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Updated: Jul 12, 2026

Assessment of Stress Effects on Cognitive Flexibility using an Operant Strategy Shifting Paradigm
Published on: May 4, 2020
Combat and Operational Stress Control
1USA MEDCOM, COSC Program. Edward.Brusher@amedd.army.mil
Abstract:
Combat and Operational Stress (COS) includes all the physiological and emotional stresses encountered as a direct result of the dangers and mission demands of combat. Combat and Operational Stress Control (COSC) in the US. Army may be defined as programs developed and actions taken by military leadership to prevent, identify, and manage adverse Combat and Operational Stress Reactions (COSR) in units. This program optimizes mission performance, conserves the fighting strength, and prevents or minimizes adverse effects of COSR on Soldiers and their physical, psychological, intellectual, and social health. Its goal is to return Soldiers to duty expeditiously. COSC activities include routine screening of individuals when recruited; continued surveillance throughout military service, especially before, during, and after deployment; and continual assessment and consultation with medical and other personnel from garrison to the battlefield.
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