战斗和作战压力计划和干预:使用分层预防框架进行范围审查
Denise C Cooper1, Marjorie S Campbell1, Margaret Baisley1
1Psychological Health Center of Excellence, Defense Health Agency, Silver Spring, Maryland, USA.
战斗和作战压力控制 (COSC) 计划对服务人员来说是有前途的. 评估表明有效性,未来的方向侧重于分层预防框架内的联合课程.
科学领域:
- 军事心理学 军事心理学
- 公共卫生 公共卫生
- 行为健康 行为健康
背景情况:
- 自1999年以来,国防部的政策规定了作战和操作压力控制 (COSC) 计划.
- 这些计划旨在预防,识别和管理战斗和作战压力效应.
- 在部署,作战或现场设置中的美国服务人员是目标人群.
研究的目的:
- 提供战斗和作战压力控制 (COSC) 计划的叙事审查.
- 将COSC计划组织成一个预防框架.
- 确定COSC计划的缺口和未来方向.
主要方法:
- 对同行评审文章和政府报告 (2001-2020) 的系统搜索.
- 确定和评估美国服务人员的COSC计划.
- 使用分层预防模型对计划进行分类,并根据证据水平进行评级.
主要成果:
- 确定了19个COSC计划的36个评估.
- 大多数计划在实现目标结果方面都表现出有效性.
- 13个项目报告了行为健康结果,其中6个专注于知识和行为改变.
结论:
- 科斯克的干预措施对服务人员的压力管理有希望.
- 超过一半的项目有来自随机研究设计的证据.
- 未来的评估应考虑在分层预防框架内的联合课程.
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