Stethoscopes and Headscarves: Female Medical Students in Present-Day Afghanistan

Schexneider, Katherine I.

doi:10.7205/milmed-d-09-00046

Cited by 13 publications

(8 citation statements)

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“…These data may also have implications in treatment policy. Both the Department of Veterans Affairs and the Department of Defense (DoD) have current efforts underway to potentially increase resiliency among active duty soldiers (Reivich, Seligman, & McBride, 2011) and veterans (Bates et al, 2010). Increasing resilience to mitigate the negative impact of developmental trauma on depressive symptoms and suicidal ideation is relevant to further development of psychological and pharmacological interventions.…”

Section: Discussionmentioning

confidence: 99%

Exploration of the Influence of Childhood Trauma, Combat Exposure, and the Resilience Construct on Depression and Suicidal Ideation Among U.S. Iraq/Afghanistan Era Military Personnel and Veterans

Youssef

Green

Dedert

et al. 2013

Archives of Suicide Research

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OBJECTIVES This study evaluated the effect of childhood trauma exposure and the role of resilience on both depressive symptoms and suicidal ideation. METHODS 1488 military personnel and veterans, who served after September 2001, were evaluated for depressive, suicidal, and PTSD symptoms, combat exposure, childhood trauma exposure, and resiliency. Participants were enrolled as part of an ongoing multicenter study. Outcome measures were depressive symptoms and suicidal ideation. RESULTS After controlling for the effects of combat exposure and PTSD, results revealed that childhood trauma exposures were significantly associated with depressive symptoms and suicidal ideation. In addition, resilience was negatively associated with depressive symptoms and suicidal ideation, suggesting a potential protective effect. CONCLUSION These findings suggest that evaluation of childhood trauma is important in the clinical assessment and treatment of depressive symptoms and suicidal ideation among military personnel and veterans.

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Section: Discussionmentioning

confidence: 99%

Exploration of the Influence of Childhood Trauma, Combat Exposure, and the Resilience Construct on Depression and Suicidal Ideation Among U.S. Iraq/Afghanistan Era Military Personnel and Veterans

Youssef

Green

Dedert

et al. 2013

Archives of Suicide Research

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“…Mind fitness comprises various training components, including mindfulness based interventions such as the Mindfulness-based Stress-Reduction [MBSR] programs. Bates et al [2] argued that spiritual and psychological fitness are inter-related, and highlighted that mindfulness, as a specific form of spiritual practices and mind-body training, may improve attention and self-regulation.…”

Section: Introductionmentioning

confidence: 99%

Conscious Presence and Self Control as a measure of situational awareness in soldiers – A validation study

Büssing

Walach

Kohls

et al. 2013

Int J Ment Health Syst

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BackgroundThe concept of `mindfulness´ was operationalized primarily for patients with chronic stressors, while it is rarely used in reference to soldiers. We intended to validate a modified instrument on the basis of the Freiburg Mindfulness Inventory (FMI) to measure soldiers’ situational awareness (“mindfulness”) in stressful situations/missions. The instrument we will explore in this paper is termed the Conscious Presence and Self Control (CPSC) scale.MethodsThe CPSC and further instruments, i.e., Perceived Stress Scale (PSS), stressful military experiences (PCL-M), life satisfaction (BMLSS), Positive Life Construction (ePLC), and self-perceived health affections (VAS), were administered to 281 German soldiers. The soldiers were mainly exposed to explosive ordnance, military police, medical service, and patients with posttraumatic stress disorders.ResultsThe 10-item CPSC scale exhibited a one-factorial structure and showed a good internal consistence (Cronbach´s alpha = .86); there were neither ceiling nor bottom effects. The CPSC scores correlated moderately with Positive Life Construction and life satisfaction, and negatively with perceived stress and health affections. Regression analyses indicated that posttraumatic stress disorder symptoms (negative), and the development of effective strategies to deal with disturbing pictures and experiences (positive) were the best predictor of soldiers´ CPSC scores. Soldiers with health affections exhibiting impact upon their daily life had significantly lower CPSC scores than those without impairment (F=8.1; p < .0001).ConclusionsAs core conceptualizations of `mindfulness´ are not necessarily discussed in a military context, the FMI was adopted for military personnel populations, while its two factorial structure with the sub-constructs `acceptance´ and `presence´ was retained. The resulting 10-item CPSC scale had good internal consistence, sound associations with measures of health affections and life satisfaction, and thus can be used as a short and rapid measure in pre-post mission and interventional studies.

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“…Moreover, numerous challenges had a crippling effect on the Afghan healthcare system. For instance, in addition to the health workforce challenges, the current national data inform us of a shortage of proper planning and policy development at the country level [4,5]. The Afghans have acknowledged that the need for an evidence-based perspective is paramount to enhancing medical training capacities across the country.…”

Section: Introductionmentioning

confidence: 99%

Afghan medical students’ perceptions, and experiences of their medical education and their professional intentions: a cross-sectional study

Stanikzai,

Wafa,

Akbari

et al. 2023

BMC Med Educ

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Background Numerous challenges have crippled the Afghan healthcare system on individual, organizational, and societal levels. The Afghans have acknowledged that an evidence-based perspective is paramount to enhancing medical training capacities across the country, which may, in turn, best ensure appointing highly competent authorities to address health system problems on such multiple levels. Objectives This study assessed current Afghan senior medical students’ perceptions, and experiences of their medical education and their future professional intentions. Methods We conducted this cross-sectional study at seven public and private Afghan medical institutes from March to April 2022. We invited 665 senior medical students through an anonymous survey using the Google survey online forms via social-media platforms, such as WhatsApp Messenger. Descriptive statistics were employed for the data analyses. Results The mean age (± SD) of the students was 23.7 (± 2.2) years and males constituted 79.9% (510) of the study sample. About 22.6% of them rated their medical training as excellent, and nearly a third of them (37%) said that it is good. Nearly half (48.7%) of the students would prefer to stay in Afghanistan. The leading motives for moving overseas were to obtain more advanced and quality education (69.9%), and a decent personal life (43.9%). Nearly two-thirds (67.4%) of them asserted that current political and armed conflicts in Afghanistan may have influenced their professional choices. Conclusion This study epitomizes that the quality of medical education in Afghanistan has room for growth and development to meet the standards set on regional and global grounds.

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Stethoscopes and Headscarves: Female Medical Students in Present-Day Afghanistan

Abstract: Although women are now attending medical school and practicing medicine again, their integration into Afghan culture as physicians remains at the developmental stage.

Cited by 13 publications

References 0 publications

Exploration of the Influence of Childhood Trauma, Combat Exposure, and the Resilience Construct on Depression and Suicidal Ideation Among U.S. Iraq/Afghanistan Era Military Personnel and Veterans

Exploration of the Influence of Childhood Trauma, Combat Exposure, and the Resilience Construct on Depression and Suicidal Ideation Among U.S. Iraq/Afghanistan Era Military Personnel and Veterans

Conscious Presence and Self Control as a measure of situational awareness in soldiers – A validation study

Afghan medical students’ perceptions, and experiences of their medical education and their professional intentions: a cross-sectional study

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