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确定有助于退伍军人退伍后幸福生活的因素。

Identifying factors that contribute to military veterans' post-military well-being.

作者信息

Vogt Dawne, King Matthew W, Borowski Shelby, Finley Erin P, Perkins Daniel F, Copeland Laurel A

机构信息

Women's Health Sciences Division, National Center for PTSD (116B-3), VA Boston Healthcare System, Boston, Massachusetts, USA.

Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA.

出版信息

Appl Psychol Health Well Being. 2021 May;13(2):341-356. doi: 10.1111/aphw.12252. Epub 2021 Feb 17.

Abstract

Prior research has examined the independent effects of demographic and military characteristics, trauma history, and coping resources on military veterans' health. However, there is limited knowledge of how these factors intersect with one another and with veterans' health to impact their broader well-being as they readjust to civilian life. Data for this study were drawn from a longitudinal investigation of the health and broader well-being of U.S. veterans (N = 7150) who had recently left military service. Machine learning analyses (random forests of regression trees) were used to examine how factors assessed shortly after military separation were associated with veterans' well-being approximately a year later. Veterans who endorsed the combination of low depression, high social support, and high psychological resilience were most likely to report high well-being a year later. Neither demographic and military characteristics nor trauma history emerged as strong predictors of veterans' well-being when considered in the context of other factors. Although most predictors were similar for women and men, depression was a stronger predictor of women's well-being. Results highlight the importance of screening for and intervening with veterans who report high depression, low social support, and low psychological resilience when leaving military service. These findings can inform efforts to promote veterans' post-military well-being.

摘要

先前的研究已经考察了人口统计学和军事特征、创伤史以及应对资源对退伍军人健康的独立影响。然而,对于这些因素如何相互交叉,以及如何与退伍军人的健康相互作用,从而在他们重新适应平民生活时影响其更广泛的幸福感,人们了解有限。本研究的数据来自对最近退伍的美国退伍军人(N = 7150)的健康和更广泛幸福感的纵向调查。机器学习分析(回归树随机森林)用于检验退伍后不久评估的因素与大约一年后退伍军人幸福感之间的关联。认可低抑郁、高社会支持和高心理复原力组合的退伍军人最有可能在一年后报告高幸福感。在考虑其他因素的背景下,人口统计学和军事特征以及创伤史均未成为退伍军人幸福感的有力预测因素。尽管大多数预测因素对男性和女性相似,但抑郁对女性幸福感的预测作用更强。结果强调了对退伍时报告高抑郁、低社会支持和低心理复原力的退伍军人进行筛查和干预的重要性。这些发现可为促进退伍军人退伍后幸福感的努力提供参考。

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