Personality and Health in Military Context: A Study of Combatants and Injured Servicemen

Authors

DOI:

https://doi.org/10.56508/mhgcj.v7i1.207

Keywords:

mental health, military personnel, PTSD, resilience, self-efficacy, Big Five personality traits

Abstract

Introduction: The ongoing conflict in Ukraine has placed significant mental and physical health burdens on military personnel, including both elite combat troops and injured servicemen in rehabilitation. Understanding the factors that influence their health outcomes is crucial for developing effective support and intervention strategies.

Purpose: This study aims to analyse the relationships between negative indicators of mental and physical health (PTSD symptoms and somatic complaints) and personal characteristics (resilience, self-efficacy, and Big Five personality traits) in two distinct samples of military personnel: elite combat troops and injured servicemen in rehabilitation. By comparing these groups, the study seeks to understand how personal characteristics influence health outcomes and whether the impact differs based on the context of military service.

Methodology: The study involved 180 Ukrainian military personnel (all men) divided into two groups: 149 elite combat troops and 31 injured combatants in rehabilitation. Participants completed self-report measures assessing PTSD symptoms, physical complaints, resilience, self-efficacy, and personality traits. Descriptive statistics (means, standard deviations, ranges, skewness, and kurtosis) were computed, and independent samples t-tests and Cohen’s d were calculated to determine differences between the groups. Pearson's bivariate correlations and Z-tests were conducted to examine relationships between health indicators and personal characteristics. Multiple linear regression analysis (using the forward method) was performed to construct prognostic models for mental and physical health outcomes.

Results: Injured combatants exhibited significantly higher levels of PTSD symptoms, exhaustion, and various physical complaints compared to elite combat troops. In contrast, elite combat troops showed higher levels of resilience, self-efficacy, extraversion, and emotional stability. Regression models highlighted self-efficacy, resilience, and emotional stability as key predictors of reduced PTSD symptoms and physical complaints, with varying predictive values across the two groups.

Conclusion: The study underscores the importance of personal characteristics in mitigating the negative health impacts of combat exposure within the global mental health landscape. Tailored interventions enhancing resilience, self-efficacy, and emotional stability are crucial, particularly for injured combatants. Future research should employ longitudinal designs and larger samples to further understand the dynamics of these relationships and support the well-being of military personnel on a global scale. By addressing these critical areas, we can develop more effective strategies to support the mental health and recovery of those affected by combat and conflict worldwide.

References

Bandura, A. (1997). Self-efficacy: The exercise of control. W H Freeman/Times Books/ Henry Holt & Co.

Bonanno, G.A., Romero, S.A., & Klein, S.I. (2015). The temporal elements of psychological resilience: An integrative framework for the study of individuals, families, and communities. Psychological Inquiry, 26(2), 139–169. https://doi.org/10.1080/1047840X.2015.992677

Brähler, E., Hinz, A., & Scheer, J. W. (2008). GBB-24. Der Gießener Beschwerdebogen [GBB-24. Giessen Complaint List]. Bern, Switzerland: Hans Huber.

Breslau, N., Peterson, E. L., Kessler, R. C., & Schultz, L.R. (1999). Short screening scale for DSM-IV post-traumatic stress disorder. American Journal of Psychiatry, 156(6), 908–911. https://doi.org/10.1176/ajp.156.6.908

Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor-Davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20(6), 1019–1028. https://doi.org/10.1002/jts.20271

Dami, B. E., James, A., Zubairu, D., karick, H., & Dakwak, S. (2018). Combat exposure and PTSD among military combatants in north east Nigeria. Journal of Psychology & Clinical Psychiatry, 9(4), 400–404. https://doi.org/10.15406/jpcpy.2018.09.00558

Gosling, S. D., Rentfrow, P. J., & Swann, W. B., Jr. (2003). A very brief measure of the Big-Five personality domains. Journal of Research in Personality, 37(6), 504–528. https://doi.org/10.1016/S0092-6566(03)00046-1

Javaras, K. N., Williams, M., & Baskin-Sommers, A. R. (2019). Psychological interventions potentially useful for increasing conscientiousness. Personality Disorders: Theory, Research, and Treatment, 10(1), 13–24. https://doi.org/10.1037/per0000267

Kang, H., Fischer, I. C.., Vus, V., Chobanian, A., Kolyshkina, A., Ponomarenko, L., Esterlis, I., & Pietrzak, R. H. (2024). Well-being of mental health workers during the Russian-Ukrainian War. Mental Health: Global Challenges Journal, 7(1), 41–49. https://doi.org/10.56508/mhgcj.v7i1.189

Kokun, O. (2024). The stability of mental health during war: Survey data from Ukraine. Journal of Loss and Trauma. 1–22. https://doi.org/10.1080/15325024.2024.2328649

Kokun, O., & Bezverkhyi, O. (2024). Ukrainian students’ personal re-sources and resistance to war stress: A cross-sectional survey. Journal of Loss and Trauma. 1–18. https://doi.org/10.1080/15325024.2024.2325084

Kokun, O., Pischko, I., & Lozinska, N. (2022). Examination of military personnel’s changed psychological states during long-term deployment in a war zone. Anales de Psicología, 38(1), 191–200. https://doi.org/10.6018/analesps.475041

Kokun, O., Pischko, I., & Lozinska, N. (2023). Military personnel's stress reactivity during pre-deployment in a war zone. Psychology, Health & Medicine, 28(8), 2341–2352. https://doi.org/10.1080/13548506.2022.2104882

Maia, A., McIntyre, T., Pereira, M. G., & Ribeiro, E. (2011). War exposure and post-traumatic stress as predictors of Portuguese colonial war veterans' physical health. Anxiety, Stress, and Coping, 24(3), 309–325. https://doi.org/10.1080/10615806.2010.521238

Masten, A. S., Lucke, C. M., Nelson, K. M., & Stallworthy, I. C. (2021). Resilience in development and psychopathology: Multisystem perspectives. Annual Review of Clinical Psychology, 17, 521–549. https://doi.org/10.1146/annurev-clinpsy-081219-120307

McCrae, R. R., & Costa, P. T. (1987). Validation of the five-factor model of personality across instruments and observers. Journal of Personality and Social Psychology, 52(1), 81–90. https://doi.org/10.1037/0022-3514.52.1.81

Osorio, C., Jones, N., Jones, E., Robbins, I., Wessely, S., & Greenberg, N. (2018). Combat experiences and their relationship to post-traumatic stress disorder symptom clusters in UK military personnel deployed to Afghanistan. Behavioral Medicine, 44(2), 131–140. https://doi.org/10.1080/08964289.2017.1288606

Prykhodko I, Matsehora Y, Kryvokon N, Hunbin K, Kovalchuk O, Antusheva N, & Filonenko L. (2023). Manifestations of post-traumatic stress in military personnel after participating in hostilities in the Russian-Ukrainian war. European Journal of Clinical and Experimental Medicine, 21(4), 776–784. https://doi.org/10.15584/ejcem.2023.4.19

Reuters (2023). U.S. intelligence assesses Ukraine war has cost Russia 315,000 casualties-source. https://www.reuters.com/world/us-intelligence-assesses-ukraine-war-has-cost-russia-315000-casualties-source-2023-12-12/

Ringwald, W. R., Nielsen, S. R., Mostajabi, J., Vize C. E., van den Berg, T., Manuck, S. B., Marsland, A. L., & Wright, A. G. C. (2024). Characterizing stress processes by linking Big Five personality states, traits, and day-to-day stressors. Journal of Research in Personality, 110, 104487. https://doi.org/10.1016/j.jrp.2024.104487

Schwarzer, R., & Jerusalem, M. (1995). Generalized Self-Efficacy Scale. In J. Weinman, S. Wright, & M. Johnston (Eds.), Measures in health psychology: A user’s portfolio. Causal and control beliefs (pp. 35–37). Windsor, UK: NFER-Nelson.

Seal, K. H., Bertenthal, D., Miner, C. R., Sen, S., & Marmar, C. (2007). Bringing the war back home: mental health disorders among 103,788 US veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities. Archives of Internal Medicine, 167(5), 476–482. https://doi.org/10.1001/archinte.167.5.476

Seal, K. H., Metzler, T. J., Gima, K. S., Bertenthal, D., Maguen, S., & Marmar, C. R. (2009). Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002–2008. American Journal of Public Health, 99(9), 1651–1658. https://doi.org/10.2105/AJPH.2008.150284

Shen, Y., Arkes, J. A., & Pilgrim, J. D. (2009). The effects of deployment intensity on post-traumatic stress disorder: 2002–2006. Military Medicine, 174(3), 217–223. https://doi.org/10.7205/MILMED-D-03-4307

Shvets, A. V., Horishna, O. V., Deputat, Y. M., Rychka, O. V., Zhaldak, A. Y., & Kikh, A. Y. (2022). Prognostic assessment of the need for medical rehabilitation among military officers of the Armed Forces of Ukraine based on the structure of their combat trauma. Ukrainian Journal of Military Medicine, 3(3), 110–117.

Slone, M., Shoshani, A., & Lobel, T. (2013). Helping youth immediately following war exposure: a randomized controlled trial of a school-based intervention program. The Journal of Primary Prevention, 34(5), 293–307. https://doi.org/10.1007/s10935-013-0314-3

Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience definitions, theory, and challenges: interdisciplinary perspectives. European Journal of Psychotraumatology, 5(1), 25338. https://doi.org/10.3402/ejpt.v5.25338

Vus, V., & Esterlis, I. (2022). Support of the population within the Russian-Ukrainian war: insider's perspective. Chronic Stress (Thousand Oaks, Calif.), 6, 24705470221101884. https://doi.org/10.1177/24705470221101884

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Published

2024-07-17

How to Cite

Kokun, O., Aleshchenko, V. ., Osyodlo, V., Pischko, I. ., & Lozinska, N. . (2024). Personality and Health in Military Context: A Study of Combatants and Injured Servicemen. Mental Health: Global Challenges Journal, 7(1), 71–80. https://doi.org/10.56508/mhgcj.v7i1.207

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