Pathways of Risk and Resilience: Impact of a Family Resilience Program on Active‐Duty Military Parents

Over the past decade, studies into the impact of wartime deployment and related adversities on service members and their families have offered empirical support for systemic models of family functioning and a more nuanced understanding of the mechanisms by which stress and trauma reverberate across family and partner relationships. They have also advanced our understanding of the ways in which families may contribute to the resilience of children and parents contending with the stressors of serial deployments and parental physical and psychological injuries. This study is the latest in a series designed to further clarify the systemic functioning of military families and to explicate the role of resilient family processes in reducing symptoms of distress and poor adaptation among family members. Drawing upon the implementation of the Families Overcoming Under Stress (FOCUS) Family Resilience Program at 14 active‐duty military installations across the United States, structural equation modeling was conducted with data from 434 marine and navy active‐duty families who participated in the FOCUS program. The goal was to better understand the ways in which parental distress reverberates across military family systems and, through longitudinal path analytic modeling, determine the pathways of program impact on parental distress. The findings indicated significant cross‐influence of distress between the military and civilian parents within families, families with more distressed military parents were more likely to sustain participation in the program, and reductions in distress among both military and civilian parents were significantly mediated by improvements in resilient family processes. These results are consistent with family systemic and resilient models that support preventive interventions designed to enhance family resilient processes as an important part of comprehensive services for distressed military families.     

军队士气研究述评

在军事领域中,士气是军事力量的重要组成部份,对士气的研究一直是军事心理学研究的热点。文章总结了军队士气研究的几个方面:定义,影响因素,测量,对降低战场应激反应的作用,并提出培育士气的思考和建议。     

Military police investigator perspectives of a new self-reflective approach to strengthening resilience: A qualitative study

In this study, we explored participants’ experiences of a unique form of resilience training. The aims of this study were to obtain rich information about the participants’ experience of the resilience intervention based on adaptive self-reflection, their ability to report the private stress experience and coping efforts when faced with a stressor, their perceptions of training applicability to other contexts, and whether the training was able to encourage the reappraisal of stressors as growth opportunities. A qualitative design was employed with a sample of 21 investigator trainees from the Australian Defence Force School of Policing. Following implementation of the program, trainees provided written responses to seven open ended questions and participated in one focus group designed to embellish understanding of the survey answers. The analysis identified both strengths and limitations in the way respondents were able to recall and report on their private stress experience and coping efforts and several domains where the resilience training seemed to have its effects. Moreover, the respondents reported increased confidence in their ability to manage stressors in the future, recognition of stress in others and the potential to assist them, and a changed view of stress as an opportunity for personal development. Based on these findings, potential improvements in the training materials are recommended. Moreover, the findings suggest coping and emotion regulatory self-reflection may encourage the application of useful strategies and reinforce personal resilient capacities and coping self-efficacy.     

The Protective Value of Hardiness on Military Posttraumatic Stress Symptoms

This study examined the protective effects of hardiness (dispositional resilience) on self-reported posttraumatic stress disorder (PTSD) symptoms in a sample of postdeployed service members. Hardiness was negatively related to PTSD symptoms. Time in the military, number of deployments, and total time spent on deployment were all positively related to PTSD symptoms. Hardiness moderated the effects of time in the military on PTSD symptoms, such that time in the military had no effect on those who were high in hardiness. Hardiness did not moderate the effects of either deployment measure. Suggestions to modify current military resilience training programs to most effectively enhance the benefits of hardiness are discussed.     

Social Support and Mental Health Outcomes Among U.S. Army Special Operations Personnel

Mental health disorders continue to plague service members and veterans; thus, new approaches are required to help address such outcomes. The identification of risk and resilience factors for these disorders in specific populations can better inform both treatment and prevention strategies. This study focuses on a unique population of U.S. Army Special Operations personnel to assess how specific avenues of social support and personal morale are related to mental health outcomes. The results indicate that, whereas personal morale and friend support reduce the relationship between combat experiences and posttraumatic stress disorder (PTSD), strong unit support exacerbates the negative effects of combat experiences in relation to PTSD. The study thus shows that although informal social support can lessen postdeployment mental health concerns, military populations with strong internal bonds may be at greater risk of PTSD because the support that they receive from fellow service members may heighten the traumatic impact of combat experiences.     

Enhancing Family Resilience Through Family Narrative Co-construction

We draw upon family resilience and narrative theory to describe an evidence-based method for intervening with military families who are impacted by multiple wartime deployments and psychological, stress-related, or physical parental injuries. Conceptual models of familial resilience provide a guide for understanding the mechanics of how families respond and recover from exposure to extreme events, and underscore the role of specific family processes and interaction patterns in promoting resilient capabilities. Leading family theorists propose that the family’s ability to make meaning of stressful and traumatic events and nurture protective beliefs are critical aspects of resilient adaptation. We first review general theoretical and empirical research contributions to understanding family resilience, giving special attention to the circumstances, challenges, needs, and strengths of American military families. Therapeutic narrative studies illustrate the processes through which family members acquire meaning-making capacities, and point to the essential role of parents’ in facilitating discussions of stressful experiences and co-constructing coherent and meaningful narratives. This helps children to make sense of these experiences and develop capacities for emotion regulation and coping. Family-based narrative approaches provide a structured opportunity to elicit parents’ and children’s individual narratives, assemble divergent storylines into a shared family narrative, and thereby enhance members’ capacity to make meaning of stressful experiences and adopt beliefs that support adaptation and growth. We discuss how family narratives can help to bridge intra-familial estrangements and re-engage communication and support processes that have been undermined by stress, trauma, or loss. We conclude by describing a family-based narrative intervention currently in use with thousands of military children and families across the USA.     

心理弹性与压力适应的关系:积极情绪中介效应的实验研究

Fredrickson的积极情绪的扩展—建构理论(broaden-and-build theory)认为积极情绪具有激活行动、扩展认知、建设资源和缓解压力的功能.但是积极情绪是否是心理弹性到压力适应的中介变量有待于进一步研究.该研究让37名女大学生先完成中国情感量表和Connor-Davidson心理弹性量表,然后进行压力情境实验,通过生理多导仪记录实验前后压力下的生理反应,以压力下的生理恢复时间作为压力适应的指标.最后通过中介检验程序分析积极情绪在心理弹性到压力适应的中介效应.结果表明:(1)压力下个体的心理弹性水平与生理恢复指标显著相关(r=-0.75,p<0.001);(2)当心理弹性和积极情绪同时进入回归方程时,积极情绪对压力适应的预测显著,心理弹性对生理恢复指标的预测下降,但是依然显著(r=-0.62,p<0.001).结论:积极情绪在心理弹性与压力适应间起部分中介作用.     

Emotional Intelligence and resilience in mental health professionals caring for patients with serious mental illness

Emotional Intelligence (EI) and resilience may be considered as prerequisites for mental health professionals caring for patients with serious mental illness (SMI), since they are often exposed to severe emotional stress during daily work. Accordingly, this cross-sectional study assessed both EI and resilience and their interrelationship in 61 individuals belonging to an assertive outreach team for patients suffering from SMI compared 61 control subjects without healthcare-related working conditions. EI was assessed by means of the German version of the Mayer-Salovey-Caruso-Emotional-Intelligence Test (MSCEIT), resilience was assessed using the German version of the Resilience Scale. Both groups showed an average level of EI in all categories of the MSCEIT and indicated high levels of resilience. They did not differ significantly from each other, neither in terms of EI nor resilience. Correlation analysis revealed a positive association between EI and resilience, albeit small in magnitude. Our results suggest that mental health professionals are not more resilient and therefore not more ‘protected’ from stressors than the general population. Though this finding warrants cautious interpretation, the positive correlation between EI and resilience suggests that EI may be a potential target for education and training in order to strengthen resilience even in healthy individuals and vice versa.     

Comprehensive Soldier Fitness and the future of psychology

Psychology responded to the national needs in World War I and World War II and was itself transformed. National need calls a third time: unprecedented levels of posttraumatic stress disorder, depression, suicide, and anxiety along with a need for a resilient Army capable of meeting the persistent warfare of the foreseeable future. As a large part of the Comprehensive Soldier Fitness program, positive psychology is meeting this need with new tests, with new fitness courses, and with resilience training. These developments may transform the practice of psychology and psychology's relation to medicine and education.     

Trait reappraisal is associated with resilience to acute psychological stress

Life is full of stressful events. However, while some individuals are negatively affected by stress, others are more resilient to its effects. The factors that contribute to variability in stress resilience are not fully understood. Here, we tested the hypothesis that trait reappraisal would be associated with greater stress resilience to a first-time tandem skydive. Specifically, we expected measures of “anxiety” to be lower and measures of “euphoria” to be higher in high trait reappraising individuals. Our findings that trait reappraisal is negatively correlated with stress reactivity as measured by cortisol, heart rate, and self-report state anxiety, but positively correlated with self-report state euphoria suggest that individuals high in trait reappraisal are more stress resilient.     

Predictors of Morale in U.S. Peacekeepers1

In this prospective study, we examined pre‐ and postmission predictors of morale in U.S. military peacekeepers deployed to Kosovo. After controlling for demographic and military characteristics, current general life stressors, unit cohesion, and reports of patriotism and nationalism were predictive of predeployment morale. We also found that positive military experiences, general overseas military stressors, and postdeployment unit cohesion were significant predictors of postdeployment morale after controlling for demographic and military characteristics and predeployment morale, cohesion, and patriotism/nationalism. The results suggest the need to broaden our understanding of the factors that may assist and motivate soldiers during demanding peacekeeping operations and the factors that may mitigate the impact of stressful demands and associated mission‐related strain.     

心理韧性及其神经机制：来自非人类动物模型的证据

心理韧性是指个体对不幸、逆境或挫折等压力情形的有效适应。以非人类动物为模型的心理韧性研究一般改称心理韧性为“抗逆力”, 本文也将沿用“抗逆力”来区分不同物种的韧性研究。近年来采用非人类动物模型对抗逆力神经机制的探索取得了重要进展, 内侧前额叶、海马、奖赏环路等脑区及其投射均参与调控抗逆力的表现, 操控其神经环路的影响与所面对的压力形式有关, 并且高抗动物拥有特异性适应机制。鉴于人类研究的伦理及实验手段等原因, 抗逆力的研究将为人类的韧性研究提供重要参考。     

Resilience and hypothalamic-pituitary-adrenal axis reactivity under acute stress in young men

The present study examined the relationship between resilience (measured using the Resilience Scale for Adults) and hypothalamic-pituitary-adrenal (HPA) axis reactivity. We examined the subjective and cortisol responses of 28 healthy young men to an acute stressor (public speech task). Eight saliva samples were collected in order to obtain the response curve (anticipation, reactivity, recuperation) for each subject. ANOVA indicated that highly resilient individuals tended to display less mood deterioration than less resilient individuals (marginal p(time x group interaction) = 0.075). They also revealed that the former tended to secrete less cortisol overall than the latter during the experiment (marginal p(main group effect) = 0.087) but this effect was not uniform across time (p(time x group interaction) = 0.029). Additional analyses performed to identify the source of this interaction revealed that resilience moderates cortisol secretion in anticipation of the stressor (i.e. highly resilient individuals secreted less cortisol than less resilient ones, p = 0.05) but that it is not conductive to lower HPA reactivity amidst stress (i.e. there was no difference between groups in the increase in cortisol secretion from baseline to peak). The recovery slopes were likewise not statistically different. The implications of these findings regarding health are discussed.     

Sharing Positive Experiences Boosts Resilient Thinking: Everyday Benefits of Social Connection and Positive Emotion in a Community Sample

The influence of shared enjoyment and positive affect (PA) on resilient thinking was examined in 191 middle‐aged adults (40–65 years), participating in a study of resilience. Participants completed diaries assessing positive events, shared enjoyment, PA, and resilient cognitions (RC). Multilevel structural equation modeling was utilized to examine when and who engages in RC. Participants reported more RC on days they experienced more positive experiences. This relationship was explained by shared enjoyment and PA. Level‐1 proportional reduction of variance (PRV) for shared enjoyment, PA, and RC was 9%, 10%, and 35%, respectively. Individuals reporting more positive experiences trended toward a more resilient mindset; PA accounted for this relationship. Shared enjoyment mediated the relationship between interpersonal events and PA. These findings suggest PA is integral to having a resilient mindset, and shared enjoyment is a potential mechanism that may influence PA. Level‐2 PRV for shared enjoyment, PA, and RC was 22%, 21%, and 55%, respectively. RC were associated with less depression and anxiety; and greater well‐being, vitality, and physical functioning at follow‐up.     

Stressors,Personal Resources,and Social Supports in Military Performance During Wartime

Self-report measures of combat stressors, stress reactions, personal resources, and social supports were obtained from 48 Israeli combat veterans, each from a different military unit. These retrospective reports referred to military service in Lebanon during two time periods: (a) the initial invasion, characterized by high levels of combat stressors and high levels of endorsement of the official goals of the war; and (b) the subsequent holding operation, characterized by low levels of both. As predicted, soldiers reported a decline from the first period to the second in intensity of combat stressors, endorsement of goals, and frequency of stress reactions. There were also declines in military unit morale and primary loyalty to the unit, but unit cohesiveness, motivation to serve, and military performance remained unchanged. Regression analyses showed that military performance was strongly associated with unit cohesiveness, primary loyalty to one's unit, and motivation to serve, and was unrelated to intensity of combat-related stressors.     

"Panic": the impact of Le Bon's crowd psychology on U.S. military thought

The controversial crowd psychology of Gustave Le Bon has been both praised as an incisive contribution to social theory and also condemned as a doctrine of irrationality and mass manipulation associated with fascism. New archival documentation now demonstrates that Le Bon exercised significant influence on U.S. military thinking and practice through World War II. Army writings and officer training on morale, leadership, and battlefield psychology rested substantially on his theory of crowds, particularly regarding races and panic. Le Bon's racial psychology took on additional importance when the African-American 92 nd Infantry Division panicked during combat in Italy. This new evidence offers an excellent case study of the direct and enduring impact of a peculiar type of social psychology on the institutional culture of the army from the classrooms at the Army War College to the battlefield itself.     

A Theory of Risk and Resilience Factors in Military Families

This article discusses risk and resilience factors that may affect military families, with a focus on frequent relocation, deployment, exposure to combat and PTSD, and postdeployment reunion as possible risk factors influencing child psychosocial and academic outcome. Research findings are presented as supporting a theoretical pathway that suggests that the effects of military life on child outcome may follow an indirect pathway involving parental stress and psychopathology, rather than military life directly affecting children of military parents. The proposed pathway also serves to highlight the need for further research on understudied resilience factors and provides suggestions for interventions that may benefit military families.     

Comprehensive soldier fitness: building resilience in a challenging institutional context

The Comprehensive Soldier Fitness (CSF) program is designed to increase psychological strength and positive performance and to reduce the incidence of maladaptive responses of the entire U.S. Army. Based on the principles of positive psychology, CSF is a historically unique approach to behavioral health in a large (1.1 million members) organization. There are four program elements: (a) the assessment of emotional, social, family, and spiritual fitness; (b) individualized learning modules to improve fitness in these domains; (c) formal resilience training; and (d) training of Army master resilience trainers (MRTs) to instill better thinking skills and resilience in their subordinates. In contrast to traditional approaches, CSF is proactive; rather than waiting to see who has a negative outcome following stress, it provides ways of improving resilience for all members of the Army. CSF aims to move the full spectrum of responses to trauma and adversity-ranging from stress-related disorders to ordinary resilience-toward personal growth. This program may provide a model for implementing similar interventions in other very large institutions.     

Positive Emotions in Traumatic Conditions: Mediation of Appraisal and Mood for Military Personnel

The current study examines the relative contributions of cognitions and moods with U.S. military personnel under traumatic stress conditions. Soldiers exposed to traumatic stress conditions reported significantly elevated psychological symptoms. Both cognitive appraisal styles and mood states were related to trait resilience. Both appraisal and mood mediated the relationship between trait resilience and psychological adjustment. Current mood states were a significant predictor of psychological adjustment beyond the trait of resilience and aspects of cognitive appraisal. Positive affect did relate to better psychological adjustment even under traumatic stress conditions.     

Virtual reality goes to war: a brief review of the future of military behavioral healthcare

Numerous reports indicate that the incidence of posttraumatic stress disorder (PTSD) in returning OEF/OIF military personnel is creating a significant healthcare challenge. These findings have served to motivate research on how to better develop and disseminate evidence-based treatments for PTSD. Virtual Reality delivered exposure therapy for PTSD has been previously used with reports of positive outcomes. This article details how virtual reality applications are being designed and implemented across various points in the military deployment cycle to prevent, identify and treat combat-related PTSD in OIF/OEF Service Members and Veterans. The summarized projects in these areas have been developed at the University of Southern California Institute for Creative Technologies, a U.S. Army University Affiliated Research Center, and this paper will detail efforts to use virtual reality to deliver exposure therapy, assess PTSD and cognitive function and provide stress resilience training prior to deployment.