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Trauma, multimorbidity, and functional resilience in U.S. veterans
Atreya Manaswi1, Alina Yang2, Ian C Fischer3
1Yale University, New Haven, CT, USA.
Journal of Psychiatric Research
|December 20, 2025
Summary
Functional resilience in U.S. veterans is strongly linked to modifiable factors like mindfulness and grit. Interventions targeting these traits may improve functioning for veterans facing trauma and health challenges.
Area of Science:
- Psychology
- Military Health
- Resilience Research
Background:
- U.S. military veterans often face trauma and co-occurring health issues impacting functioning.
- Functional resilience, or maintaining high functioning despite adversity, is observed in some veterans.
- Identifying modifiable factors for resilience can inform interventions to support veterans' well-being.
Purpose of the Study:
- To identify modifiable factors associated with functional resilience in U.S. veterans.
- To explore the relationship between psychosocial traits, health behaviors, and veteran functioning.
- To inform interventions aimed at enhancing resilience and functional outcomes in the veteran population.
Main Methods:
- Analysis of data from 4069 U.S. veterans in the National Health and Resilience in Veterans Study.
- Development of a composite functioning score from physical, mental, cognitive, and psychosocial domains.
- Operationalization of functional resilience using a discrepancy-based residual approach, analyzing correlates of better-than-expected functioning.
Main Results:
- Mindfulness, grit, and perceived resilience were the strongest correlates of functional resilience.
- These key factors jointly explained over 75% of the variance in functional resilience.
- Other correlates included conscientiousness, physical exercise, positive aging expectations, community integration, older age, and partnership status.
Conclusions:
- Modifiable psychosocial traits and health behaviors significantly predict functional resilience in U.S. veterans.
- Interventions enhancing mindfulness, grit, perceived resilience, and positive aging attitudes may improve veteran functioning.
- These findings highlight the potential for targeted interventions to bolster resilience in this population.
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