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Vaccines, Military Culture, and Cynicism: Exploring COVID-19 Vaccination Attitudes among Veterans in Homeless Transitional Housing 疫苗、军事文化和犬儒主义:探索无家可归过渡性住房退伍军人对COVID-19疫苗接种的态度
Q2 Social Sciences Pub Date : 2022-09-21 DOI: 10.1080/21635781.2022.2123415
June L. Gin, Michelle D. Balut, A. Dobalian
Abstract Veterans experiencing homelessness are particularly at risk from infection and transmission from COVID-19, and vaccines offer a promising avenue toward reducing that risk. However, little is understood about vaccine acceptance within the homeless population, particularly Veterans experiencing homelessness, who comprise a disproportionate share of that population. The cultural roots of vaccine hesitancy among active-duty military members and Veterans are even less understood. This study used semi-structured interviews to explore the role of military identity in shaping the vaccination attitudes of 20 Veterans experiencing homelessness enrolled in U.S. Department of Veterans Affairs’ (VA) transitional housing programs. Over half of the Veteran respondents mentioned their military experience during interviews about the COVID-19 vaccines. In these discussions, they cited mandatory vaccines in the military, military identity, and distrust of the military or government. Distrust was cited by most refusing the vaccine, while mandatory vaccines in the military were cited by most accepting the vaccine. Military identity, culture, and experience influence the risk-benefit reasoning that man Veterans in VA homeless programs undertake when deciding whether to accept the COVID-19 vaccine. A more nuanced understanding of military culture’s effect on Veterans experiencing homelessness is vital in designing messages and strategies that encourage vaccine uptake.
无家可归的退伍军人特别容易感染和传播COVID-19,疫苗为降低这种风险提供了一个有希望的途径。然而,人们对无家可归者接受疫苗的情况知之甚少,特别是在无家可归者中占不成比例的退伍军人。现役军人和退伍军人对疫苗犹豫不决的文化根源就更不为人所知了。本研究采用半结构化访谈的方法,探讨了军人身份在塑造20名参加美国退伍军人事务部(VA)过渡性住房计划的无家可归退伍军人的疫苗接种态度中的作用。超过一半的退伍军人受访者在接受新冠肺炎疫苗采访时提到了他们的军事经历。在这些讨论中,他们提到了军队强制接种疫苗、军人身份认同以及对军队或政府的不信任。大多数人拒绝接种疫苗的理由是不信任,而大多数人接受疫苗的理由是军队强制接种疫苗。军人身份、文化和经历会影响退伍军人无家可归项目的退伍军人在决定是否接受COVID-19疫苗时所进行的风险-收益推理。更细致地了解军事文化对经历无家可归的退伍军人的影响,对于设计鼓励接种疫苗的信息和策略至关重要。
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引用次数: 2
Associations between Post-Traumatic Stress Disorder, Quality of Life and Alcohol Misuse among UK Veterans 英国退伍军人创伤后应激障碍、生活质量与酗酒的关系
Q2 Social Sciences Pub Date : 2022-09-15 DOI: 10.1080/21635781.2022.2123414
D. Leightley, C. Williamson, Major Amos Simms, N. Fear, L. Goodwin, D. Murphy
Abstract Prior research has shown that those with Post-Traumatic Stress Disorder (PTSD) have persistent reductions in quality of life (QoL), and higher rates of alcohol misuse. As such, it is important that we explore QoL and alcohol misuse on PTSD diagnosis. Therefore, the aim of this study was to assess the association between PTSD, QoL and alcohol misuse among United Kingdom (UK) veterans. 163 UK veterans who sought help for a mental health disorder were recruited to take part. Linear regressions were used to assess the association between probable PTSD, QoL and alcohol misuse. Pearson’s correlation analyses were used to assess the relationship between PTSD symptom clusters and QoL domains. We found unadjusted regressions showed evidence that, compared to those without PTSD, those with PTSD had lower QoL scores on physical health, psychosocial, social relationships and environment domains. Adjusting for age, sex, and outcome variables, only associations with the physical health domain and psychosocial domain remained statistically significant. Correlation analyses between PTSD and QoL domains showed the strongest negative correlations between the functional impairment and physical health domain, and between the functional impairment and psychosocial domain. We found that those with probable PTSD had lower QoL and higher alcohol misuse scores.
摘要先前的研究表明,那些患有创伤后应激障碍(PTSD)的人生活质量(QoL)持续下降,酒精滥用率更高。因此,我们在PTSD诊断中探讨生活质量和酒精滥用是很重要的。因此,本研究的目的是评估英国退伍军人的创伤后应激障碍、生活质量和酒精滥用之间的关系。163名因精神健康障碍寻求帮助的英国退伍军人被招募参加了此次活动。线性回归用于评估可能的创伤后应激障碍、生活质量和酒精滥用之间的关系。Pearson相关分析用于评估PTSD症状群与生活质量领域之间的关系。我们发现,未经调整的回归表明,与没有创伤后应激障碍的人相比,患有创伤后应激疾病的人在身体健康、心理社会、社会关系和环境领域的生活质量得分较低。在调整年龄、性别和结果变量后,只有与身体健康领域和心理社会领域的关联在统计学上仍然显著。PTSD和生活质量领域之间的相关性分析显示,功能损伤与身体健康领域之间以及功能损伤与心理社会领域之间的负相关最强。我们发现,那些可能患有创伤后应激障碍的人生活质量较低,酒精滥用得分较高。
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引用次数: 3
A Post-Traumatic Growth Perspective on PTSD: Implications for Those Who Have Served and Their Partners 创伤后成长对创伤后应激障碍的看法:对服役人员及其伴侣的启示
Q2 Social Sciences Pub Date : 2022-08-05 DOI: 10.1080/21635781.2022.2098885
D. Norris, Kimberley Smith Evans, H. Cramm, Linna Tam-Seto
Abstract Research emphasizing the negative psychosocial impacts of service-related post-traumatic stress disorder (PTSD) for military members, veterans, and their families is well established. Post-traumatic growth (PTG), positive psychological change resulting from managing adverse life events and situations, is an alternate outcome considered in research focusing on the impacts of serious illness and other life-altering circumstances on families. Little is known, however, about the processes that create and sustain PTG within military and veteran family systems. This paper will review conceptualizations of PTG and consider its relevance as a construct for analysis of outcomes related to the experiences of partners of military members and veterans living with PTSD and other operational stress injuries.
研究强调了服役相关创伤后应激障碍(PTSD)对军人、退伍军人及其家属的负面心理社会影响。创伤后成长(PTG)是通过管理不良生活事件和情况而产生的积极心理变化,是关注严重疾病和其他改变生活的环境对家庭影响的研究中考虑的另一种结果。然而,关于在军人和退伍军人家庭系统中产生和维持PTG的过程,人们知之甚少。本文将回顾PTG的概念,并考虑其作为一种结构的相关性,以分析与患有创伤后应激障碍和其他作战应激损伤的军人和退伍军人的伴侣的经历相关的结果。
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引用次数: 0
Sources of Risk and Resilience among Adolescents from Military Families 军人家庭青少年的风险来源和适应能力
Q2 Social Sciences Pub Date : 2022-07-28 DOI: 10.1080/21635781.2022.2098883
A. Bullock, L. Williams, E. Goubanova
Abstract Most of the extant research examining the impact of military life on adolescents from military families has focused on various sources of risk that negatively influence military-connected youths’ well-being. As such, the resilience factors that contribute to military-connected youth adjustment to military life are currently understudied, particularly in Canada. Therefore, the goal of the present study was to explore the perceptions of adolescents from Canadian Armed Forces families with regard to the sources of risk and resilience that affect their well-being. A sample of N = 178 adolescents (108 females, 70 males) between the ages of 14–19 years (M age 16.44 years, SD = 1.59) from families of Canadian Regular Force service members responded to open-ended questions about the challenges and opportunities of military life they believed they encounter in comparison to adolescents from nonmilitary families. The results from thematic analyses revealed that these military-connected youth perceived enduring multiple unique challenges related to social disruptions, lack of sense of belonging, and feelings of distress during relocations and lack of parental availability and feelings of concern during parental deployment. Two themes on the sources of resilience emerged from the analyses, including access to military-sponsored programs and services, and travel opportunities resulting from the military parents’ career. The findings are discussed in terms of the ways to help adolescents adjust to military life challenges.
摘要大多数现存的关于军人生活对军人家庭青少年影响的研究都集中在对军人相关青少年幸福感产生负面影响的各种风险来源上。因此,有助于与军事有关的年轻人适应军事生活的复原力因素目前研究不足,尤其是在加拿大。因此,本研究的目的是探讨加拿大武装部队家庭青少年对影响其幸福感的风险和恢复力来源的看法。N的样本 = 178名14-19岁的青少年(108名女性,70名男性) 年(M年龄16.44 年,SD = 1.59)来自加拿大正规军服役人员家庭的青少年回答了关于他们认为与非军人家庭的青少年相比,他们在军事生活中遇到的挑战和机会的开放式问题。专题分析的结果显示,这些与军队有联系的年轻人认为,他们面临着多种独特的挑战,这些挑战涉及社会混乱、缺乏归属感、搬迁期间的痛苦感,以及在父母部署期间缺乏父母的陪伴和关心感。分析中出现了两个关于韧性来源的主题,包括获得军方资助的项目和服务,以及军人父母职业生涯带来的旅行机会。这些发现是从帮助青少年适应军事生活挑战的方法方面进行讨论的。
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引用次数: 1
Military Marriages: Do Adaptive Processes Promote Marital Resilience? 军事婚姻:适应过程促进婚姻弹性吗?
Q2 Social Sciences Pub Date : 2022-07-18 DOI: 10.1080/21635781.2022.2098884
Lesleigh E. Pullman, Zhigang Wang
Abstract A variety of factors can influence job performance and retention of military personnel, including family-related stress and satisfaction. Maintaining satisfying romantic relationships can be challenging for all couples, but the military lifestyle adds unique challenges that military couples must overcome. Our study included 702 female civilian spouses of Canadian Armed Forces members. We examined a selection of enduring traits, emergent traits, relationship resources, military experiences, and nonmilitary circumstances to predict perceived marital stability and the mediating and interactive influence of adaptive processes. We found that adaptive processes mediated the relationship between select risk factors and perceived marital stability. A less insecure attachment style, a lower degree of financial instability, and fewer children were all associated with better adaptive processes, which was in turn associated with more perceived marital stability. Current deployment did not influence these results, nor did adaptive processes moderate the relationship between any risk factor and perceived marital stability. These findings suggest that promoting healthy and positive spousal interactions, communications, and support among military couples may mitigate the risk associated with a variety of military and nonmilitary challenges that military marriages face.
影响军人工作绩效和留任的因素多种多样,其中包括家庭压力和满意度。维持令人满意的浪漫关系对所有夫妇来说都是一项挑战,但军队的生活方式给军人夫妇带来了必须克服的独特挑战。我们的研究包括702名加拿大武装部队成员的女性平民配偶。我们考察了一系列持久特质、突现特质、关系资源、军事经历和非军事环境来预测感知婚姻稳定性以及适应过程的中介和互动影响。我们发现适应性过程在选择风险因素和感知婚姻稳定性之间起中介作用。更不安全的依恋方式、更低程度的经济不稳定、更少的孩子都与更好的适应过程有关,而适应过程又与更稳定的婚姻关系有关。当前部署不影响这些结果,适应性过程也没有缓和任何风险因素与感知婚姻稳定性之间的关系。这些发现表明,促进军人夫妇之间健康和积极的配偶互动、沟通和支持可能会减轻军人婚姻面临的各种军事和非军事挑战相关的风险。
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引用次数: 0
Spousal Psychological Health: The Role of Military Spouse Health and Protective Factors 配偶心理健康:军人配偶健康的作用及保护因素
Q2 Social Sciences Pub Date : 2022-07-05 DOI: 10.1080/21635781.2022.2067920
A. Skomorovsky, Justin A. Chamberland, Cynthia Wan
Abstract Military spouses play an important role in enabling military operational effectiveness. Studies show that poor physical and psychological health among military members negatively impacts the well-being of their spouses. However, little is known about the main challenges and protective factors related to the well-being of military spouses dealing with ill or injured military members. Existing research has mostly focused on one perspective—either military members’ or spousal. Therefore, this quantitative study was conducted with a matched (member and spouse) sample (N = 130). The aim of the research was to understand the role of military members’ illness from both the members’ and spousal perspectives, as well as the role of protective factors, including relationship quality and social support, in the well-being of Canadian Armed Forces (CAF) spouses. Hierarchical regression analyses demonstrated that members’ psychological health predicted the psychological health of military spouses. Analyses also revealed that spousal perception of the relationship quality was a key predictor of spousal life satisfaction and psychological distress.
摘要军嫂在提高军事作战效能方面发挥着重要作用。研究表明,军人身体和心理健康状况不佳对其配偶的福祉产生负面影响。但是,对于与照顾生病或受伤军人的军人配偶的福祉有关的主要挑战和保护因素知之甚少。现有的研究大多集中在一个角度——军人或配偶。因此,本定量研究采用匹配(成员和配偶)样本(N = 130)进行。该研究的目的是从军人和配偶的角度来理解军人疾病的作用,以及包括关系质量和社会支持在内的保护性因素在加拿大武装部队(CAF)配偶福祉中的作用。层次回归分析表明,军人的心理健康状况对军人配偶的心理健康状况具有预测作用。分析还显示,配偶对关系质量的感知是配偶生活满意度和心理困扰的关键预测因子。
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引用次数: 0
Families of Origin: The Experience of Parents of Single Military Members 出身家庭:单身军人父母的经历
Q2 Social Sciences Pub Date : 2022-06-23 DOI: 10.1080/21635781.2022.2067922
L. Williams, E. Goubanova, LCol Robert Morrow
Abstract Enlisting in the military is a career choice that impacts the entire family unit. Many research studies have examined the effect of military life on spouses and children of military members; however little research to date has examined the experience of parents of adult children, especially for those of single Canadian Armed Forces (CAF) members. Given that many military members are often younger and not yet in stable romantic relationships, parents are often a primary source of emotional and instrumental support. Building on military family research, the current study was conducted to gain a greater understanding of parents’ experiences upon the enlistment of their adult children and adjustment to their military career. Parents of single CAF members’ experiences were examined through a series of semi-structured interviews and focus groups in seven major Canadian cities. The study group consisted of 55 participants with a mean age of 56 years. Thematic analysis was employed to identify common themes across interviews and focus groups. Results suggest that parents often experience fear and worry over their children’s wellbeing, loss of control, and uncertainty. They strive to maintain connection to their adult children and provide emotional, instrumental, and financial support. Over time, many parents are able to develop increased resilience and adjustment to their children’s careers, in part due to the development of military connections, informal and formal support, and adaptive coping methods. The findings are discussed in relation to improving parental resilience and how the CAF may best support them.
摘要参军是一种影响整个家庭的职业选择。许多研究考察了军人生活对军人配偶和子女的影响;然而,迄今为止,很少有研究调查成年子女父母的经历,尤其是加拿大武装部队(CAF)单身成员的父母。鉴于许多军人往往更年轻,还没有稳定的恋爱关系,父母往往是情感和工具支持的主要来源。本研究以军人家庭研究为基础,旨在更好地了解父母在成年子女入伍和适应军旅生涯时的经历。通过在加拿大七个主要城市进行的一系列半结构化访谈和焦点小组,对CAF单身成员的父母的经历进行了调查。研究组由55名参与者组成,平均年龄56岁 年。专题分析用于确定访谈和焦点小组的共同主题。研究结果表明,父母经常对孩子的健康、失控和不确定性感到恐惧和担忧。他们努力与成年子女保持联系,并提供情感、工具和经济支持。随着时间的推移,许多父母能够增强对孩子职业生涯的适应能力和适应能力,部分原因是军事关系、非正式和正式支持以及适应性应对方法的发展。这些发现与提高父母的适应力以及CAF如何最好地支持他们有关。
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引用次数: 0
Psychological Hardiness and Grit Are Associated with Musculoskeletal Injury in U.S. Army Trainees 美国陆军受训人员的心理硬度和砂砾与肌肉骨骼损伤有关
Q2 Social Sciences Pub Date : 2022-05-30 DOI: 10.1080/21635781.2022.2067919
K. Heaton, J. Judkins, Bruce S Cohen, Vy-Tuong Nguyen, L. Walker, K. Guerriere, M. Bartlett, Stephen A. Foulis, J. Hughes
Abstract Musculoskeletal injuries (MSKIs) during U.S. Army Basic Combat Training (BCT) are pervasive, costly, and erode training effectiveness. Research has explored factors, particularly physical and demographic characteristics, which contribute to injury risk in military trainees. Psychological traits, such as hardiness and grit, have been associated with positive performance outcomes and retention during military training, but their relationship to injury risk is unclear. In this study, 2275 U.S. Army trainees completed validated measures of hardiness and grit at the start (T1) and end (T2) of BCT, and reported injuries sustained during BCT via weekly survey. A majority of trainees (70%) reported an injury during BCT. Trainees reporting high scores on grit and positive hardiness subscales at T1 had 20–30% lower odds of self-reported injury during training; those reporting high scores on negative hardiness subscales at T1 had 20–40% greater odds of self-reported injury. Trainees who reported an injury during BCT also reported higher scores on negative hardiness subscales at T2 compared to uninjured trainees. These findings provide novel evidence supporting an association between positive psychological traits and MSKI risk in military trainees, and underscore the importance of considering psychological resilience when assessing MSKI risk in military populations.
摘要:在美国陆军基本作战训练(BCT)中,肌肉骨骼损伤(MSKI)普遍存在,代价高昂,并削弱训练效果。研究探讨了导致军事受训人员受伤风险的因素,特别是身体和人口特征。坚韧和毅力等心理特征与军事训练中的积极表现和保持力有关,但它们与受伤风险的关系尚不清楚。在这项研究中,2275 美国陆军受训人员在作战旅开始(T1)和结束(T2)时完成了经过验证的坚韧和毅力测量,并通过每周调查报告了作战旅期间的受伤情况。大多数受训人员(70%)报告在BCT期间受伤。在T1时,报告坚韧性和正坚韧性分量表得分较高的受训者在训练期间自我报告受伤的几率降低了20-30%;那些在T1时报告阴性坚韧性分量表得分高的人,自我报告受伤的几率高出20-40%。与未受伤的学员相比,在BCT期间报告受伤的学员在T2时的负耐力分量表得分也更高。这些发现提供了新的证据,支持军事受训人员的积极心理特征与MSKI风险之间的联系,并强调了在评估军事人群的MSKI危险时考虑心理弹性的重要性。
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引用次数: 0
The REBOOT Combat Recovery Program: Health and Socioemotional Benefits REBOOT战斗恢复计划:健康和社会运动效益
Q2 Social Sciences Pub Date : 2022-05-12 DOI: 10.1080/21635781.2022.2067917
Leanne K. Knobloch, Jenny L. Owens, Robyn L. Gobin, T. Wolf
Abstract Spiritual care for combat trauma seeks to help military personnel heal by finding meaning and purpose in their warzone experiences. Although prior work suggests that spiritual care for combat trauma is potentially beneficial, questions remain about whether health and socioemotional benefits hinge on intrinsic religiosity. We evaluated these questions in conjunction with the REBOOT Combat Recovery program, which offers Christian-based spiritual care for combat trauma via a 12-week manualized course. We collected self-report data from 111 U.S. service members and veterans during Week 3 and Week 12 of the program. Findings showed gains in pain interference and intensity (|d| = .30 to .37), sleep health (|d| = .44 to .52), mental health (|d| = .68 to .75), and social health (|d| = .54). Socioemotional improvements in anger (|d| = .76), meaning and purpose in life (|d| = .58), social connectedness (|d| = .50), and forgiveness (|d| = .44) also were apparent. Gains were largely unmoderated by intrinsic religiosity, demographic characteristics, and military characteristics. A key direction for future research is to employ a pretest/post-test control group design to further evaluate whether REBOOT Recovery is broadly useful as a spiritual care program for combat trauma.
战斗创伤的精神关怀旨在帮助军人通过在战区经历中找到意义和目的来治愈创伤。虽然先前的研究表明,对战斗创伤的精神护理可能有益,但健康和社会情感的益处是否取决于内在的宗教信仰,这个问题仍然存在。我们结合重新启动战斗恢复计划对这些问题进行了评估,该计划通过为期12周的手动课程为战斗创伤提供基于基督教的精神护理。我们在项目的第3周和第12周收集了111名美国军人和退伍军人的自我报告数据。研究结果显示,疼痛干扰和强度(|d| = 0.30至0.37)、睡眠健康(|d| = 0.44至0.52)、心理健康(|d| = 0.68至0.75)和社会健康(|d| = 0.54)均有所改善。在愤怒(|d| = 0.76)、生活意义和目的(|d| = 0.58)、社会联系(|d| = 0.50)和宽恕(|d| = 0.44)方面的社会情绪改善也很明显。收益在很大程度上没有受到内在宗教信仰、人口特征和军事特征的影响。未来研究的一个关键方向是采用测试前/测试后控制组设计来进一步评估REBOOT Recovery是否广泛用于战斗创伤的精神护理计划。
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引用次数: 0
Understanding Special Operations Forces Spouses Challenges and Resilience: A Mixed-Method Study 理解特种作战部队配偶的挑战和韧性:一项混合方法研究
Q2 Social Sciences Pub Date : 2022-05-11 DOI: 10.1080/21635781.2022.2067921
I. Richer, C. Frank, E. Guérin
Abstract Special Operations Forces (SOF) are high readiness units that frequently deploy on short notice, leaving their families to cope at home. The objective of this study was to better understand the unique challenges of SOF spouses and the risk and protective factors that contribute to their resilience. The study employed a mixed-methods design, including an online survey (n = 159 spouses) and in-depth semi-structured interviews (n = 29 spouses). Results indicate that while the majority of surveyed SOF spouses had good mental health, they seem to have a higher prevalence of poor mental health than conventional force spouses. Combined survey and interview results indicate that SOF spouses report high levels of work-life conflict and experience challenges related to the demands of the SOF lifestyle. Living in a rural area was inversely related to good mental health, and qualitative findings suggest that this association may be due to career limitations. Social support, especially from the SOF community and their SOF partner, was identified as critical for spouses’ well-being. Participants also discussed having a military background, being independent, engaging in self-care, and using military family services and counseling as key to maintaining their well-being. Recommendations for support needs are discussed.
特种作战部队(SOF)是高度戒备的单位,经常在短时间内部署,让他们的家人在家应对。这项研究的目的是为了更好地理解特种部队配偶的独特挑战,以及有助于他们恢复能力的风险和保护因素。该研究采用混合方法设计,包括在线调查(n = 159名配偶)和深度半结构化访谈(n = 29名配偶)。结果表明,虽然大多数受访的特种部队配偶心理健康状况良好,但他们的心理健康状况较差的比例似乎高于传统部队配偶。综合调查和访谈结果表明,SOF配偶报告了高水平的工作-生活冲突和与SOF生活方式需求相关的经验挑战。生活在农村地区与良好的心理健康呈负相关,定性研究结果表明,这种联系可能是由于职业限制。社会支持,特别是来自SOF社区和他们的SOF合作伙伴的支持,被认为对配偶的幸福至关重要。参与者还讨论了拥有军事背景,独立,自我照顾,以及使用军人家庭服务和咨询作为保持健康的关键。讨论了支持需求的建议。
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引用次数: 2
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Military Behavioral Health
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