Military Psychology at US Military Service Academies

2017 ◽  
pp. 375-381
Author(s):  
Michael D. Matthews ◽  
W. Brad Johnson
2018 ◽  
Vol 30 (3) ◽  
pp. 206-218 ◽  
Author(s):  
Judith E. Rosenstein ◽  
Karin De Angelis ◽  
Dave R. McCone ◽  
Marjorie H. Carroll

2020 ◽  
Vol 55 (7) ◽  
pp. 658-665 ◽  
Author(s):  
Kathryn L. Van Pelt ◽  
C. Dain Allred ◽  
Rachel Brodeur ◽  
Kenneth L. Cameron ◽  
Darren E. Campbell ◽  
...  

Context Assessments of the duration of concussion recovery have primarily been limited to sport-related concussions and male contact sports. Furthermore, whereas durations of symptoms and return-to-activity (RTA) protocols encompass total recovery, the trajectory of each duration has not been examined separately. Objective To identify individual (eg, demographics, medical history), initial concussion injury (eg, symptoms), and external (eg, site) factors associated with symptom duration and RTA-protocol duration after concussion. Design Cohort study. Setting Three US military service academies. Patients or Other Participants A total of 10 604 cadets at participating US military service academies enrolled in the study and completed a baseline evaluation and up to 5 postinjury evaluations. A total of 726 cadets (451 men, 275 women) sustained concussions during the study period. Main Outcome Measure(s) Number of days from injury (1) until the participant became asymptomatic and (2) to complete the RTA protocol. Results Varsity athlete cadets took less time than nonvarsity cadets to become asymptomatic (hazard ratio [HR] = 1.75, 95% confidence interval = 1.38, 2.23). Cadets who reported less symptom severity on the Sport Concussion Assessment Tool, third edition (SCAT3), within 48 hours of concussion had 1.45 to 3.77 times shorter symptom-recovery durations than those with more symptom severity. Similar to symptom duration, varsity status was associated with a shorter RTA-protocol duration (HR = 1.74, 95% confidence interval = 1.34, 2.25), and less symptom severity on the SCAT3 was associated with a shorter RTA-protocol duration (HR range = 1.31 to 1.47). The academy that the cadet attended was associated with the RTA-protocol duration (P < .05). Conclusions The initial total number of symptoms reported and varsity athlete status were strongly associated with symptom and RTA-protocol durations. These findings suggested that external (varsity status and academy) and injury (symptom burden) factors influenced the time until RTA.


2018 ◽  
Vol 49 (13) ◽  
pp. 2237-2246 ◽  
Author(s):  
Melanie A. Hom ◽  
Mary E. Duffy ◽  
Megan L. Rogers ◽  
Jetta E. Hanson ◽  
Peter M. Gutierrez ◽  
...  

AbstractBackgroundResearch is needed to identify the factors that explain the link between prior and future suicidality. This study evaluated possible mediators of the relationship between: (1) the severity of prior suicidality and (2) suicidal ideation severity at 3-month follow-up among a sample of high-risk military personnel.MethodsUS military service members referred to or seeking care for suicide risk (N = 624) completed self-report psychiatric domain measures and a clinician interview assessing prior suicidality severity at baseline. Three months later, participants completed a self-report measure of suicidal ideation severity. Three separate percentile bootstrap mediation models were used to examine psychiatric factors (i.e. alcohol abuse, anxiety sensitivity, hopelessness, insomnia, posttraumatic stress symptoms, suicidal ideation, and thwarted belongingness) as parallel mediators of the relationship between prior suicidality severity (specifically, suicidal ideation, suicide attempt, and overall suicidality – i.e. ideation/attempt severity combined) at baseline and suicidal ideation severity at follow-up.ResultsHopelessness, specifically, and the total effect of all mediators, each significantly accounted for the relationship between prior suicidality severity and subsequent ideation severity across models. In the models with attempt severity and overall suicidality severity as predictors, thwarted belongingness was also a significant mediator.ConclusionsHopelessness, thwarted belongingness, and overall severity of psychiatric indices may explain the relationship between prior suicidality severity and future suicidal ideation severity among service members at elevated suicide risk. Research is needed to replicate these findings and examine other possible mediators.


2018 ◽  
Vol 34 (2) ◽  
pp. 236-242 ◽  
Author(s):  
Lisa H Lu ◽  
Doug B Cooper ◽  
Matthew W Reid ◽  
Bilal Khokhar ◽  
Jennifer E Tsagaratos ◽  
...  

2019 ◽  
Vol 50 (3) ◽  
pp. 438-445 ◽  
Author(s):  
Stephen J. Cozza ◽  
M. Katherine Shear ◽  
Charles F. Reynolds ◽  
Joscelyn E. Fisher ◽  
Jing Zhou ◽  
...  

AbstractBackgroundDistinguishing a disorder of persistent and impairing grief from normative grief allows clinicians to identify this often undetected and disabling condition. As four diagnostic criteria sets for a grief disorder have been proposed, their similarities and differences need to be elucidated.MethodsParticipants were family members bereaved by US military service death (N= 1732). We conducted analyses to assess the accuracy of each criteria set in identifying threshold cases (participants who endorsed baseline Inventory of Complicated Grief ⩾30 and Work and Social Adjustment Scale ⩾20) and excluding those below this threshold. We also calculated agreement among criteria sets by varying numbers of required associated symptoms.ResultsAll four criteria sets accurately excluded participants below our identified clinical threshold (i.e. correctly excluding 86–96% of those subthreshold), but they varied in identification of threshold cases (i.e. correctly identifying 47–82%). When the number of associated symptoms was held constant, criteria sets performed similarly. Accurate case identification was optimized when one or two associated symptoms were required. When employing optimized symptom numbers, pairwise agreements among criteria became correspondingly ‘very good’ (κ= 0.86–0.96).ConclusionsThe four proposed criteria sets describe a similar condition of persistent and impairing grief, but differ primarily in criteria restrictiveness. Diagnostic guidance for prolonged grief disorder in International Classification of Diseases, 11th Edition (ICD-11) functions well, whereas the criteria put forth in Section III of Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) are unnecessarily restrictive.


2011 ◽  
Vol 17 (4) ◽  
pp. 718-721 ◽  
Author(s):  
Gregory E. Young ◽  
Christina M. Hidalgo ◽  
Ann Sullivan-Frohm ◽  
Cynthia Schulte ◽  
Stephen Davis ◽  
...  

2020 ◽  
Author(s):  
Rayna K. Matsuno ◽  
Ben Porter ◽  
Steven Warner ◽  
Deborah B. Bookwalter ◽  
Natalie Wells

2020 ◽  
Vol 54 (22) ◽  
pp. 1314-1320 ◽  
Author(s):  
Emily Kroshus ◽  
Kenneth L Cameron ◽  
J Douglas Coatsworth ◽  
Christopher D'Lauro ◽  
Eungjae Kim ◽  
...  

Early disclosure of possible concussive symptoms has the potential to improve concussion-related clinical outcomes. The objective of the present consensus process was to provide useful and feasible recommendations for collegiate athletic departments and military service academy leaders about how to increase concussion symptom disclosure in their setting. Consensus was obtained using a modified Delphi process. Participants in the consensus process were grant awardees from the National Collegiate Athletic Association and Department of Defense Mind Matters Research & Education Grand Challenge and a multidisciplinary group of stakeholders from collegiate athletics and military service academies. The process included a combination of in-person meetings and anonymous online voting on iteratively modified recommendations for approaches to improve concussion symptom disclosure. Recommendations were rated in terms of their utility and feasibility in collegiate athletic and military service academy settings with a priori thresholds for retaining, discarding and revising statements. A total of 17 recommendations met thresholds for utility and feasibility and are grouped for discussion in five domains: (1) content of concussion education for athletes and military service academy cadets, (2) dissemination and implementation of concussion education for athletes and military service academy cadets, (3) other stakeholder concussion education, (4) team and unit-level processes and (5) organisational processes. Collectively, these recommendations provide a path forward for athletics departments and military service academies in terms of the behavioural health supports and institutional processes that are needed to increase early and honest disclosure of concussion symptoms and ultimately to improve clinical care outcomes.


2019 ◽  
Vol 75 (7) ◽  
pp. 1332-1349 ◽  
Author(s):  
Melanie A. Hom ◽  
Ian H. Stanley ◽  
Mary E. Duffy ◽  
Megan L. Rogers ◽  
Jetta E. Hanson ◽  
...  

2011 ◽  
Vol 38 (3) ◽  
pp. 391-412 ◽  
Author(s):  
James S. Krueger ◽  
Francisco I. Pedraza

Public opinion studies on war attitudes say little about civilians who are related to military service members. The authors argue that military “service-connected” individuals are missing voices in the research that examines public support for war. Using over 50,000 observations from the 2010 Cooperative Congressional Election Study, the authors estimate attitudes toward the war in Iraq, the war in Afghanistan, and the use of US military troops in general. The authors find that service-connected civilians express greater support for war and the use of troops than civilians without such a connection. This study discusses the implications of these findings for theoretical advancements in the literature addressing war attitudes and the conceptualization of the “civil–military gap.”


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