Shrestha Alice, Cornum B G Rhonda, Vie Loryana L, Scheier Lawrence M, Lester M A J Paul B, Seligman Martin E P
Department of Psychology, University of Pennsylvania, 3701 Market Street, 2nd Floor, Philadelphia, PA 19104.
Research Facilitation Laboratory, 20 Ryan Ranch Road, Suite 170, Monterey, CA 93940.
Mil Med. 2018 Mar 1;183(suppl_1):386-395. doi: 10.1093/milmed/usx189.
This study prospectively examined psychological strengths targeted in U.S. Army training programs as predictors of psychiatric diagnosis in active duty soldiers. At baseline, the cohort (140,584 soldiers) was without psychiatric disorder. Soldiers were then followed for 2 yr and classified as healthy, or acquiring a psychiatric diagnosis (adjustment disorder, anxiety disorder, depression, or post-traumatic stress disorder), or being prescribed psychotropic medication without a psychiatric diagnosis. Soldiers who remained healthy reported significantly higher strengths scores at baseline, compared with soldiers who were diagnosed with a psychiatric disorder. In addition, soldiers in the worst strengths decile were twice as likely to develop a psychiatric disorder, compared with soldiers in the top 50% on baseline strengths. Strengths afforded the greatest protection against depression. Offering tailored resilience training programs could help the Army steel vulnerable soldiers against the challenges of life, military training, and combat.
本研究前瞻性地考察了美国陆军训练项目中所针对的心理优势,以此作为现役士兵精神疾病诊断的预测指标。在基线期,该队列(140584名士兵)无精神疾病。随后对士兵进行了2年的随访,并将其分类为健康、获得精神疾病诊断(适应障碍、焦虑症、抑郁症或创伤后应激障碍)或在无精神疾病诊断的情况下被开具精神药物。与被诊断患有精神疾病的士兵相比,保持健康的士兵在基线期报告的优势得分显著更高。此外,与基线优势处于前50%的士兵相比,处于优势得分最低十分位数的士兵患精神疾病的可能性是前者的两倍。优势对抑郁症提供了最大程度的保护。提供量身定制的复原力训练项目有助于陆军增强易受影响士兵应对生活、军事训练和战斗挑战的能力。