β = .01, SE = .00, t(251.99) = 2.03, p = .043), however the effect of depression was similar in magnitude and trending toward significance (β = .01, SE = .00, t(297.49) = 1.96, p = .051). Interactions between gender, mental health, and alcohol use were non-significant. Findings suggest that addressing service members’ PTS and depression symptoms pre-deployment could improve family functioning. Gender may not be a major factor for pre-deployment mental health and family functioning, although more research is warranted. Contrary to expectations, alcohol use was unrelated to family functioning. Future studies should consider using measures of drinking that capture alcohol-related problems in addition to consumption. As service members prepare to deploy, it is important to understand which factors are most impactful on family functioning as this may help target preventative interventions during the pre-deployment stage.Keywords: Militarypre-deploymentfamily functioningmental healthanxietydepressionstressposttraumatic stressalcohol usegender differences Disclosure statementNo potential conflict of interest was reported by the author(s).","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134970527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cervical Cancer Prevention Among Veterans: What Is the Impact of Military Sexual Trauma, PTSD, and Women’s Health Primary Care Providers on Screening and Prevention? 退伍军人宫颈癌预防:军人性创伤、创伤后应激障碍和妇女健康初级保健提供者对筛查和预防的影响是什么?
Q2 Social Sciences Pub Date : 2023-09-13 DOI: 10.1080/21635781.2023.2246884
Ilaria Domenicano, Joan Combellick, Allison R. Warren, Tassos C. Kyriakides, Cynthia Brandt, Sally Haskell, Joseph Goulet
Women veterans are more likely to receive cervical cancer screening than their civilian peers. Among veterans, those with mental health conditions are less likely to receive timely screening as compared to veterans without mental health conditions. The current study aimed to investigate whether a history of military sexual trauma, with or without concurrent PTSD disorder, and care from a provider with advanced training in women’s health (WH-PCP) altered the likelihood of cervical cancer screening among veterans. We conducted crosssectional analysis using a cohort of 89,249 women veterans, aged 21 through 64 years, who received outpatient care at any VHA medical center between FY13 and FY16. We used multivariable logistic regressions to examine variation in screening rates. The current study found that cervical cancer screening rate was higher among women assigned to WH-PCP (69.5% vs 61.2%). In the multivariable model with adjustment for patient characteristics and provider assignment, women veterans were more likely to receive cervical cancer screenings if they had a history of MST (OR = 1.14, p < 0.001), did not have a diagnosis of PTSD (OR = 1.06, p < 0.05), and were assigned to WH-PCP (OR = 1.48, p < 0.001). A statistically significant interaction effect was detected between MST and WH-PCP (p < 0.05). Veterans with a history of MST assigned to a WH-PCP were more likely to receive a screening than veterans with a history of MST not assigned to a WH-PCP. There is a complex relationship between MST and provider status, indicating a need to understand barriers and facilitators to cancer screenings.
女性退伍军人比她们的平民同龄人更有可能接受宫颈癌筛查。在退伍军人中,与没有精神健康状况的退伍军人相比,有精神健康状况的退伍军人接受及时筛查的可能性较小。当前的研究旨在调查军事性创伤史,是否伴有或不伴有创伤后应激障碍,以及接受过高级妇女健康培训(WH-PCP)的医护人员的护理是否会改变退伍军人宫颈癌筛查的可能性。我们对89,249名21至64岁的女性退伍军人进行了横断面分析,这些女性退伍军人在2013财年至2016财年期间在任何VHA医疗中心接受门诊治疗。我们使用多变量逻辑回归来检验筛查率的变化。目前的研究发现,在分配给WH-PCP的妇女中,宫颈癌筛查率更高(69.5%对61.2%)。在调整患者特征和提供者分配的多变量模型中,如果女性退伍军人有MST病史(OR = 1.14, p < 0.001),没有PTSD诊断(OR = 1.06, p < 0.05),并被分配到WH-PCP (OR = 1.48, p < 0.001),她们更有可能接受宫颈癌筛查。MST与WH-PCP的交互作用有统计学意义(p < 0.05)。有MST病史的退伍军人被分配到WH-PCP比有MST病史的退伍军人没有被分配到WH-PCP更容易接受筛查。MST与提供者身份之间存在复杂的关系,这表明需要了解癌症筛查的障碍和促进因素。
{"title":"Cervical Cancer Prevention Among Veterans: What Is the Impact of Military Sexual Trauma, PTSD, and Women’s Health Primary Care Providers on Screening and Prevention?","authors":"Ilaria Domenicano, Joan Combellick, Allison R. Warren, Tassos C. Kyriakides, Cynthia Brandt, Sally Haskell, Joseph Goulet","doi":"10.1080/21635781.2023.2246884","DOIUrl":"https://doi.org/10.1080/21635781.2023.2246884","url":null,"abstract":"Women veterans are more likely to receive cervical cancer screening than their civilian peers. Among veterans, those with mental health conditions are less likely to receive timely screening as compared to veterans without mental health conditions. The current study aimed to investigate whether a history of military sexual trauma, with or without concurrent PTSD disorder, and care from a provider with advanced training in women’s health (WH-PCP) altered the likelihood of cervical cancer screening among veterans. We conducted crosssectional analysis using a cohort of 89,249 women veterans, aged 21 through 64 years, who received outpatient care at any VHA medical center between FY13 and FY16. We used multivariable logistic regressions to examine variation in screening rates. The current study found that cervical cancer screening rate was higher among women assigned to WH-PCP (69.5% vs 61.2%). In the multivariable model with adjustment for patient characteristics and provider assignment, women veterans were more likely to receive cervical cancer screenings if they had a history of MST (OR = 1.14, p < 0.001), did not have a diagnosis of PTSD (OR = 1.06, p < 0.05), and were assigned to WH-PCP (OR = 1.48, p < 0.001). A statistically significant interaction effect was detected between MST and WH-PCP (p < 0.05). Veterans with a history of MST assigned to a WH-PCP were more likely to receive a screening than veterans with a history of MST not assigned to a WH-PCP. There is a complex relationship between MST and provider status, indicating a need to understand barriers and facilitators to cancer screenings.","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135741705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Soldier Self-Regulation: Applying Self-Regulatory Concepts to the U.S. Army Context 士兵自我调节:将自我调节概念应用于美国陆军情境
Q2 Social Sciences Pub Date : 2023-09-05 DOI: 10.1080/21635781.2023.2246897
Nicholas A. Moon, M. Milosevic, Kauyer Lor, Allyson R. Clubb, P. Converse, Richard L. Griffith, Kenneth Pitts, Rhett Graves, Kimberly Gomes, Jacqueline Kirshenbaum, Brian Moore
{"title":"Soldier Self-Regulation: Applying Self-Regulatory Concepts to the U.S. Army Context","authors":"Nicholas A. Moon, M. Milosevic, Kauyer Lor, Allyson R. Clubb, P. Converse, Richard L. Griffith, Kenneth Pitts, Rhett Graves, Kimberly Gomes, Jacqueline Kirshenbaum, Brian Moore","doi":"10.1080/21635781.2023.2246897","DOIUrl":"https://doi.org/10.1080/21635781.2023.2246897","url":null,"abstract":"","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43744952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Elucidating How Combat and Non-Combat Stressors Predict Subsequent Posttraumatic Stress Disorder and Psychological Distress in New Zealand Defence Force Service Personnel 阐明战斗和非战斗压力源如何预测新西兰国防军服役人员随后的创伤后应激障碍和心理困扰
Q2 Social Sciences Pub Date : 2023-08-21 DOI: 10.1080/21635781.2023.2246879
Kelsey Morrison, P. Jose
{"title":"Elucidating How Combat and Non-Combat Stressors Predict Subsequent Posttraumatic Stress Disorder and Psychological Distress in New Zealand Defence Force Service Personnel","authors":"Kelsey Morrison, P. Jose","doi":"10.1080/21635781.2023.2246879","DOIUrl":"https://doi.org/10.1080/21635781.2023.2246879","url":null,"abstract":"","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46591851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychological Flexibility Training to Enhance Resilience in Military Personnel 心理灵活性训练增强军事人员应变能力
Q2 Social Sciences Pub Date : 2023-08-21 DOI: 10.1080/21635781.2023.2246900
Wyatt R. Evans, E. Meyer, Brian A. Moore, A. Peterson
{"title":"Psychological Flexibility Training to Enhance Resilience in Military Personnel","authors":"Wyatt R. Evans, E. Meyer, Brian A. Moore, A. Peterson","doi":"10.1080/21635781.2023.2246900","DOIUrl":"https://doi.org/10.1080/21635781.2023.2246900","url":null,"abstract":"","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48654628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self- and Team-Efficacy in Military Trainees: Development of Two Novel Military Trainee-Appropriate Assessments 军训学员的自我效能感和团队效能感:两种新型军训学员适当评估的发展
Q2 Social Sciences Pub Date : 2023-08-14 DOI: 10.1080/21635781.2023.2246888
Brian A. Moore, Paul A. Story, Jayne Allen, Jacqueline Kirshenbaum, Ashley H. Wittig, Kenneth Pitts, J. Judkins, Y. Feito
{"title":"Self- and Team-Efficacy in Military Trainees: Development of Two Novel Military Trainee-Appropriate Assessments","authors":"Brian A. Moore, Paul A. Story, Jayne Allen, Jacqueline Kirshenbaum, Ashley H. Wittig, Kenneth Pitts, J. Judkins, Y. Feito","doi":"10.1080/21635781.2023.2246888","DOIUrl":"https://doi.org/10.1080/21635781.2023.2246888","url":null,"abstract":"","PeriodicalId":37012,"journal":{"name":"Military Behavioral Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42770296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Military Behavioral Health
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1