The Coping Self-Efficacy Scale: Psychometric properties in an outpatient sample of active duty military personnel

Cunningham, Craig A.; Cramer, Robert J.; Cacace, Sam; Franks, Michael J.; Desmarais, Sarah L.

doi:10.1080/08995605.2020.1730683

Cited by 15 publications

(18 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The copyright holder for this preprint this version posted February 23, 2023. ; https://doi.org/10.1101/2023.02.15.23285954 doi: medRxiv preprint RUNNING HEAD: Treatment Moderators treatment-seeking samples, whereas the current sample of LGBTQ+ veterans' perceptions of their ability to obtain social support was lower compared to published active-duty treatment-seeking samples (42). Veteran participants at each site completed a voluntary paper and pencil questionnaire during the first group session (session 1) and last group session (session 10).…”

Section: The Present Studymentioning

confidence: 83%

“…From a CSE perspective, our findings are not consistent with preliminary tests of CSE and suicidality among active-duty military personnel. In particular, Cunningham and colleagues (42) identified CSE thought stopping beliefs as a primary factor implicated in suicide risk. Bowling and Our CSE moderation analyses showed some indication that those high in CSE thought stopping and social support beliefs may experience slight increases in internalized prejudice.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Moderators of Treatment Outcomes for LGBTQ+ Military Veterans in the PRIDE in All Who Served Health Promotion Group

Hilgeman

Cramer

Kaniuka

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Veterans who identify as lesbian, gay, bisexual, transgender, queer, questioning, and related identities (LGBTQ+) have faced discrimination that puts them at increased risk for depression, anxiety, and suicide. Upstream interventions like the PRIDE in All Who Served program can improve internalized prejudice, suicide attempt likelihood, symptoms of depression, and symptoms of anxiety by addressing minority stress, facilitating social connection, and promoting engagement with the healthcare system. Yet, little is known about who benefits most from these types of services. Methods: Sixty-six US military veterans (Mean age = 47.06, SD = 13.74) provided outcome surveys before and after a 10-week health promotion group for LGBTQ+ individuals at one of 10 Veterans Health Administration (VA) Medical Centers. Coping self-efficacy and key demographic factors were examined as moderators of treatment outcomes. Results: Coping self-efficacy moderated effects across treatment outcomes with those lower in coping self-efficacy beliefs reporting the greatest benefit of the intervention. Reduction in anxiety symptoms was moderated only by problem-solving coping self-efficacy, while suicide attempt likelihood was moderated only by social support. Reduction of internalized prejudice and depression symptoms were moderated by both problem-solving and social support coping self-efficacy, while thought-stopping (a frequent target of traditional cognitive therapies) only moderated internalized prejudice, but not clinical symptom indicators. Most demographic factors (e.g., age, race, gender) did not impact treatment outcomes; however, sexual orientation was significant such that those who identified as bisexual, queer, or something else (e.g., pansexual) had greater reductions in internalized prejudice than their single gender-attracted peers. Conclusion: Individual differences like coping self-efficacy and sexual orientation are rarely considered in clinical care settings when shaping policy or implementing tailored programs. Understanding implications for who is most likely to improve could inform program refinement and implementation of affirming interventions for minoritized people.

show abstract

Section: The Present Studymentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Moderators of Treatment Outcomes for LGBTQ+ Military Veterans in the PRIDE in All Who Served Health Promotion Group

Hilgeman

Cramer

Kaniuka

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…It was shown that cadets with higher feelings of self-efficacy and performance achieved better results on field exercises and were less likely to drop out [30]. In addition, studies indicating that cadets of uniformed formations characterized by higher levels of self-efficacy also have better levels of mental health [31] and are better able to cope with difficult situations, which is one of the elements of the profession, might serve to emphasize the importance of self-efficacy in the work/school environment [26,32]. This indicates that a higher level of self-efficacy supports the recruitment and effectiveness of cadets in uniformed formations, characterized by a task-oriented and often variable work environment.…”

Section: Discussionmentioning

confidence: 99%

Physical fitness of students based on a test used to assess the physical fitness of soldiers of the National Reserve Forces

Jalowska

Prokopczyk

2022

PES

View full text Add to dashboard Cite

Background and Study Aim. The purpose of this study was to analyze the physical fitness of students based on a test used to assess the physical fitness of soldiers of the National Reserve Forces. Material and methods. The study included 30 students majoring in Physical Education, specializing in Physical Education in the Uniformed Services. The average age of the subjects was 23.53 years, where the youngest subject was 21.92 years old and the oldest was 28.67 years old (SD = 1.513). The National Reserve Forces (NSR – abbreviation using in Polish language) physical fitness test was used to assess the level of physical fitness of professional soldiers. Students completed a proprietary research questionnaire to investigate the level and type of additional physical activity of the subjects, their future career plans related to the uniformed services, and their level of satisfaction with their performance on the fitness tests. Results. It was shown that students who rated their level of preparation for uniformed service and satisfaction with their performance higher scored better on the NSR test. It was proven, equally, that students having a higher weekly volume of additional physical activity obtain higher scores in the fitness test. In addition, it has been demonstrated that better results in the fitness test are achieved by students who engage in physical activity at the level of active athletes. Conclusions. The recommendation to introduce classes similar to sports training under battlefield conditions into schools and universities preparing future uniformed officers is justified. This would give a simultaneous improvement in physical fitness along with an increase in the level of self-efficacy for combat operations. Those wishing to enter the selection process for uniformed formations should practice regular physical activity, preferably at an intensity and volume close to the competitive level. This significantly affects the result achieved in the fitness test.

show abstract

“…The SBQ-R is a four-item suicide risk screener that assesses aspects of suicide-related behavior (each rated on a different scale). A total score can be tabulated; however, as we were interested in prepost change, the last SBQ-R item (i.e., “How likely is it that you will attempt suicide someday?” 0 = never to 6 = very likely ) was used because it provides a future-oriented assessment of suicide attempt risk (e.g., Cunningham et al, 2020; Lund et al, 2019). Clinical cut-score frequencies for suicide risk are based on the total score (i.e., ≥7 indicates elevated risk, Osman et al, 2001).…”

Section: Methodsmentioning

confidence: 99%

Spreading pride in all who served: A health education program to improve access and mental health outcomes for sexual and gender minority veterans.

Hilgeman¹,

Lange²,

Bishop³

et al. 2023

Psychological Services

Self Cite

View full text Add to dashboard Cite

Access to effective, replicable services is critical to reduce known mental health disparities for sexual and gender minority or LGBTQ+ veterans (lesbian, gay, bisexual, transgender, queer, questioning, and related identities). This paper examines the impact of a manualized 10-week health education group, called PRIDE in All Who Served on veteran patient experience, protective factors (e.g., identity acceptance), and mental health outcomes (e.g., suicide risk) at 10 Department of Veterans Affairs (VA) facilities. Implementation facilitation strategies (e.g., consultation, staff training) supported adoption at new sites and initial facilitators and barriers are described. Forty-four veterans (M = 47.21 years old) completed outcome surveys before and after the group. Significant improvement in acceptance concerns, identity uncertainty, community involvement, and likelihood of future suicide attempts were observed; other changes in mental health symptoms were not replicated in this sample (e.g., depression, anxiety). Open-ended veteran feedback reflected improved social support and engagement and increased self-understanding as the most frequent themes. At the facility level, Healthcare Equality Index scores (a Human Rights Campaign measure of affirmative care climate) improved from 30% to 90% achieving top-performer/leader status from pre- to postimplementation. Manualized approaches, like PRIDE in All Who Served, that are based on established minority stress models and can be spread for use with diverse LGBTQ+ veterans (e.g., age, race, gender identity, sexual orientation, rurality, housing) are needed. The PRIDE in All Who Served program is an increasingly available resource to VA clinicians advocating for greater health equity within a national healthcare setting.

show abstract

The Coping Self-Efficacy Scale: Psychometric properties in an outpatient sample of active duty military personnel

Cited by 15 publications

References 59 publications

Moderators of Treatment Outcomes for LGBTQ+ Military Veterans in the PRIDE in All Who Served Health Promotion Group

Moderators of Treatment Outcomes for LGBTQ+ Military Veterans in the PRIDE in All Who Served Health Promotion Group

Physical fitness of students based on a test used to assess the physical fitness of soldiers of the National Reserve Forces

Spreading pride in all who served: A health education program to improve access and mental health outcomes for sexual and gender minority veterans.

Contact Info

Product

Resources

About