Carra Kylie, Curtin Michael, Fortune Tracy, Gordon Brett
La Trobe Rural Health School, La Trobe University, Bendigo, Australia.
School of Community Health, Charles Sturt University, Albury, Australia.
Mil Psychol. 2021 Sep 24;33(5):320-331. doi: 10.1080/08995605.2021.1962180. eCollection 2021.
Participation in meaningful occupations is central to health, well-being, and adjustment during the transition from military service. The aim of the present study was to identify what occupations transitioning Australian Defence Force members participate in for the purpose of improving their health and well-being. A secondary aim was to identify if participation in various occupations was associated with better self-reported health and/or adjustment outcomes. One hundred and ninety-eight former Australian Defence Force members discharged on or after January 1, 2004 responded to a cross-sectional survey measuring adjustment, physical and mental health, and participation in occupations. Occupations were coded using the Time Use Classification system developed by the Australian Bureau of Statistics. An easier adjustment was reported by former service members who participated in employment-related activities, domestic activities, voluntary work and care activities, and social and community interaction ( = -0.63 to -0.45, = .37 to .52). Participation in employment-related activities, social and community interaction, and sport and outdoor activity was associated with better physical health ( = 3.20 to 3.73, = .34 to .40). Participation in employment-related activities was also associated with better mental health ( = -3.75, = .54). This research indicates that participation in occupation is a factor that may be utilized with former service members to positively influence health and adjustment during military transitions. Given differences in participation and outcomes among different sub-groups, it is recommended that occupation-based programs be tailored to individual preferences and transition needs.
参与有意义的活动对于从军队退役期间的健康、幸福和适应至关重要。本研究的目的是确定澳大利亚国防军退役人员为改善健康和幸福而参与哪些活动。次要目的是确定参与各种活动是否与更好的自我报告健康状况和/或适应结果相关。198名在2004年1月1日或之后退役的前澳大利亚国防军成员对一项横断面调查做出了回应,该调查测量了适应情况、身心健康以及参与活动的情况。活动使用澳大利亚统计局制定的时间使用分类系统进行编码。参与与就业相关活动、家务活动、志愿工作和护理活动以及社会和社区互动的退役人员报告说适应情况更容易(β = -0.63至-0.45,p = 0.37至0.52)。参与与就业相关活动、社会和社区互动以及体育和户外活动与更好的身体健康相关(β = 3.20至3.73,p = 0.34至0.40)。参与与就业相关活动也与更好的心理健康相关(β = -3.75,p = 0.54)。这项研究表明,参与活动是一个可以用于退役人员的因素,以在军事过渡期间对健康和适应产生积极影响。鉴于不同亚组在参与和结果方面存在差异,建议根据个人偏好和过渡需求量身定制基于活动的项目。