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

Tkachuck, Mathew A.; Pavlacic, Jeffrey M.; Raley, Mikaela J.; McCaslin, Shannon E.; Schulenberg, Stefan E.

doi:10.1037/ser0000558

Cited by 3 publications

(4 citation statements)

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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%

“…Similarly, other contextual factors not elucidated in the current review (e.g., difficulties related to acculturation) may also be relevant in future posttraumatic stress trajectory research. Veterans and service members commonly report difficulties transitioning from military to civilian cultures, which may contribute to psychological dysfunction in individuals transitioning back to civilian life (Tkachuck et al, 2021), yet these factors were rarely represented in the longitudinal studies reviewed.…”

Section: Future Researchmentioning

confidence: 99%

“…Army soldiers with PTSD report high psychotherapy treatment dropout rates (i.e., 24%; Hoge et al, 2014), and the stigmatization of mental health in the military may prevent individuals from seeking help (Coll et al, 2011). As service members transition from the military to civilian context, cultural factors may also not be adequately considered by providers or assessment tools (Tkachuck et al, 2021). As an example, during military service, veterans learn values consistent with the warrior ethos, such as placing the welfare of the mission above themselves (Taylor et al, 2020; Tkachuck et al, 2021).…”

Section: Evidence-based Treatments For Ptsdmentioning

confidence: 99%

“…As service members transition from the military to civilian context, cultural factors may also not be adequately considered by providers or assessment tools (Tkachuck et al, 2021). As an example, during military service, veterans learn values consistent with the warrior ethos, such as placing the welfare of the mission above themselves (Taylor et al, 2020; Tkachuck et al, 2021). These values, while adaptive in a military environment, may contribute to limited treatment seeking for fear of behaving inconsistently with these values (Caddick et al, 2015).…”

Section: Evidence-based Treatments For Ptsdmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Future Researchmentioning

confidence: 99%

Section: Evidence-based Treatments For Ptsdmentioning

confidence: 99%

Section: Evidence-based Treatments For Ptsdmentioning

confidence: 99%

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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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Military experiences, connection to military identity, and time since military discharge as predictors of United States veteran suicide risk

Edwards

Osterberg

Coolidge

et al. 2023

Military Psychology

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Feasibility, acceptability, and initial outcomes of a psychological adjustment and reintegration program for transitioned military veterans

Romaniuk,

Saunders-Dow,

Brown

et al. 2024

BMC Psychol

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Background Reintegration and adjustment to civilian life after military service is crucial for veterans’ mental and physical health. However, there is a lack of evidence-based interventions in Australia that specifically address the psychological and cultural factors associated with improved adjustment and mental health in this group. The aim of this study was to evaluate the feasibility, acceptability, and initial outcomes of a novel group intervention program, developed to address this gap in supports and services for Australian veterans. Methods A non-controlled, within-subjects longitudinal design was employed with a feasibility framework including assessment of demand, implementation, integration, experience, perceived effectiveness, and burden or discomfort. The program included eight weekly 2.5-hour group sessions using cognitive-behavioural and acceptance and commitment therapy techniques. Participants included 24 transitioned veterans who completed the Military-Civilian Adjustment and Reintegration Measure, Quality of Life Enjoyment and Satisfaction Questionnaire–Short Form, Depression Anxiety Stress Scale-21, and PTSD Checklist for DSM-5 at pre-intervention, post-intervention, and three-month follow-up. Results High participant ratings of engagement, experience and usefulness of the program were found, as well as perceived improvement in adjustment to civilian life as a result of the program. Sound program retention (82.8%), completion (87.5%), and manual adherence rates (89.6%) were also found. Significant improvements were found in adjustment and reintegration scores from pre-intervention to post-intervention ( p = < 0.001) and from pre-intervention to follow-up ( p = < 0.05), with large effect size ( η p 2 = 0.344). All participants who completed the program reported they would recommend the program to another veteran. Conclusion This study demonstrated the feasibility and acceptability of a novel group intervention program designed for military veterans in Australia. The program showed promising initial evidence of effectiveness in improving adjustment and reintegration to civilian life and provides an essential first step towards addressing a substantial gap in services for veterans struggling to adjust to civilian life. A randomised controlled trial may be an appropriate next step. ANZCTR registration number ACTRN12622000172707. Date of registration 02/02/2022. Type of registration Retrospectively registered. Supplementary Information The online version contains supplementary material available at 10.1186/s40359-024-02097-7.

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

Cited by 3 publications

References 45 publications

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

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

Military experiences, connection to military identity, and time since military discharge as predictors of United States veteran suicide risk

Feasibility, acceptability, and initial outcomes of a psychological adjustment and reintegration program for transitioned military veterans

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