Toward a System Theory of Stress, Resilience, and Reintegration
Anna G Etchin1, Jennifer R Fonda, Regina E McGlinchey
1Translational Research Center for TBI and Stress Disorders (TRACTS), VA Boston Healthcare System, Boston, Massachusetts (Drs Etchin, Fonda, and McGlinchey); Department of Psychiatry, Harvard University, Boston, Massachusetts (Drs Fonda and McGlinchey); Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts (Dr Howard); Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System, Boston, Massachusetts (Drs Fonda and McGlinchey); and The Hinda and Arthur Marcus Institute for Aging Research Hebrew SeniorLife, Boston, Massachusetts (Dr Howard).
Abstract:
Military to civilian reintegration is a complex, multidimensional phenomenon warranting holistic perspectives. Complex phenomena require theory to understand and interpret relationships among concepts. Despite the need for theory-driven research, recent nursing reports often lack a theoretical structure. We extracted relevant concepts from the Neuman's Systems Model (stressors, environment, and person) and the Transactional Model of Stress and Coping (primary and secondary appraisal, coping, and adaptation) to form a Conceptual-Theoretical-Empirical model. Exemplar empirical instruments are presented, along with their conceptual and theoretical dimensions. An integrated System Theory of Stress, Resilience, and Reintegration is presented with its utility demonstrated through a research application.
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