Military to civilian questionnaire: A measure of postdeployment community reintegration difficulty among veterans using Department of Veterans Affairs medical care

Military to civilian questionnaire: A measure of postdeployment community reintegration difficulty among veterans using Department of Veterans Affairs medical care
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DOI:
10.1002/jts.20706
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发表时间:
2011-12-01
影响因子:
3.3
通讯作者:
Noorbaloochi, Siamak
Noorbaloochi, Siamak
中科院分区:
医学3区
文献类型:
--
作者:
Sayer, Nina A.;Frazier, Patricia;Noorbaloochi, Siamak

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本研究的主要目的是描述的发展,可靠性和结构效度的分数军事平民问卷(M2 C-Q),16项自我报告的措施部署后社区重返社会的困难。我们调查了1,226名使用美国退伍军人事务部(VA)医疗保健的伊拉克和阿富汗退伍军人的全国分层样本; 745人完成了M2 C-Q并验证了心理健康筛查措施。所有分析均基于加权估计。在该样品中,M2 C-Q的内部一致性为0.95。因子分析表明,单一总分是最佳拟合模型。总分与理论上与重返社会困难相关的措施相关,包括重新适应平民生活的整体困难(R2 = .49),可能的PTSD(d = 1.07),可能的问题药物或酒精使用(d = 0.34)和整体心理健康(r =-0.83)。亚组分析显示,在那些PTSD筛查阴性的人中也有类似的发现。非白人和失业的退伍军人更大的社区重返社会的困难(D = 0.20和0.45,分别)。研究结果为M2 C-Q量表的信度和结构效度提供了初步支持。
The primary objective of this study was to describe the development, reliability, and construct validity of scores on the Military to Civilian Questionnaire (M2C-Q), a 16-item self-report measure of postdeployment community reintegration difficulty. We surveyed a national, stratified sample of 1,226 Iraq and Afghanistan veterans who used U.S. Department of Veterans Affairs (VA) medical care; 745 completed the M2C-Q and validated mental health screening measures. All analyses were based on weighted estimates. The internal consistency of the M2C-Q was .95 in this sample. Factor analyses indicated a single total score was the best-fitting model. Total scores were associated with measures theoretically related to reintegration difficulties including perception of overall difficulty readjusting back into civilian life (R2 = .49), probable PTSD (d = 1.07), probable problem drug or alcohol use (d = 0.34), and overall mental health (r = -.83). Subgroup analyses revealed a similar pattern of findings in those who screened negative for PTSD. Nonwhite and unemployed veterans reported greater community reintegration difficulty (d = 0.20 and 0.45, respectively). Findings offer preliminary support for the reliability and construct validity of M2C-Q scores.