Emotion Regulation and Coping in Active Military Personnel: A Systematic Review.

Emotions significantly impact decision-making, teamwork, stress management, and resilience in high-pressure occupations such as the military, emergency services and competitive sports, making effective emotion regulation (ER) essential to performance and mental health. However, there are considerable knowledge gaps about ER in active-service military populations, particularly regarding the measures used to quantify ER, the variables studied, and identified relationships. Synthesising this literature is critical to progressing the ER research toward realistic solutions to enhancing performance and mental health in this population. This systematic review aimed to explore measurement tools, the variables examined alongside ER, and the relationship between ER and performance and military variables in active-service military personnel. Preregistered (PROSPERO; CRD42023358657) and adhering to PRISMA guidelines, this review focused on English peer-reviewed publications on ER or coping strategies in active-service military populations without date restrictions. Scopus, Web of Science, Military database, Medline and PsycINFO were last searched on 12/10/2022. Two reviewers screened studies, conducted data extraction and risk of bias assessment. A tabular synthesis method was used to systematically organise study details, ER measures, strategies, performance and military variables, outcomes, and quality. The literature search yielded 5780 studies, 46 of which were deemed relevant. The review identified 17 measurement tools, with the Coping Orientation to Problems Experienced Inventory (COPE) and Emotion Regulation Questionnaire being the most used. Psychological factors such as personality, resilience, and stress were most frequently examined (54%), while performance variables were studied in 3 (6.5%) and military variables in 6 (13%) of the source studies. Of the 10 performance and military variables examined, 50% were identified as being at high risk of bias, 30% moderate risk and 20% low risk. This review highlights a scarcity of published research on ER and performance and military variables in active-service military members. Overall, studies suggest that ER may be associated with performance and military variables in varying contexts and capacity. The review examines the implications of these relationships in detail. However, these studies vary in quality, the measurement tools used, and the variables assessed alongside ER, making synthesis challenging. The high risk of bias identified suggests that the relationships with ER should be interpreted with caution. This review suggests a link between ER and performance and military outcomes, however further research is needed to understand this nuanced relationship in the military context.