Battlemind Debriefing and Battlemind Training as Early Interventions With Soldiers Returning From Iraq: Randomization by Platoon

被引:236
作者
Adler, Amy B. [1 ,2 ]
Bliese, Paul D. [1 ,2 ,3 ]
McGurk, Dennis
Hoge, Charles W. [3 ]
Castro, Carl Andrew [4 ]
机构
[1] USA, Med Res Unit Europe, APO, AE 09042 USA
[2] Walter Reed Army Inst Res, Heidelberg, Germany
[3] Walter Reed Army Inst Res, Div Psychiat & Neurosci, Silver Spring, MD 20910 USA
[4] Mil Operat Med Med Res & Mat Command, Ft Detrick, MD USA
关键词
combat experiences; debriefing; soldiers; postdeployment; stigma; POSTTRAUMATIC-STRESS-DISORDER; CONTROLLED-TRIAL; PSYCHOLOGICAL TRAUMA; FUTURE-DIRECTIONS; PRIMARY-CARE; GROUP-SIZE; VICTIMS; COMBAT; VETERANS; VIETNAM;
D O I
10.1037/a0016877
中图分类号
B849 [应用心理学];
学科分类号
040203 [应用心理学];
摘要
Researchers have found that there is an increase in mental heath problems as a result of military-related traumatic events, and such problems increase in the months following return from combat. Nevertheless, researchers have not assessed the impact of early intervention efforts with this at-risk population. In the present study, the authors compared different early interventions with 2,297 U.S. soldiers following a year-long deployment to Iraq. Platoons were randomly assigned to standard postdeployment stress education, Battlemind debriefing, and small and large group Battlemind training. Results from a 4-month follow-up with 1,060 participants showed those with high levels of combat exposure who received Battlemind debriefing reported fewer posttraumatic stress symptoms, depression symptoms, and sleep problems than those in stress education. Small group Battlemind training participants with high combat exposure reported fewer posttraumatic stress symptoms and sleep problems than stress education participants. Compared to stress education participants, large group Battlemind training participants with high combat exposure reported fewer posuraumatic stress symptoms and lower levels of stigma and, regardless of combat exposure, reported fewer depression symptoms. Findings demonstrate that brief early interventions have the potential to be effective with at-risk occupational groups.
引用
收藏
页码:928 / 940
页数:13
相关论文
共 56 条
[1]
International survey of military mental health professionals [J].
Adler, AB ;
Bartone, PT .
MILITARY MEDICINE, 1999, 164 (11) :788-792
[2]
ADLER AB, 2009, MIL MED, V174, P22
[3]
A group randomized trial of critical incident stress debriefing provided to US peacekeepers [J].
Adler, Amy B. ;
Litz, Brett T. ;
Castro, Carl Andrew ;
Suvak, Michael ;
Thomas, Jeffrey L. ;
Burrell, Lolita ;
McGurk, Dennis ;
Wright, Kathleen M. ;
Bliese, Paul D. .
JOURNAL OF TRAUMATIC STRESS, 2008, 21 (03) :253-263
[4]
[Anonymous], 1997, Analysis of Incomplete Multivariate Data, DOI [DOI 10.1201/9780367803025, DOI 10.1201/9781439821862]
[5]
[Anonymous], MILITARY LIFE PSYCHO
[6]
[Anonymous], 2007, R LANG ENV STAT COMP
[7]
Bates D., 2009, Mixed-Effects Models in S and S-PLUS
[8]
Randomised controlled trial of psychological debriefing for victims of acute burn trauma [J].
Bisson, JI ;
Jenkins, PL ;
Alexander, J ;
Bannister, C .
BRITISH JOURNAL OF PSYCHIATRY, 1997, 171 :78-81
[9]
BLIESE P, 2005, 200503 US ARM MED RE
[10]
Bliese P.D., 2007, Journal of Psychological Services, V4, P141, DOI [DOI 10.1037/1541-1559.4.3.141, 10.1037/1541-1559.4.3.141]