Military Stress, Stress Coping, and Mental Health Status among Soldiers who Need Intensive Care

Kim, Hyunlye; Keum, Ran; Kim, Sunah; Park, Su In; Park, Jin Young

doi:10.12934/jkpmhn.2013.22.4.285

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…It is no exaggeration to say that military duty is one of the most predominant influence on the life of Korean men in their 20s. Challenging environments with limited autonomy and the separation from previous social support systems can lead to various problems with adaptation [ 1 - 3 ]. As the grievances and social impact of men in relation to the military service are high, it is important to understand the psychological characteristics and mental health of young people who are expected to have difficulty in adapting to the military service, and provide directions for intervention.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, a systematic evaluation and multifaceted understanding of mental health of young men prior to their military enlistment is essential. Previous studies, however, focus primarily on soldiers in the military service, in trying to preventing extreme behaviors such as suicide, gunshot accidents, and desertion from the army [ 1 , 3 , 10 - 14 ]. However, there is little research on mental health and psychological features of young men prior to their enrolment in military service, and psychiatric evaluation for them tends to be used only as a tool for screening, rather than understanding and improving their individual lives.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Psychological Characteristics of Young Men with Military Adaptation Issues Referred for a Psychiatric Evaluation in South Korea: Latent Profile Analysis of Minnesota Multiphasic Personality Inventory-2 and Temperament and Character Inventory

Lim

Park

Eun-Bin

et al. 2021

Psychiatry Investig

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Objective To investigate clinical and psychological characteristics of young men referred for a psychiatric evaluation due to expected unsuitability for military service and identify their heterogeneous subgroups based on the profiles of MMPI-2 and TCI.Methods We conducted a latent profile analysis of 348 men using MMPI-2 and TCI and then a comparative analysis of four latent classes in relation to sociodemographic, clinical, and IQ variables.Results We identified four classes with distinct clinical and psychological features: Class 1 (nonclinical: n=68), Class 2 (internalized: n=129), Class 3 (externalized: n=60), Class 4 (confused: n=91). Class 1 showed no significant psychiatric symptoms and relatively adaptive temperament and characteristics. Class 2 showed relatively higher harm avoidance and introverted traits indicating vulnerability to internalizing disorder. Class 3 was related to higher novelty seeking, impulsivity, and bipolarity. Class 4 showed the most severe clinical symptoms including psychotic experiences with extremely unstable temperament and immature personality. In total, 50–70% participants reported clinically significant depression, anxiety, and suicidal idea. Participants showed lower processing speed index (M=85.9, SD=16.6) than the general population.Conclusion The results suggest that clinical conceptualization and therapeutic intervention considering distinctive features of young men with adaptive problems related to military service are needed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical and Psychological Characteristics of Young Men with Military Adaptation Issues Referred for a Psychiatric Evaluation in South Korea: Latent Profile Analysis of Minnesota Multiphasic Personality Inventory-2 and Temperament and Character Inventory

Lim

Park

Eun-Bin

et al. 2021

Psychiatry Investig

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show abstract

“…Other studies have demonstrated potential predictors of suicidal ideation such as depressive symptoms, a low prospect for the future, work-related stress, and low status of general mental health. 21 Lee et al 22 reported a significant association of depressive symptoms and stress in military soldiers who have a history of suicide-related behavior. However, those studies have been conducted with small scale surveys that involved a single or number of military bases only.…”

Section: Introductionmentioning

confidence: 99%

How Is the Suicide Ideation in the Korean Armed Forces Affected by Mental Illness, Traumatic Events, and Social Support?

et al. 2021

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Background Suicide is one of the leading causes of death in the military as in the general population. To mitigate such a serious public health problem, identifying the risk or protective factors of suicide behaviors is crucial. Methods We analyzed the representative data of the 2014 Korean Armed Forces to explore the relationship between past year adverse events (PAE), accumulated lifetime trauma (ALT), mental illness vulnerability, perceived social support, and suicidal ideation in the previous year. Results Among the 6,377 subjects, 3.7% of males and 6.2% of females reported suicidal ideation in the previous year. Multivariate analytic models identified significant associations of PAE and ALT with suicidal ideation with a dose-response pattern. The mental illness vulnerability showed the most significant association with suicidal ideation even after controlling PAE or ALT. We found that perceived social support may be potentially linked with a reduced risk of suicidal ideation. Conclusion This Korean military representative data demonstrates mental illness vulnerability; PAE; and lifetime trauma as significant risk factors of suicidal ideation, while perceived social support was found as a potential protective factor. Given the importance of the prevention of suicide in the military, those risk and protective factors may be used to screen soldiers at risk of suicide and provide further support on mental health services as needed.

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Development and Evaluation of the Life Respect Enhancement Program for Nursing Officers

Hwang

Choi

2020

J Korean Acad Nurs

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The present study was conducted to develop the Life Respect Enhancement Program and test its effectiveness on suicide knowledge, suicide intervention skills, self-efficacy in suicide prevention, and gatekeeper behaviors among nursing officers. Methods: The program was developed according to the ADDIE model and finalized after practical need analysis, expert verification, and a preliminary study. The present study used a concurrent embedded mixed-method research design. To compare the effects of the Program and the control group on the outcome variables, a quantitative study was conducted using a nonequivalent control group with a pretest-posttest design. Quantitative data were analyzed using c 2 -tests, t-tests, and RM-ANOVA. A qualitative study was conducted using FGI with six members of the experimental group 3 months after intervention completion. Results: In total, 56 nursing officers participated in the 3-month follow-up test. Compared to the control group, the experimental group showed significant improvements in suicide knowledge, suicide intervention skills, and self-efficacy in suicide prevention scores at post-test. The significant group differences in suicide knowledge and suicide intervention skills were maintained at 3 months. The gatekeeper behavior scores of the experimental group were also significantly higher than those of the control group at 3 months. Qualitative analysis of the participants' experiences with the Program yielded two themes and seven sub-themes. Conclusion: The newly developed Life Respect Enhancement Program demonstrates significant effects on suicide knowledge, suicide intervention skills, and gatekeeper behaviors. Thus, this program is recommended to promote suicide prevention competencies among nursing officers in military clinical settings.

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Military Stress, Stress Coping, and Mental Health Status among Soldiers who Need Intensive Care

Cited by 3 publications

References 11 publications

Clinical and Psychological Characteristics of Young Men with Military Adaptation Issues Referred for a Psychiatric Evaluation in South Korea: Latent Profile Analysis of Minnesota Multiphasic Personality Inventory-2 and Temperament and Character Inventory

Clinical and Psychological Characteristics of Young Men with Military Adaptation Issues Referred for a Psychiatric Evaluation in South Korea: Latent Profile Analysis of Minnesota Multiphasic Personality Inventory-2 and Temperament and Character Inventory

How Is the Suicide Ideation in the Korean Armed Forces Affected by Mental Illness, Traumatic Events, and Social Support?

Development and Evaluation of the Life Respect Enhancement Program for Nursing Officers

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