Wild Marcus G, Coppin John David, Mendoza Corina, Metts Allison, Pearson Rahel, Creech Suzannah K
VHA VISN 17 Center of Excellence for Research On Returning War Veterans, 4800 Memorial Drive (151C), Waco, TX, 76711, USA.
Central Texas Veterans Health Care System, Waco, TX, USA.
Qual Life Res. 2025 May;34(5):1433-1442. doi: 10.1007/s11136-025-03908-z. Epub 2025 Jan 30.
Quality of life (QoL), defined by satisfaction, capacity for activities, and functional role performance, is an outcome of interest for both medical and psychological interventions. Among US veterans, QoL is lower than the general population and is associated with mortality and suicide. Third-wave psychosocial interventions (e.g., Acceptance and Commitment Therapy) emphasize QoL as the primary outcome of interest, and specific third-wave intervention targets (e.g., self-compassion, mindfulness, emotion regulation) may contribute to the satisfaction, capacity, and functional domains of QoL of veterans. To evaluate the longitudinal associations of self-compassion, mindfulness, and emotional regulation with three domains of QoL (psychosocial satisfaction, psychosocial capacity, and psychosocial relationship functioning) in US veterans.
351 US combat-deployed veterans self-reported measures of QoL, self-compassion, mindfulness, and emotional regulation at four timepoints across 24 months. Bayesian multivariate multilevel models were fit to the QoL outcomes.
Results indicated that all three domains of QoL remained relatively stable over the course of the study period. Increased psychosocial satisfaction and psychosocial capacity were both associated with increased mindfulness and emotion regulation, whereas self-compassion was only related to greater psychosocial capacity for male veterans. Increased functional role performances in romantic and family relationships were associated with increased emotion regulation, with romantic relationship functioning also being associated with increased mindfulness and family relationship functioning with increased self-compassion.
These results suggest that mechanisms of third-wave interventions have an impact on QoL among US veterans and that veteran QoL may be improved by broader integration of mindfulness and emotion regulation-based interventions.
生活质量（QoL）由满意度、活动能力和功能角色表现来定义，是医学和心理干预都感兴趣的结果。在美国退伍军人中，生活质量低于普通人群，且与死亡率和自杀有关。第三波社会心理干预（如接纳与承诺疗法）强调将生活质量作为主要关注结果，特定的第三波干预目标（如自我同情、正念、情绪调节）可能有助于提高退伍军人生活质量的满意度、能力和功能领域。评估自我同情、正念和情绪调节与美国退伍军人生活质量的三个领域（社会心理满意度、社会心理能力和社会心理关系功能）之间的纵向关联。
351名曾参加过战斗部署的美国退伍军人在24个月内的四个时间点自行报告生活质量、自我同情、正念和情绪调节的测量结果。将贝叶斯多变量多层次模型应用于生活质量结果。
结果表明，在研究期间，生活质量的所有三个领域都保持相对稳定。社会心理满意度和社会心理能力的提高都与正念和情绪调节的增加有关，而自我同情仅与男性退伍军人更高的社会心理能力有关。浪漫关系和家庭关系中功能角色表现的增加与情绪调节的增加有关，浪漫关系功能也与正念的增加有关，家庭关系功能与自我同情的增加有关。
这些结果表明，第三波干预机制对美国退伍军人的生活质量有影响，通过更广泛地整合基于正念和情绪调节的干预措施，退伍军人的生活质量可能会得到改善。
