Cunningham Craig A, Weber Bryan A, Roberts Beverly L, Hejmanowski Tracy S, Griffin Wayne D, Lutz Barbara J
Nursing Research Department, Naval Medical Center Portsmouth, DPE Code 14G300, Building 3, 620 John Paul Jones Circle, Portsmouth, VA 23708.
College of Nursing, University of Florida, P.O. Box 100187, Gainesville, FL 32610.
Mil Med. 2014 Sep;179(9):979-85. doi: 10.7205/MILMED-D-13-00568.
The purpose of this study was to determine if resilience, social support, and exposure to combat, stressful deployment environments, and additional stressful life events predicted short-term (12 months or less) postdeployment adjustment in a relatively healthy subset of Navy service members. One hundred and thirty-two service members between 3 and 6 months postdeployment completed anonymous surveys at a deployment health center. Service members with probable post-traumatic stress disorder and those who were at risk for harm to self or others were excluded. There was relatively low variance in exposure to combat, stressful deployment environments, and additional stressful life events for this convenience sample. Although the sample was a relatively healthy subset of service members and conclusions may not be generalizable to larger populations, 56% endorsed considerable adjustment difficulties. Results of logistic regression indicated that greater resilience, greater postdeployment social support, and less stressful deployment environments predicted greater postdeployment adjustment. Resilience and postdeployment social support remained significant predictors of postdeployment adjustment when controlling for covariates. Results also suggest that individual augmentee experience may be a protective factor against postdeployment adjustment difficulties-at least in otherwise healthy service members.
本研究的目的是确定复原力、社会支持以及经历战斗、压力大的部署环境和其他压力大的生活事件,是否能预测相对健康的海军服役人员子集在部署后短期内(12个月或更短时间)的调整情况。132名在部署后3至6个月的服役人员在一个部署健康中心完成了匿名调查。患有创伤后应激障碍的服役人员以及有自我伤害或伤害他人风险的人员被排除在外。对于这个便利样本,在经历战斗、压力大的部署环境和其他压力大的生活事件方面,方差相对较低。尽管该样本是服役人员中相对健康的子集,且研究结论可能无法推广到更广泛的人群,但56%的人认可存在相当大的调整困难。逻辑回归结果表明,更强的复原力、部署后更多的社会支持以及压力较小的部署环境预示着更好的部署后调整情况。在控制协变量时,复原力和部署后社会支持仍然是部署后调整的显著预测因素。结果还表明,个人增员经历可能是预防部署后调整困难的一个保护因素——至少在其他方面健康的服役人员中是这样。