Exploring Deployment Stress and Reintegration in Army National Guard Chaplains

探索陆军国民警卫队牧师的部署压力和重返社会

• 批准号: 8261038
• 负责人: Karen Besterman-Dahan
• 金额: --
• 依托单位: JAMES A. HALEY VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-05-01 至 2013-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8261038
• 关键词: Address; Affect; Attention; Blast Injuries; Brain Injuries; Caregivers; Caring; Characteristics; Communities; Compassion; Cross-Sectional Studies; Data; Event; Exposure to; Fatigue; Foundations; Gunshot wound; Healed; Health; Hematoxylin and Eosin Staining Method; Human Resources; Individual; Intervention; Interview; Investigation; Leadership; Measures; Mental Health; Methods; Military Personnel; Online Systems; Participant; Pathway Analysis; Pilot Projects; Play; Post-Traumatic Stress Disorders; Prevention; Psyche structure; Qualitative Methods; Questionnaires; Religion and Spirituality; Reporting; Research; Research Personnel; Risk; Role; Services; Social Network; Social support; Spirituality; Stress; Suicide prevention; Survey Methodology; Surveys; Training; Trauma; Veterans; behavioral health; biological adaptation to stress; combat; community reintegration; design; experience; healing; high risk; innovation; instrument; intervention program; meetings; member; physical conditioning; programs; psychosocial; research and development; stressor

DESCRIPTION (provided by applicant): Background/ Rationale: In addition to spiritual and religious support, Military Chaplains play a key role in the behavioral health of deployed service-members, routinely participating in suicide prevention training, conducting critical event debriefing, and identifying service-members at risk for combat and operational stress reactions. A high risk group for the effects of direct trauma and secondary exposure to trauma, Military Chaplains suffered brain injuries, gunshot wounds and blast injuries in OEF/OIF Theater. In addition, many report combat related stress issues such as compassion fatigue, PTSD, and reintegration issues. While the traumatic experiences of OEF/OIF deployed troops have been well documented, the effects on military chaplains caring for these service-members have received little attention in the research. We are collaborating with the National Guard Chaplain Corps Leadership on this program of research. Objectives: The aims of this 2-year pilot cross-sectional study focus on describing and exploring deployment and its impact on psychosocial and health characteristics and the reintegration of ARNG chaplains using mixed method approach which includes surveys, in- depth interviews and social network analysis. Specifically the objectives are to: O1. Describe the characteristics of Army National Guard (ARNG) Chaplains O2. Assess the impact of deployment on physical and mental health, reintegration and perceived pastoral role of ARNG Chaplains O3. Refine and select appropriate measures for larger study of impact of deployment on health and reintegration of ARNG Chaplains Methods: This 2 year cross-sectional, exploratory pilot study will employ a concurrent mixed methods approach which includes quantitative methods (surveys, personal social network analysis questionnaires) as well as qualitative methods (in-depth interviews). Part 1 is a web- based survey completed by all participants. Characteristics of the ARNG Chaplains will be assessed by completion of the PCL, AUDIT, BRCOPE, VR-12, ISS, RSES, CES, PTGI, and DRRI (sections C, E, H, J and L). Part 2 will consist of qualitative interviews covering topics including religiosity and spirituality, health including as related to OEF/OIF experiences/deployments , pastoral role, and perceived facilitators and barriers to reintegration . Part 3 of the pilot study will involve Social Network Analysis; 15 OEF deployed and 15 non- deployed ARNG chaplains will complete a network questionnaire with the assistance of an investigator which focus on the relational ties that individuals have in their personal communities with respect to social support. This pilot study is the critical first step needed to describe and explore the most relevant issues and to refine and select sensitive measures for a larger, national study of multiple branches of Military Chaplains. This program of research will further refine methods of identifying post deployment difficulties, and promote interventions specific to the unique stressors and difficulties found in their functioning during deployment and when reintegrating to their civilian roles. Use of standardized instruments, refinement of newly constructed questionnaires, and information gained from in-depth interviews will ultimately allow the implementation of innovative, targeted programs designed to meet the needs found in systematic data on this unique group of OEF/OIF veterans, meeting the MHAT call for further research and development of prevention and/or intervention programs for assisting UMT personnel.

描述(由申请人提供)： 背景/理由：除了精神和宗教支持外，军事牧师还在已部署服役人员的行为健康方面发挥关键作用，他们经常参加自杀预防培训，进行重大事件汇报，并确定面临战斗和操作压力反应风险的服役人员。作为直接创伤和二次创伤影响的高危群体，军事牧师在OEF/OIF战区遭受了脑部损伤、枪伤和爆炸伤。此外，许多人报告了与战斗有关的压力问题，如同情疲劳、创伤后应激障碍和重返社会问题。虽然OEF/OIF部署的部队的创伤经历已经被很好地记录下来，但对照顾这些服役人员的军事牧师的影响在研究中很少受到关注。我们正在与国民警卫队牧师军团领导层就这一研究计划进行合作。目的：这项为期两年的试点横断面研究的目的是使用混合方法描述和探索部署及其对ARNG牧师心理社会和健康特征的影响以及重新融入社会，包括调查、深度访谈和社会网络分析。具体而言，目标是：O1。描述陆军国民警卫队(ARNG)牧师O2的特点。评估部署对ARNG Chaplines 03的身心健康、重返社会和感受到的牧民角色的影响。改进和选择适当的方法，以便更广泛地研究部署对ARNG牧师健康和重返社会的影响。方法：这项为期2年的横断面探索性试点研究将采用并行的混合方法，其中包括定量方法(调查、个人社会网络分析问卷)和定性方法(深度访谈)。第1部分是由所有参与者完成的基于网络的调查。ARNG牧师的特点将通过完成PCL、AUDIT、BRCOPE、VR-12、ISS、RSES、CES、PTGI和DRRI(C、E、H、J和L部分)进行评估。第二部分将由定性访谈组成，内容包括宗教信仰和灵性、健康，包括与OEF/OIF的经历/部署有关的问题、牧民角色、被认为的促进者和重返社会的障碍。试点研究的第三部分将涉及社会网络分析；15名已部署的OEF和15名未部署的ARNG牧师将在一名调查员的协助下完成一份网络问卷，调查重点是个人在其个人社区中与社会支持方面的关系。这项试验性研究是描述和探索最相关的问题以及改进和选择敏感措施所需的关键的第一步，以便对军事牧师的多个分支进行更大规模的全国性研究。这一研究方案将进一步完善确定部署后困难的方法，并促进针对其在部署期间和重新融入文职角色期间的运作中发现的独特应激源和困难采取具体干预措施。标准化工具的使用、新构建的问卷的改进以及从深度访谈中获得的信息最终将使创新的、有针对性的计划得以实施，这些计划旨在满足关于这一独特的OEF/OIF退伍军人群体的系统数据中的需求，满足MHAT关于进一步研究和开发预防和/或干预计划以帮助城市轨道交通人员的呼吁。

项目成果

Bearing the burden: deployment stress among army national guard chaplains.

承受重担：陆军国民警卫队牧师的部署压力。

• DOI: 10.1080/08854726.2012.723538
• 发表时间: 2012
• 期刊: Journal of health care chaplaincy
• 影响因子: 1.9
• 作者: Besterman-Dahan,Karen;Barnett,Scott;Hickling,Edward;Elnitsky,Christine;Lind,Jason;Skvoretz,John;Antinori,Nicole
• 通讯作者: Antinori,Nicole