Military Culture Considerations in Prolonged Exposure Therapy With Active-Duty Military Service Members

Hall-Clark, Brittany N.; Wright, Edward C.; Fina, Brooke A; Blount, Tabatha H.; Evans, Wyatt R.; Carreño, Patricia K.; Peterson, Alan L.; Foa, Edna B.

doi:10.1016/j.cbpra.2018.07.009

Cited by 12 publications

(15 citation statements)

References 28 publications

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“…Alternatively, attribution frameworks imply that a cognitive bias may be operating whereby people with depressive symptoms blame their partner rather than themselves for problems (e.g., Gordon et al, 2005). An explanation grounded in military culture is that service members may be more accustomed to resolving conflict situations by giving and receiving orders than by coping with a partner's destructive conflict management strategies (e.g., Atuel & Castro, 2018; Hall‐Clark et al, 2019). We encourage scholars to probe these possibilities in future research.…”

Section: Discussionmentioning

confidence: 99%

Communication Mediators of the Link Between Depressive Symptoms and Relationship Satisfaction Among Army Soldiers

Knobloch

Basinger

2020

Family Relations

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Objective We evaluated two fundamental communication processes, self‐disclosure and destructive conflict management strategies, as mediators of the link between depressive symptoms and relationship satisfaction among married U.S. soldiers. Background Identifying the communication behaviors underlying why people with depressive symptoms are less satisfied with their romantic relationship is a high priority for research, and pinpointing relevant mediators is especially important among military personnel who face particular job stressors and relationship challenges. Methods We analyzed cross‐sectional self‐report data from a representative sample of 4,196 married U.S. soldiers who participated in the all‐Army component of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). Results Mediation was apparent such that people's depressive symptoms had indirect associations with their relationship satisfaction through both their self‐disclosure and their reports of their partner's destructive conflict management strategies. In contrast, mediation was not evident for their reports of their own destructive conflict management strategies. Conclusion Less self‐disclosure and more destructive conflict management strategies by a partner may be reasons why soldiers experiencing depressive symptoms are less satisfied with their romantic relationship. Implications Communication skills training for self‐disclosure and conflict management may help break the link between depressive symptoms and relationship dissatisfaction.

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Section: Discussionmentioning

confidence: 99%

Communication Mediators of the Link Between Depressive Symptoms and Relationship Satisfaction Among Army Soldiers

Knobloch

Basinger

2020

Family Relations

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“…Individuals who reported increased concerns about deployment impact on family and life were more likely to embark on a symptomatic trajectory as compared to a resilient trajectory. Unfortunately, each of these factors was examined infrequently, despite the importance of acculturation and cultural factors in conceptualizing psychopathology in treating veterans and service members (Hall-Clark et al, 2019; Tkachuck et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…This process-based model integrating biological, psychological, and environmental factors may also be beneficial for some of the difficulties service members and veterans face that could be neglected when receiving manualized treatments (i.e., that were also not borne out in the current review except in a small number of studies), such as aspects of military culture, moral obligations (see Hall-Clark et al, 2019), and stigma (Coll et al, 2011). Focusing on “what core biopsychosocial processes should be targeted with this client given this goal in this situation, and how can they most efficiently and effectively be changed?” (Hofmann & Hayes, 2019, p. 38) is a reasonable next step to improving existing treatments for veterans and service members, and the current review offers an understanding of some of the processes and factors that are involved in the psychological functioning of veterans and service members.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of posttraumatic stress and resilience trajectories: Identifying predictors for future treatment of veterans and service members.

Pavlacic¹,

Buchanan²,

McCaslin³

et al. 2022

Professional Psychology: Research and Practice

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Posttraumatic stress disorder (PTSD) often presents with comorbidities and can result in functional impairment. Veterans and service members report PTSD at higher rates than civilians, which represents a public health concern among those who have served or are serving in the military. Prior reviews of evidence-based treatments for PTSD demonstrate smaller effect sizes for veterans and service members than for civilians. One line of investigation that may contribute to our understanding in this area is developmental trajectory research. Understanding predictors of different symptomatic trajectories compared to resilient trajectories and vice versa may help clinicians better tailor evidence-based conceptualizations, treatments, and change agents to the individual, facilitate prevention efforts, and embark on a process-based, flexible, cognitive-behavioral approach that is patient-centered. The current systematic review examined predictors of both resilient (i.e., compared to heterogeneous symptomatic trajectories) and variable symptomatic trajectories (i.e., compared to resilient and/ or other symptomatic trajectories) in veterans and service members. Twenty-seven studies met inclusion criteria. Across all included studies reporting percentages of resilience trajectories (i.e., including some studies that used the same data sets and/or samples), 73.4% reported a resilience trajectory, while the remaining 26.6% encompassed heterogeneous symptomatic trajectories on average. Predictors are presented and discussed, in

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“…For civilian providers delivering psychological services to veterans, understanding military culture is essential to facilitate the highest level of psychological care (Hall-Clark et al, 2019; Kuehner, 2013; McCaslin et al, 2020). There is a new and growing consensus that many of the cultural values learned and enacted by veterans during military service impact whether they seek treatment after serving, which could lead to heightened long-term psychological distress if treatment is not sought when psychological problems arise (Hall, 2011).…”

Section: Acculturationmentioning

confidence: 99%

Validating military culture: The factor analysis of a military-related adaptation of acculturation in veterans.

Tkachuck¹,

Pavlacic²,

Raley³

et al. 2022

Psychological Services

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Military Culture Considerations in Prolonged Exposure Therapy With Active-Duty Military Service Members

Cited by 12 publications

References 28 publications

Communication Mediators of the Link Between Depressive Symptoms and Relationship Satisfaction Among Army Soldiers

Communication Mediators of the Link Between Depressive Symptoms and Relationship Satisfaction Among Army Soldiers

A systematic review of posttraumatic stress and resilience trajectories: Identifying predictors for future treatment of veterans and service members.

Validating military culture: The factor analysis of a military-related adaptation of acculturation in veterans.

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