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新兵复原力机制推进研究(ARMOR)纵向队列研究:可行性试点研究结果

Advancing Research on Mechanisms of Resilience (ARMOR) Longitudinal Cohort Study of New Military Recruits: Results from a Feasibility Pilot Study.

作者信息

Polusny Melissa A, Marquardt Craig A, Campbell Emily Hagel, Filetti Clarissa R, Noël Valentin V, Disner Seth G, Schaefer Jonathan D, Davenport Nicholas, Lissek Shmuel, Noorbaloochi Siamak, Sponheim Scott R, Erbes Christopher R

机构信息

Minneapolis VA Health Care System, Minneapolis, MN.

Center for Care Delivery and Outcomes Research, Minneapolis, MN.

出版信息

Res Hum Dev. 2021;18(3):212-229. doi: 10.1080/15427609.2021.1964898. Epub 2021 Sep 22.

Abstract

Psychological resilience as a longitudinal process is highly relevant for understanding the functioning outcomes of military populations. Here, we review the extant literature on resilience among military service members, focusing on National Guard Soldiers. Our specific project (Advancing Research on Mechanisms of Resilience, "ARMOR") aims to develop a comprehensive model of resilience using a multilevel perspective. We report results from our prospective pilot study ( = 103) conducted in preparation for our large-scale longitudinal cohort study of Basic Combat Training (BCT) and its impact on military recruits' wellbeing. Results support feasibility of the larger study, evidence for a new measure of BCT stressor exposure, and demonstrate preliminary associations with BCT-related stressors and longitudinal changes in adaptive functioning. Future directions for our larger study will utilize data from survey responses, structured clinical interviews, neurobehavioral tasks, and neurobiological measures (functional and structural MRI and electroencephalography [EEG]) to examine individual differences in self-regulation as a predictor of resilience-related processes. ARMOR is well positioned to elucidate mechanisms that could be targeted for promoting wellbeing, preventing psychopathology, and facilitating long-term recovery.

摘要

心理复原力作为一个纵向过程,对于理解军人的功能结果具有高度相关性。在此,我们回顾了关于军人复原力的现有文献,重点关注国民警卫队士兵。我们的具体项目(推进复原力机制研究,“ARMOR”)旨在从多层次视角开发一个全面的复原力模型。我们报告了为大规模纵向队列研究基础战斗训练(BCT)及其对新兵幸福感的影响而进行的前瞻性试点研究(n = 103)的结果。结果支持了更大规模研究的可行性,为一种新的BCT应激源暴露测量方法提供了证据,并证明了与BCT相关应激源以及适应性功能纵向变化的初步关联。我们更大规模研究的未来方向将利用来自调查回复、结构化临床访谈、神经行为任务和神经生物学测量(功能和结构磁共振成像以及脑电图[EEG])的数据,来检验自我调节方面的个体差异作为复原力相关过程预测指标的情况。ARMOR非常适合阐明那些可作为促进幸福感、预防精神病理学以及促进长期康复目标的机制。

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