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Neuropsychology Review Mar 2012
Topics: Behavioral Symptoms; Cognition Disorders; Humans; Military Personnel; Terrorism; Warfare
PubMed: 22350689
DOI: 10.1007/s11065-012-9189-y -
Military Medicine Sep 2003The prevalence of lifetime exposure to violence, natural disaster, or major accidents involving injuries or fatalities was examined in the largest population-based...
The prevalence of lifetime exposure to violence, natural disaster, or major accidents involving injuries or fatalities was examined in the largest population-based epidemiologic survey of U.S. military personnel to date. The psychosocial and health effects of types of exposure experience (witness only, victim/survivor, relief worker), gender differences, and social support were also evaluated. Over 15,000 active duty U.S. military personnel from stratified random samples of active duty U.S. personnel from all services responded to either mail questionnaires and/or worksite surveys. The lifetime exposure to one or more traumatic events was 65%; the most prevalent trauma for men was witnessing a major accident, and for women, witnessing a natural disaster. Victims of any traumatic event were at twice the risk of having two or more physical and mental health problems than nonexposed controls. Health outcomes of trauma exposure vary by type of traumatic event: type of exposure experience, rank, and gender.
Topics: Adult; Alcohol Drinking; Female; Health Status; Humans; Male; Military Personnel; Smoking; Social Support; Stress, Psychological; United States
PubMed: 14529250
DOI: No ID Found -
Scandinavian Journal of Psychology Aug 2021The five-factor structure is a well-established model for personality. The five traits covary with job-performance and work-relevant outcomes. The practical...
The five-factor structure is a well-established model for personality. The five traits covary with job-performance and work-relevant outcomes. The practical administration of existing big-five measurement scales is, however, somewhat limited, in a Norwegian setting, as existing scales are impractically large or have unknown psychometric properties. Because of this, a new brief Norwegian personality assessment tool has been developed by the Norwegian Armed Forces. This study aims to uncover the psychometric properties of the 50-item Norwegian military personality inventory (NMPI-50) and establish norm data for practical use. The inventory was administered to the 2002 cohort of Norwegian 17-year olds (N = 54,355), and analyzed with factor analysis, graded response models and tests of gender invariance. The five scales of the NMPI-50 showed satisfactory internal consistency, yielded high information across a broad range of the five traits, and conformed to a bi-factor structure with one general factor and five specific factors. The general factor was positively associated with motivation for military service, indicating some measurement bias. The openness scale is less clearly psychometrically defined, compared to the other scales, and both extroversion and openness show some evidence of multidimensionality. The scales also showed scalar invariance between genders except for the openness scale. Overall, the results support the use of NMPI-50 in personnel assessment and research.
Topics: Adolescent; Factor Analysis, Statistical; Female; Humans; Male; Military Personnel; Norway; Personality Inventory; Psychometrics; Reproducibility of Results
PubMed: 34251699
DOI: 10.1111/sjop.12719 -
Frontiers of Neurology and Neuroscience 2016People died from nostalgia in the army in the 17th-19th centuries. The term 'nostalgia', created by the doctor Johannes Hofer (1669-1752), from Mulhouse, came from the... (Review)
Review
People died from nostalgia in the army in the 17th-19th centuries. The term 'nostalgia', created by the doctor Johannes Hofer (1669-1752), from Mulhouse, came from the Germanic Heimweh, or 'homesickness'. It affected the young people enrolled in the army, such as Swiss mercenaries. Longing for their native land, they were consumed by an ongoing desire to return home. If it was impossible to do so, they sank into 'a sadness accompanied with insomnia, anorexia and other unpleasant symptoms' that could lead to death. Nostalgia became classified as a disease during the last quarter of the 18th century and ravaged the French army during the Revolution and the Napoleonic wars. However, as soon as the wars ended, it ceased to exist in the army (except the colonial army). It was removed from the nosology in the first half of the 19th century. Rapidly explained as an example of a misdiagnosis or a confusion between 'connection and cause', nostalgia needs to be assessed in regard to the medical debate between 'alienists' and 'organicists'. Creating much concern, nostalgia needs to be considered in the historical context of a society destabilized by modernity, with some individuals uprooted by the sudden transition from civil society to military life. It raises questions about the role that the army played in the creation of the French national union. Nostalgia may have also covered psychic traumatisms later designated as combat fatigue, war neurosis, or post-traumatic stress disorder.
Topics: Combat Disorders; History, 17th Century; History, 18th Century; History, 19th Century; Humans; Military Personnel; Paintings
PubMed: 27035922
DOI: 10.1159/000442652 -
The Nervous Child Oct 1955
Topics: Humans; Mental Disorders; Military Personnel; Social Behavior Disorders
PubMed: 13288756
DOI: No ID Found -
Military Medicine Dec 2007The ways in which members of the armed forces have behaved in past and present conflicts raise questions on the correct ethical behavior of soldiers. Apparently, the end...
The ways in which members of the armed forces have behaved in past and present conflicts raise questions on the correct ethical behavior of soldiers. Apparently, the end does not justify the means, and critical voices are right to react with concern to military misbehavior, as has been publicized lately. The subject of military ethics, situated within military science, deals with the question of ethically correct behavior of soldiers. The aim of this article was to present an overview of the various fields of military ethics and to show their interrelationship, as well as making suggestions on how to fill these formal aspects with content.
Topics: Ethical Theory; Government; Humans; Military Medicine; Military Personnel; Morals; Social Justice; Switzerland; United Nations; Warfare
PubMed: 18214134
DOI: 10.7205/milmed.173.supplement_2.34 -
BMJ Military Health May 2024Body dysmorphic disorder (BDD) and muscle dysmorphia (MD) are common but often underdiagnosed disorders. These disorders have rarely been explored in the context of...
BACKGROUND
Body dysmorphic disorder (BDD) and muscle dysmorphia (MD) are common but often underdiagnosed disorders. These disorders have rarely been explored in the context of military personnel by mental health researchers despite the emphasis on physical fitness in military populations. We conducted a comprehensive systematic literature review on scientific studies of BDD and MD and the accompanying symptoms within the military.
METHODS
We used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines and used PubMed, Web of Science and PsycINFO as databases with "body dysmorphic disorder," "muscle dysmorphia," "body image," "performance and image enhancing drugs," "anabolic steroid," military personnel," "soldiers," "navy," "air force," "army" and "armed forces" as search terms.
RESULTS
A total of 20 eligible articles reporting data of 42 952 study participants were used. According to the identified literature, prevalence rates of BDD in the military are ~10% in men and ~20% in women, whereas ~15% of men and ~5% of women may suffer from MD. Further identified related problems in military populations were excessive bodybuilding, the use of anabolic drugs, the intake of stimulants, weight and shape concerns, and weight-control behaviours.
CONCLUSIONS
BDD, MD, as well as the use of anabolic and stimulating drugs, are highly prevalent in military personnel. Despite the importance of these problems in the military, there are no military-specific treatment studies available. A pre-existing focus on physical appearance and fitness might contribute to the decision to pursue a professional military career. The military environment might be a maintaining factor of BDD or MD, but not the ultimate cause of the disorder in an affected individual.
Topics: Humans; Body Dysmorphic Disorders; Military Personnel; Body Image; Anabolic Agents; Body Weight; Female; Male
PubMed: 35675995
DOI: 10.1136/bmjmilitary-2022-002135 -
The American Journal of Psychiatry Jun 2003
Topics: Diagnosis, Dual (Psychiatry); Employee Discipline; Female; Health Services Research; Humans; Male; Mental Disorders; Military Personnel; Prevalence; Substance Abuse Treatment Centers; Substance-Related Disorders; United States
PubMed: 12777290
DOI: 10.1176/appi.ajp.160.6.1190-a -
Military Medicine May 2024Previous conflicts have demonstrated the impact of physician readiness on early battlefield mortality rates. To prepare for the lethal nature of today's threat...
INTRODUCTION
Previous conflicts have demonstrated the impact of physician readiness on early battlefield mortality rates. To prepare for the lethal nature of today's threat environment and the rapid speed with which conflict develops, our medical force needs to sustain a high level of readiness in order to be ready to "fight tonight." Previous approaches that have relied on on-the-job training, just-in-time predeployment training, or follow-on courses after residency are unlikely to satisfy these readiness requirements. Sustaining the successes in battlefield care achieved in Iraq and Afghanistan requires the introduction of effective combat casualty care earlier and more often in physician training. This needs assessment seeks to better understand the requirements, challenges, and opportunities to include the Military Unique Curriculum (MUC) during graduate medical education.
MATERIALS AND METHODS
This needs assessment used a multifaceted methodology. First, a literature review was performed to assess how Military Unique Curricula have evolved since their initial conception in 1988. Next, to determine their current state, a needs-based assessment survey was designed for trainees and program directors (PDs), each consisting of 18 questions with a mixture of multiple choice, ranking, Likert scale, and free-text questions. Cognitive interviewing and expert review were employed to refine the survey before distribution. The Housestaff Survey was administered using an online format and deployed to Internal Medicine trainees at the Walter Reed National Military Medical Center (WRNMMC). The Program Director Survey was sent to all Army and Navy Internal Medicine Program Directors. This project was deemed to not meet the definition of research in accordance with 32 Code of Federal Regulation 219.102 and Department of Defense Instruction 3216.02 and was therefore registered with the WRNMMC Quality Management Division.
RESULTS
Out of 64 Walter Reed Internal Medicine trainees who received the survey, 32 responses were received. Seven of nine PDs completed their survey. Only 12.5% of trainees felt significantly confident that they would be adequately prepared for a combat deployment upon graduation from residency with the current curriculum. Similarly, only 14.29% of PDs felt that no additional training was needed. A majority of trainees were not satisfied with the amount of training being received on any MUC topic. When incorporating additional training on MUC topics, respondents largely agreed that simulation and small group exercises were the most effective modalities to employ, with greater than 50% of both trainees and PDs rating these as most or second most preferred among seven options. Additionally, there was a consensus that training should be integrated into the existing curriculum/rotations as much as possible.
CONCLUSIONS
Current Military Unique Curricula do not meet the expected requirements of future battlefields. Several solutions to incorporate more robust military unique training without creating any significant additional time burdens for trainees do exist. Despite the limitation of these results being limited to a single institution, this needs assessment provides a starting point for improvement to help ensure that we limit the impact of any "peacetime effect."
Topics: Curriculum; Humans; Military Medicine; Military Personnel; Education, Medical, Graduate; Surveys and Questionnaires; Needs Assessment; United States
PubMed: 37002609
DOI: 10.1093/milmed/usad099 -
Perceptual and Motor Skills Apr 2022Resting heart rate variability (HRV) may be a useful index of both brain-based executive function and general health. Our purpose in this study was to quantify...
Resting heart rate variability (HRV) may be a useful index of both brain-based executive function and general health. Our purpose in this study was to quantify relationships among HRV, perceptual-motor performance metrics, and wellness survey responses. A cohort of 32 male Reserve Officer Training Corp (ROTC) cadets completed a dual-task upper extremity reaction time (UERT) test, two tests of whole-body reactive agility, and a 10-item wellness survey that produced a 0-100 Overall Wellness Index (OWI). We averaged participants' resting HRV measurements twice per week over 10 weeks to derive an intra-individual grand mean (HRV-IIGM) and over a series of days we calculated an intra-individual coefficient of variation (HRV-IICV). We used median values for the two HRV metrics (HRV-IIGM and HRV-IICV) to separate the cadets into equal-sized high and low HRV groups to form the dependent variable for logistic regression analyses. We found a significant inverse relationship between HRV-IIGM and HRV-IICV ( = -0.723, < .001). Differences in UERT in the left versus right visual hemifields (L-R Diff) and OWI scores were strongly related to both HRV-IIGM ≤ 4.49 and HRV-IICV ≥ 6.95%. Logistic regression models that included L-R Diff and OWI showed 71% classification accuracy for HRV-IIGM (Model χ2 [2] = 12.47, = .002, Nagelkerke = 0.430) and 81% classification accuracy for HRV-IICV (Model χ2 [2] = 14.88, = .001, Nagelkerke = 0.496). These findings suggest that resting HRV, perceptual-motor efficiency, and overall wellness are highly interrelated, supporting a multi-factor biopsychosocial assessment to guide the design and implementation of interventions to maximize operational effectiveness for ROTC cadets and other military personnel.
Topics: Heart Rate; Humans; Male; Military Personnel
PubMed: 35081817
DOI: 10.1177/00315125211067359