Resilience during war: Better unit cohesion and reductions in avoidant coping are associated with better mental health function after combat deployment.

Resilience during war: Better unit cohesion and reductions in avoidant coping are associated with better mental health function after combat deployment.
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DOI:
10.1037/tra0000152
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发表时间:
2017-01
期刊:
Psychological trauma : theory, research, practice and policy
影响因子:
--
通讯作者:
Quigley KS
Quigley KS
中科院分区:
其他
文献类型:
--
作者:
McAndrew LM;Markowitz S;Lu SE;Borders A;Rothman D;Quigley KS

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大多数经历过创伤性事件的人都有复原力;然而,我们还不明白为什么有些人比其他人更有弹性。我们使用来自陆军国民警卫队和预备役人员的前瞻性纵向研究数据来研究单位凝聚力(军事特定社会支持)和回避应对如何与从部署返回后的第一年的弹性相关。767名士兵分为部署前(P1)、部署后立即(P2)、部署后3个月(P3)和部署后1年(P4)四个阶段进行评估。在控制了部署前回避应对和整体社会支持后,更高的单位凝聚力与回避应对的减少相关(从P1到P3)。逃避性应对的减少(从P1到P3)介导了单位凝聚力(P2)和心理健康功能的改善(从P1到P3)之间的关系。研究结果与假设一致,即较高的单位凝聚力可以缓解军事人员在战斗部署后回避应对的增加,从而改善心理健康功能。
The majority of individuals who endure traumatic events are resilient; however we do not yet understand why some individuals are more resilient than others. We used data from a prospective longitudinal study Army National Guard and Reserve personnel to examine how unit cohesion (military specific social support) and avoidant coping relate to resilience over the first year after return from deployment. Soldiers (N=767) were assessed at four Phases: pre-deployment (P1), immediately post-deployment (P2), 3 months post-deployment (P3) and 1 year post-deployment (P4). After controlling for pre-deployment avoidant coping and overall social support, higher unit cohesion was associated with a reduction in avoidant coping (from P1 to P3). This reduction in avoidant coping (from P1 to P3) mediated the relationship between unit cohesion (P2) and improvement in mental health function (from P1 to P3). The results are consistent with the hypothesis that higher unit cohesion may mitigate increases in avoidant coping in military personnel after a combat deployment, and in turn improve mental health function.
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