Department of Research and Development, Military Rehabilitation Center Aardenburg, Doorn, 3941, PW, The Netherlands.
De Hoogstraat Rehabilitation, Utrecht, 3583, TM, The Netherlands.
Mil Med Res. 2019 Apr 1;6(1):9. doi: 10.1186/s40779-019-0199-4.
This study examines the relationship between coping strategies and symptoms of anxiety or depression among Dutch servicemembers deployed to Afghanistan.
Coping strategies were assessed in 33 battlefield casualties (BCs) and the control group (CTRLs) of 33 uninjured servicemembers from the same combat units using the Cognitive Emotion Regulation Questionnaire. A factor analysis was performed, and two clusters of coping strategies were derived, namely, adaptive and maladaptive coping. Symptoms of anxiety and depression were evaluated using the depression and anxiety subscales of the Symptom Checklist-90-Revised. Correlations between coping and symptoms of anxiety and between coping and symptoms of depression were calculated, and a logistic regression was performed.
A moderate correlation was observed between maladaptive coping and symptoms of anxiety in the BC group (r = 0.42) and among the CTRLs (r = 0.56). A moderate correlation was observed between maladaptive coping and symptoms of depression in both groups (r = 0.55). The statistical analysis for the total sample (BCs and CTRLs) demonstrated no association between coping and symptoms of anxiety or depression.
A correlation but no association was observed between maladaptive coping and mental health disorders in deployed Dutch servicemembers. Further research should focus on constructing cluster profiles of coping strategies and associating them with mental health outcomes and reintegration into society.
本研究考察了荷兰部署到阿富汗的军人中应对策略与焦虑或抑郁症状之间的关系。
使用认知情绪调节问卷评估了 33 名战场伤员（BC）和来自同一战斗单位的 33 名未受伤军人的对照组（CTRL）的应对策略。进行了因子分析，并得出了两种应对策略群，即适应性和不良适应性应对。使用症状检查表-90-修订版的抑郁和焦虑分量表评估焦虑和抑郁症状。计算了应对与焦虑症状之间以及应对与抑郁症状之间的相关性，并进行了逻辑回归分析。
在 BC 组（r=0.42）和 CTRLs 中（r=0.56），不良适应应对与焦虑症状之间存在中度相关性。两组中不良适应应对与抑郁症状之间均存在中度相关性（r=0.55）。对总样本（BC 和 CTRLs）的统计分析表明，应对与焦虑或抑郁症状之间没有关联。
在部署的荷兰军人中，不良适应应对与心理健康障碍之间存在相关性但无关联。进一步的研究应集中于构建应对策略的聚类特征，并将其与心理健康结果和重新融入社会联系起来。
