The Moderating Role of Resilience Factors for At-Risk US Army Soldiers-in-Training: An Expansion of a Person-Centered Approach to Adverse Childhood Experiences

被引:0
作者
Reed-Fitzke, Kayla [1 ,2 ,4 ,8 ]
Wojciak, Armeda S. [1 ,2 ,5 ]
Ferraro, Anthony J. [3 ]
Watters, Elizabeth R. [1 ,2 ,6 ]
Wilkins-Clark, Renee E. [3 ,7 ]
机构
[1] Univ Iowa, Dept Psychol, Iowa City, IA USA
[2] Univ Iowa, Quantitat Fdn, Iowa City, IA USA
[3] Kansas State Univ, Dept Appl Human Sci, Manhattan, KS USA
[4] East Carolina Univ, Dept Human Dev & Family Sci, Greenville, NC USA
[5] Univ Minnesota, Dept Family Social Sci, St Paul, MN USA
[6] Alliant Int Univ, Sch Psychol, Alhambra, CA USA
[7] Univ Colorado, Sch Educ & Human Dev, Denver, CO USA
[8] East Carolina Univ, Dept Human Dev & Family Sci, 112 Rivers West Bldg, Greenville, NC 27858 USA
关键词
adverse childhood experiences; military; mental health; resilience; trauma; POSTTRAUMATIC-STRESS-DISORDER; MENTAL-HEALTH; MILITARY SERVICE; LIFE EVENTS; ABUSE; CARE; ASSOCIATIONS; DEPRESSION; TOLERANCE; CHECKLIST;
D O I
10.1037/trm0000499
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Adverse childhood experiences (ACEs) are a widespread problem within the United States, with disproportionally high rates among military personnel. However, both intra- and interpersonal resilience factors may help to protect individuals against the negative consequences of adversity on mental health. Data from the Army Study to Assess Risk and Resilience were used to examine how resilience factors (i.e., stress tolerance, positive orientation, and social resources) moderated the connections between unique compilations of ACEs and mental health (i.e., anxiety, depression, and posttraumatic stress disorder [PTSD]) among soldiers-in-training between the ages of 18 and 25 (n = 30,836). Using five subgroups previously identified by their ACEs history (i.e., low adversity, moderate emotional adversity, elevated emotional adversity, moderate structural adversity, and high cumulative adversity groups), a series of three-step hierarchical linear regressions were conducted. Several interaction effects were found. The buffering effect of stress tolerance against anxiety, depression, and PTSD was stronger for those in several adversity groups compared to those with low adversity. In contrast, social resources had an amplifying effect on PTSD for those with elevated emotional adversity. Positive orientation did not moderate the connections between ACEs groups and mental health.
引用
收藏
页数:13
相关论文
共 59 条
  • [1] The enduring effects of abuse and related adverse experiences in childhood - A convergence of evidence from neurobiology and epidemiology
    Anda, RF
    Felitti, VJ
    Bremner, JD
    Walker, JD
    Whitfield, C
    Perry, BD
    Dube, SR
    Giles, WH
    [J]. EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, 2006, 256 (03) : 174 - 186
  • [2] Adverse childhood experiences and smoking during adolescence and adulthood
    Anda, RF
    Croft, JB
    Felitti, VJ
    Nordenberg, D
    Giles, WH
    Williamson, DF
    Giovino, GA
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (17): : 1652 - 1658
  • [3] [Anonymous], 2018, 2018 Demographics: Profile of the military community
  • [4] Exploring the Prevalence of Adverse Childhood Experiences in Soldiers Seeking Behavioral Health Care During a Combat Deployment
    Applewhite, Larry
    Arincorayan, Derrick
    Adams, Barry
    [J]. MILITARY MEDICINE, 2016, 181 (10) : 1275 - 1280
  • [5] A mercenary army of the poor? Technological change and the demographic composition of the post-9/11 US military
    Asoni, Andrea
    Gilli, Andrea
    Gilli, Mauro
    Sanandaji, Tino
    [J]. JOURNAL OF STRATEGIC STUDIES, 2022, 45 (04) : 568 - 614
  • [6] Psychological hardiness predicts success in US Army Special Forces candidates
    Bartone, Paul T.
    Roland, Robert R.
    Picano, James J.
    Williams, Thomas.
    [J]. INTERNATIONAL JOURNAL OF SELECTION AND ASSESSMENT, 2008, 16 (01) : 78 - 81
  • [7] Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat
    Bliese, Paul D.
    Wright, Kathleen M.
    Adler, Amy B.
    Cabrera, Oscar
    Castro, Carl A.
    Hoge, Charles W.
    [J]. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2008, 76 (02) : 272 - 281
  • [8] Disparities in Adverse Childhood Experiences Among Individuals With a History of Military Service
    Blosnich, John R.
    Dichter, Melissa E.
    Cerulli, Catherine
    Batten, Sonja V.
    Bossarte, Robert M.
    [J]. JAMA PSYCHIATRY, 2014, 71 (09) : 1041 - 1048
  • [9] Circumventing Mental Health Stigma by Embracing the Warrior Culture: Lessons Learned From the Defender's Edge Program
    Bryan, Craig J.
    Morrow, Chad E.
    [J]. PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE, 2011, 42 (01) : 16 - 23
  • [10] Associations Between Adverse Childhood Experiences, High-Risk Behaviors, and Morbidity in Adulthood
    Campbell, Jennifer A.
    Walker, Rebekah J.
    Egede, Leonard E.
    [J]. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2016, 50 (03) : 344 - 352