Is Deployment Status the Critical Determinant of Psychosocial Problems Among Reserve/Guard Soldiers?
Is Deployment Status the Critical Determinant of Psychosocial Problems Among Reserve/Guard Soldiers?
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DOI：
10.1037/ser0000331
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发表时间：
2020-11-01
影响因子：
2.3
通讯作者：
Homish, Gregory G.
中科院分区：
文献类型：
--
作者：
Hoopsick, Rachel A.;Homish, D. Lynn;Homish, Gregory G.
一个普遍的假设，即部署是心理和社会困难的主要催化剂可能会导致认识不足和治疗不足的问题，在从未部署的服务成员（即，没有被部署的历史）。我们的目标是确定是否曾经部署过（即，具有至少一次部署的历史）和从未部署的美国陆军预备役和国民警卫队（USAR/NG）士兵在心理健康、物质使用和弹性因素方面存在差异，并确定部署状态和这些因素中的每一个对不良心理社会结果的相对影响。我们分析了来自Operation：Safety（多年来表现出色的士兵和家庭）（N = 404）的数据子集，这是一项正在进行的研究，旨在检查USAR/NG士兵的健康和福祉。双变量分析表明，士兵没有显着差异，在一系列措施的基础上部署状态（ps > 0.05）。事实上，因子分析和判别函数分析显示，部署状态是测量变量中对心理社会问题最不显著的因素，并且观察变量不能准确区分曾经部署和从未部署的士兵，F（8，374）= 1.34，p > 0.05。心理健康和物质使用的措施更显着的心理社会问题（ps < .05）。弹性的措施负向加载到心理社会问题（ps < .05），表明他们有助于更好的福祉。仅针对已部署的士兵进行筛查和干预工作将错过对同样受影响的群体进行干预的机会。应将复原力因素视为干预目标。
A general assumption that deployment is the primary catalyst for psychological and social difficulties may contribute to underrecognition and undertreatment of problems among never-deployed service members (i.e., having no history of ever being deployed). We aimed to determine if ever-deployed (i.e., having a history of at least one deployment) and never-deployed United States Army Reserve and National Guard (USAR/NG) soldiers differed in mental health, substance use, and resiliency factors, and to determine the relative influence of deployment status and each of these factors on poor psychosocial outcomes. We analyzed a subset of data from Operation: SAFETY (Soldiers and Families Excelling Through the Years) (N = 404), an ongoing study examining the health and well-being of USAR/NG soldiers. Bivariate analyses demonstrated that soldiers did not significantly differ across a range of measures on the basis of deployment status (ps > 0.05). In fact, Factor Analyses and Discriminant Function Analysis revealed that deployment status was the least salient factor to psychosocial problems among the measured variables and that the observed variables could not accurately discriminate between ever-deployed and never-deployed soldiers, F(8, 374) = 1.34, p > .05. Measures of mental health and substance use were more salient to psychosocial problems (ps < .05). Measures of resiliency loaded negatively onto psychosocial problems (ps < .05), indicating that they contribute to better well-being. Targeting screening and intervention efforts only on soldiers who have been deployed will miss opportunities to intervene on an equally affected group. Resiliency factors should be considered as intervention targets.