The Psychological Readiness Model of Military Personnel to Take Risks during a Combat Deployment

The purpose of this article is to present an empirically-derived psychological readiness model of military personnel to take risks during combat deployment. The model was developed using the methods of semantic differential, peer review, and factor analysis. Its theoretical basis is the concept of “hardiness”. The study involved 104 military personnel of the National Guard of Ukraine had combat experience in the War in Eastern Ukraine. The model includes four components: “Ability for volitional efforts (mobilization)”, “Military brotherhood”, “Professional identity”, “Self-control (endurance)”. Their content covers the emotional-volitional, cognitive, motivational, moral, active-practical, existential-being, and interpersonal-social spheres of the individual. The leading role in the model belongs to strong-willed features, combat cohesion, patriotism, and adaptive resources of the individual, which make it possible to maintain the effectiveness of military personnel’s combat activities under conditions of risk. The basis of the psychological readiness of military personnel to actively act and overcome difficulties in conditions of risk (uncertainty, direct threat to health and life) with the absence of reliable guarantees for success is hardiness. It is suggested that the model can be used for psychological selection procedures, professional and psychological training of military personnel, predicting their behavior under conditions of risk, and developing strategies for psychological support in the post-deployment period. This will reduce psychogenic losses during hostilities.

Psychological distress across the deployment cycle: exploratory growth mixture model

Background Prior research has identified behavioural health outcomes as key sequelae to combat deployment. However, relatively little is known about differential patterns of change in depression or generalised anxiety linked to deployment to a combat zone. In this paper, we add to the existing trajectory literature and examine key predictive factors of behavioural health risk. Aims The primary aim is to leverage growth mixture modelling to ascertain trajectories of psychological distress, operationalised as a coherent construct combining depression and generalised anxiety, and to identify factors that differentiate adaptive and maladaptive patterns of change. Method Data were collected from a brigade combat team prior to a combat deployment to Afghanistan, during deployment, at immediate re-integration and approximately 2–3 months thereafter. The main outcome was measured using the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS). Results Three latent trajectories were identified: a low–stable trajectory, a declining trajectory and a rising trajectory. Most individuals aligned with the low–stable trajectory. A conditional model using covariates measured during deployment showed that the low–stable trajectory differed consistently from the remaining trajectories on self-reported loneliness and non-combat deployment stressors. Conclusions The examination of differential patterns of adaptation, to identify individuals at higher risk, is critical for the efficient targeting of resources. Our findings further indicate that loneliness may be a useful leverage point for clinical and organisational intervention.

Prevalence of Tinnitus and Association with Self-Rated Health among Military Personnel Injured on Combat Deployment

Introduction Tinnitus is an auditory problem frequently reported by military personnel and is currently responsible for 1 billion dollars annually in disability compensation. Recent military conflicts in Iraq and Afghanistan saw high levels of combat exposure coupled with a surge in blast weaponry, both of which can adversely affect hearing. The present study explored the prevalence of tinnitus and the association with self-rated health among military personnel injured during combat deployment. Materials and Methods A total of 1,026 U.S. military personnel who sustained an injury during operations (592 battle blast, 73 battle nonblast, 361 nonbattle) in Iraq were identified from clinical records. Post-Deployment Health Assessments administered at two separate points in time were used to identify self-reported tinnitus symptoms and self-rated health within 1 year of injury. Results Those with a battle blast injury had the highest prevalence of tinnitus with 19.1% and 31.3% on the first and second health assessments, respectively. In a multivariate model adjusting for combat exposure, concussion, posttraumatic stress disorder, and other covariates, tinnitus was associated with lower self-rated health for both the first (odds ratio [OR] = 3.31, 95% confidence interval [CI] = 2.07–5.30, P < 0.001) and second assessments (OR = 2.52, 95% CI = 1.76–3.61, P < 0.001). Conclusions Tinnitus is a common source of impairment among military personnel injured during combat deployment and is associated with poorer self-rated health. Future research should determine whether timing of assessment is linked to symptom recognition or reporting, and what interventions are best suited for ameliorating the negative impact of tinnitus.