Iranian Journal of War and Public Health

eISSN (English): 2980-969X
eISSN (Persian): 2008-2630
pISSN (Persian): 2008-2622
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Volume 15, Issue 1 (2023)                   Iran J War Public Health 2023, 15(1): 83-91 | Back to browse issues page

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Alizadeh A, Javanmard Y, Dowran B, Azizi M, Salimi S. Causes and Consequences of Psychological Distress among Military Personnel. Iran J War Public Health 2023; 15 (1) :83-91
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1- Department of Education and Research, Army Center of Excellence (NEZAJA), Center of Consultation of Khanevadeh Hospital, Tehran, Iran
2- Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
3- Department of Health in Disaster and Emergencies, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran
4- “Sport and Physiology Research Center” and “Clinical Psychology Department, Faculty of Medicine”, Baqiyatallah University of Medical Sciences, Tehran, Iran
* Corresponding Author Address: Sport and Physiology Research Center, Baqiyatallah University of Medical Sciences, Molla Sadra Street, Tehran, Iran. Postal Code: 1613916411 (seyhossalimi@yahoo.com)
Abstract   (592 Views)
Aims: Military personnel are likely to encounter mental health problems due to high-risk occupations associated with significant levels of psychological distress. The present study aimed to determine the factors that caused psychological distress in Iranian military staff members.
Participants & Methods: This qualitative research was done in two steps on psychological distress among military personnel. The first stage was a brief review. We studied texts related to psychological distress in the military, then we extracted the factors affecting psychological distress. The second stage was the interview with 15 experts. Purposeful sampling was used to select participants and continued until data saturation was reached. Data were collected using semi-structured interviews and analyzed through direct content analysis. The results were presented as codes, subcategories, and categories using an inductive approach.
Findings: In the first stage, 25 studies were found, and in the second stage, 395 primary codes and two main categories, including demands and resources, were developed based on the opinion of experts.
Conclusion: Different factors affect the military members’ psychological distress, which are divided into two categories and six subcategories: Demands (military related demands, occupational-organizational demands, individual-occupational demands, and personal demands) and Resources (personal resources and job resources).
 
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References
1. Khankeh H, Alizadeh A, Nouri M, Bidaki R, Azizi M. Long-term consequences of the psychological distress in Iranian emergency medical personnel: a qualitative research. Health Emerge Disast Q. 2022;8(1):7-14. [Link] [DOI:10.32598/hdq.8.1.318.2]
2. Azizi M, Ebadi A, Ostadtaghizadeh A, Dehghani Tafti A, Roudini J, Barati M, et al. Psychological distress model among Iranian pre-hospital personnel in disasters: a grounded theory study. Front Psychol. 2021;12:689226. [DOI:10.3389/fpsyg.2021.689226]
3. Adler AB, Saboe KN, Anderson J, Sipos ML, Thomas JL. Behavioral health leadership: New directions in occupational mental health. Curr Psychiatry Rep. 2014;16(10):484. [Link] [DOI:10.1007/s11920-014-0484-6]
4. Balouchi Anaraki M, Amini M, Azad E, Shirmardi A. The mental health promotion programs and strategies used in US, UK, Russia and Iran's military organizations: systematic review. J Mil Med. 2019;21(3):208-20. [Persian] [Link]
5. Bessaha ML. Factor structure of the kessler psychological distress scale (K6) among emerging adults. Res Soc Work Pract. 2017;27(5):616-24. [Link] [DOI:10.1177/1049731515594425]
6. Fortin M, Bravo G, Hudon C, Lapointe L, Dubois M-F, Almirall J. Psychological distress and multimorbidity in primary care. Ann Fam Med. 2006;4(5):417-22. [Link] [DOI:10.1370/afm.528]
7. Marchand A, Drapeau A, Beaulieu-Prévost D. Psychological distress in Canada: The role of employment and reasons of non-employment. Int J Soc Psychiatry. 2012;58(6):596-604. [Link] [DOI:10.1177/0020764011418404]
8. Azizi M, Bidaki R, Ebadi A, Ostadtaghizadeh A, Tafti AD, Hajebi A, et al. Psychological distress management in iranian emergency prehospital providers: a qualitative study. J Educ Health Promot. 2021;10:442. [Link]
9. Azadmarzabadi E, Niknafas S. Models of opposing against job stress among military staff. Payavard. 2016;10(4):299-310. [Persian] [Link]
10. Skomorovsky A, LeBlanc MM. Intimate partner violence in the Canadian Armed Forces: Psychological distress and the role of individual factors among military spouses. Mil Med. 2017;182(1-2):e1568-75. [Link] [DOI:10.7205/MILMED-D-15-00566]
11. Demerouti E, Bakker AB. The job demands-resources model: Challenges for future research. SA J Indust Psychol. 2011;37(2):1-9. [Link] [DOI:10.4102/sajip.v37i2.974]
12. Wolfe-Clark AL, Bryan CJ, Bryan AO, Reynolds ML, Fuessel-Herrmann D, White KL, et al. Child sexual abuse, military sexual trauma, and psychological distress among male military personnel and veterans. J Child Adolesc Trauma. 2017;10(2):121-8. [Link] [DOI:10.1007/s40653-017-0144-1]
13. Hughes JM, Ulmer CS, Hastings SN, Gierisch JM, Workgroup M-AVM, Howard MO. Sleep, resilience, and psychological distress in United States military Veterans. Mil Psychol. 2018;30(5):404-14. [Link] [DOI:10.1080/08995605.2018.1478551]
14. Manalo M. The role of self-compassion in the relationship between moral injury and psychological distress among military veterans [Dissertation]. San Bernardino: California State University; 2019. [Link]
15. Verma R, Singh R. Last held military rank and wellbeing (psychological distress) of army ex-servicemen (non-commissioned officers). Int J Indian Psychol. 2016;3(4):25. [Link] [DOI:10.25215/0304.135]
16. Ferrier-Auerbach AG, Erbes CR, Polusny MA, Rath CM, Sponheim SR. Predictors of emotional distress reported by soldiers in the combat zone. J Psychiatr Res. 2010;44(7):470-6. [Link] [DOI:10.1016/j.jpsychires.2009.10.010]
17. de Souza ER, de Souza Minayo MC, eSilva JG, de Oliveira Pires T. Factors associated with psychological distress among military police in Rio de Janeiro, Brazil. Cadernos de Saúde Pública. 2012;28(7):1297-311. [Portuguese] [Link] [DOI:10.1590/S0102-311X2012000700008]
18. Moreno JL, Nabity PS, Kanzler KE, Bryan CJ, McGeary CA, McGeary DD. Negative life events (NLEs) contributing to psychological distress, pain, and disability in a US military sample. Mil Med. 2019;184(1-2):e148-55. [Link] [DOI:10.1093/milmed/usy259]
19. Carter SP, Renshaw KD, Curby TW, Allen ES, Markman HJ, Stanley SM. Protective buffering by service members during military deployments: Associations with psychological distress and relationship functioning. Fam Process. 2020;59(2):525-36. [Link] [DOI:10.1111/famp.12426]
20. Nakkas C, Annen H, Brand S. Psychological distress and coping in military cadre candidates. Neuropsychiatr Dis Treat. 2016;12:2237-43. [Link] [DOI:10.2147/NDT.S113220]
21. Martins LCX, Lopes CS. Rank, job stress, psychological distress and physical activity among military personnel. BMC Public Health. 2013;13(1):1-12. [Link] [DOI:10.1186/1471-2458-13-716]
22. Chappelle WL, McDonald KD, Prince L, Goodman T, Ray-Sannerud BN, Thompson W. Symptoms of psychological distress and post-traumatic stress disorder in United States Air Force "drone" operators. Mil Med. 2014;179(8 Suppl):63-70. [Link] [DOI:10.7205/MILMED-D-13-00501]
23. Prince L, Chappelle WL, McDonald KD, Goodman T, Cowper S, Thompson W. Reassessment of psychological distress and post-traumatic stress disorder in United States Air Force Distributed Common Ground System operators. Mil Med. 2015;180(3 Suppl):171-8. [Link] [DOI:10.7205/MILMED-D-14-00397]
24. Blosnich JR, Gordon AJ, Bossarte RM. Suicidal ideation and mental distress among adults with military service history: results from 5 US states, 2010. Am J Public Health. 2014;104(Suppl 4):S595-602. [Link] [DOI:10.2105/AJPH.2014.302064]
25. Ferrand J-F, Verret C, Trichereau J, Rondier J-P, Viance P, Migliani R. Psychosocial risk factors, job characteristics and self-reported health in the Paris Military Hospital Group (PMHG): a cross-sectional study. BMJ Open. 2012;2(4):e000999. [Link] [DOI:10.1136/bmjopen-2012-000999]
26. Green S, Nurius PS, Lester P. Spouse psychological well-being: A keystone to military family health. J Hum Behav Soc Environ. 2013;23(6):753-68. [Link] [DOI:10.1080/10911359.2013.795068]
27. Kim J, Seok J-H, Choi K, Jon D-I, Hong HJ, Hong N, et al. The protective role of resilience in attenuating emotional distress and aggression associated with early-life stress in young enlisted military service candidates. J Korean Med Sci. 2015;30(11):1667-74. [Link] [DOI:10.3346/jkms.2015.30.11.1667]
28. Lane ME, Hourani LL, Bray RM, Williams J. Prevalence of perceived stress and mental health indicators among reserve-component and active-duty military personnel. Am J of Public Health. 2012;102(6):1213-20. [Link] [DOI:10.2105/AJPH.2011.300280]
29. McCuaig Edge HJ, Ivey GW. Mediation of cognitive appraisal on combat exposure and psychological distress. Mil Psychol. 2012;24(1):71-85. [Link] [DOI:10.1080/08995605.2012.642292]
30. Andres M. Distress, support, and relationship satisfaction during military-induced separations: A longitudinal study among spouses of Dutch deployed military personnel. Psychol Serv. 2014;11(1):22-30. [Link] [DOI:10.1037/a0033750]
31. Smith AJ, Benight CC, Cieslak R. Social support and postdeployment coping self-efficacy as predictors of distress among combat veterans. Mil Psychol. 2013;25(5):452-61. [Link] [DOI:10.1037/mil0000013]
32. Smith RT, True G. Warring identities: Identity conflict and the mental distress of American veterans of the wars in Iraq and Afghanistan. Soc Ment Health. 2014;4(2):147-61. [Link] [DOI:10.1177/2156869313512212]
33. Nissen LR, Marott JL, Gyntelberg F, Guldager B. Danish soldiers in Iraq: perceived exposures, psychological distress, and reporting of physical symptoms. Mil Med. 2011;176(10):1138-43. [Link] [DOI:10.7205/MILMED-D-11-00094]
34. Frappell-Cooke W, Gulina M, Green K, Hacker Hughes J, Greenberg N. Does trauma risk management reduce psychological distress in deployed troops? Occup Med. 2010;60(8):645-50. [Link] [DOI:10.1093/occmed/kqq149]
35. Birkeland MS, Nielsen MB, Knardahl S, Heir T. Associations between work environment and psychological distress after a workplace terror attack: the importance of role expectations, predictability and leader support. PloS One. 2015;10(4):e0124849. [Link] [DOI:10.1371/journal.pone.0124849]
36. Redmond SA, Wilcox SL, Campbell S, Kim A, Finney K, Barr K, et al. A brief introduction to the military workplaceculture. Work. 2015;50(1):9-20. [Link] [DOI:10.3233/WOR-141987]
37. Zwiebach L, Lannert BK, Sherrill AM, McSweeney LB, Sprang K, Goodnight JR, et al. Military cultural competence in the context of cognitive behavioural therapy. Cogn Behav Ther. 2019;12:e5. [Link] [DOI:10.1017/S1754470X18000132]
38. Weiss E, Coll JE. The influence of military culture and veteran worldviews on mental health treatment: practice implications for combat veteran help-seeking and wellness. Int J Health Wellness Soc. 2011;1(2):75-86. [Link] [DOI:10.18848/2156-8960/CGP/v01i02/41168]
39. Johansen RB, Martinussen M, Kvilvang N. The influence of military identity on work engagement and burnout in the Norwegian army rapid reaction force. J Mil Stud. 2015;6(1). [Link] [DOI:10.1515/jms-2016-0196]
40. Bronkhorst B, Tummers L, Steijn B, Vijverberg D. Organizational climate and employee mental health outcomes: a systematic review of studies in health care organizations. Health Care Manage Rev. 2014;40(3):254-71. [Link] [DOI:10.1097/HMR.0000000000000026]
41. Blanch A, Aluja A. Social support (family and supervisor), work-family conflict, and burnout: Sex differences. Hum Relat. 2012;65(7):811-33. [Link] [DOI:10.1177/0018726712440471]
42. Moynihan DP, Pandey SK. The role of organizations in fostering public service motivation. Public Admin Rev. 2007;67(1):40-53. [Link] [DOI:10.1111/j.1540-6210.2006.00695.x]
43. Waqas M, Anjum Z-U-Z, Naeem B, Anwar F. How personal resources and personal demands help in engaging employees at work? Investigating the mediating role of need based satisfaction. Econ Bus Manage. 2017;XI(3):143-57. [Link]
44. Trinkner R, TylerMacklin TR, Goff PA. Justice from within: The relations between a procedurally just organizational climate and police organizational efficiency, endorsement of democratic policing, and officer well-being. Psychol Public Policy Law. 2016;22(2):158-72. [Link] [DOI:10.1037/law0000085]
45. Lang J, Lang JWB, Adler A, Bliese PD. Work gets unfair for the depressed: cross-lagged relations between organizational justice perceptions and depressive symptoms. J Appl Psychol. 2011;96(3):602-18. [Link] [DOI:10.1037/a0022463]
46. Baka L. Types of job demands make a difference. Testing the job demand-control-support model among Polish police officers. Int J Hum Resource Manage. 2020;31(18):2265-88. [Link] [DOI:10.1080/09585192.2018.1443962]

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