Stress management training for military trainees returned to duty after a mental health evaluation: effect on graduation rates.

A significant proportion of people entering the military are discharged within the first 6 months of enlistment. Mental health related problems are often cited as the cause of discharge. This study evaluated the utility of stress inoculation training in helping reduce the attrition of a sample of Air Force trainees at risk for discharge from basic military training. Participants were 178 trainees referred for a psychological evaluation from basic training. Participants were randomly assigned to a 2-session stress management group or a usual-care control condition. Compared with past studies that used less rigorous methodology, this study did not find that exposure to stress management information increased the probability of graduating basic military training. Results are discussed in terms of possible reasons for the lack of treatment effects and directions for future research.

[1]  A. Satin,et al.  The impact of sexual abuse on job attrition in military recruits. , 1996, Military medicine.

[2]  C. Carver,et al.  Coping with stress: divergent strategies of optimists and pessimists. , 1986, Journal of personality and social psychology.

[3]  J. Cigrang,et al.  Predicting outcome of military basic training for individuals referred for psychological evaluation. , 1999, Journal of personality assessment.

[4]  Peter Chen,et al.  The effectiveness and practicality of occupational stress management interventions: a survey of subject matter expert opinions. , 1997, Journal of occupational health psychology.

[5]  J. Matarazzo.  The Interview: Its Reliability and Validity in Psychiatric Diagnosis , 1978 .

[6]  E. Salas,et al.  The effect of stress inoculation training on anxiety and performance. , 1996, Journal of occupational health psychology.

[7]  B. Wolman.  Clinical diagnosis of mental disorders : a handbook , 1978 .

[8]  M. Krause,et al.  The dose-effect relationship in psychotherapy. , 1986, The American psychologist.

[9]  C. Carver,et al.  Assessing coping strategies: a theoretically based approach. , 1989, Journal of personality and social psychology.

[10]  Shelley E. Taylor,et al.  Modeling cognitive adaptation: a longitudinal investigation of the impact of individual differences and coping on college adjustment and performance. , 1992, Journal of personality and social psychology.

[11]  Dick Cheney,et al.  Annual Report to the President and the Congress. , 1992 .

[12]  Military Recruit Training: An Arena for Stress Coping Skills. , 1981 .

[13]  D. Meichenbaum.  Stress inoculation training , 1985 .

[14]  J. S. Phillips,et al.  Worksite stress management interventions. , 1990, The American psychologist.

[15]  G. S. Taylor.  Realistic Job Previews in the Trucking Industry , 1994 .

[16]  J. Cigrang,et al.  Disposition Decisions in U.S. Air Force Basic Trainees Assessed During Mental Health Evaluations , 2000 .

[17]  Angelo S. DeNisi,et al.  Effects of realistic job previews: A comparison using an enhancement and a reduction preview. , 1988 .

[18]  R. Mccraw,et al.  Personality factors in failure to adapt to the military. , 1990, Military medicine.

[19]  M. Seligman,et al.  The effectiveness of psychotherapy. The Consumer Reports study. , 1995, The American psychologist.

[20]  K. Hytten,et al.  Stress inoculation training for smoke divers and free fall lifeboat passengers. , 1990, Aviation, space, and environmental medicine.

[21]  J. Cigrang,et al.  Mental health attrition from Air Force basic military training. , 1998, Military medicine.

[22]  J. Prochaska,et al.  In Search of How People Change: Applications to Addictive Behaviors , 1992, The American psychologist.

[23]  J. Prochaska,et al.  Transtheoretical therapy: Toward a more integrative model of change. , 1982 .

[24]  Donald Meichenbaum,et al.  Stress reduction and prevention , 1989 .

[25]  B. Arnetz,et al.  PSYCHOPHYSIOLOGICAL EFFECTS OF MENTAL IMAGING TRAINING FOR POLICE TRAINEES , 1997 .