Harwood-Gross Anna, Weltman Alon, Kanat-Maymon Yaniv, Pat-Horenczyk Ruth, Brom Danny
The Paul Baerwald School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem, Israel.
METIV, The Israel Psychotrauma Center, Jerusalem, Israel.
Mil Psychol. 2022 Mar 16;34(6):668-678. doi: 10.1080/08995605.2022.2044119. eCollection 2022.
The Peace of Mind (POM) program was designed to enable combat veterans in Israel to process their combat experience, address difficulties in the transition to civilian life and facilitate psychological growth as a result of their military experience. During the course of the program, 1068 participants were studied at four time points. Post-traumatic symptoms were measured using the PTSD checklist for DSM-5 (PCL-5), and post-traumatic growth (PTG) was measured using the Post Traumatic Growth Inventory (PTGI). Multilevel Modeling (MLM) was used to assess symptom and psychological trajectories for all participants and for those who began with and without PTSD symptoms, respectively. The results demonstrated that those who began the program with elevated PTSD symptoms experienced a significant reduction in PTSD symptoms following the completion of the intensive element of the program. Additionally, all participants demonstrated an increase in PTG following the intensive section of the program and this was maintained throughout follow-up. The findings indicate that the POM program is beneficial in relation to both positive and negative outcomes of traumatic military experiences though it is clear that the transition from combat to civilian life is more complex than the current measures identify and that further research needs to examine the distinct lifestyle and functional changes which occur following the program.
“安心”(POM)项目旨在帮助以色列的退伍军人梳理他们的战斗经历,应对向平民生活过渡过程中遇到的困难,并促进他们因军事经历而实现心理成长。在该项目实施过程中,对1068名参与者在四个时间点进行了研究。使用《精神疾病诊断与统计手册》第5版创伤后应激障碍检查表(PCL - 5)测量创伤后症状,使用创伤后成长量表(PTGI)测量创伤后成长(PTG)。采用多层建模(MLM)分别评估所有参与者以及开始时有和没有创伤后应激障碍症状的参与者的症状和心理轨迹。结果表明,开始该项目时创伤后应激障碍症状较高的参与者在完成项目强化部分后,创伤后应激障碍症状显著减轻。此外,所有参与者在项目强化部分之后创伤后成长都有所增加,并且在整个随访过程中保持这一状态。研究结果表明,“安心”项目对于创伤性军事经历的积极和消极结果都有益处,不过显然从战斗生活向平民生活的过渡比目前的测量方法所识别的更为复杂,需要进一步研究该项目实施后出现的独特生活方式和功能变化。