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Predictors of military veterans' engagement in bespoke recovery pathways and health and well-being outcomes.
Rehabilitation Psychology ( IF 1.9 ) Pub Date : 2021-11-29 , DOI: 10.1037/rep0000423
Gareth A Roberts 1 , Rachel Arnold 1 , Fiona Gillison 1 , Martin Colclough 2 , James Bilzon 1
Affiliation  

PURPOSE/OBJECTIVE The objective of this cross-sectional study was to assess how psychosocial variables predict U.K. military veterans' level of engagement in bespoke recovery pathways (Aim 1) and a sports-specific recovery pathway (Aim 2). A further purpose of this study was to test whether predictor variables indirectly predict outcome variables of physical health (Aim 3), mental health (Aim 4), and subjective vitality (Aim 5), when mediated through level of engagement with all recovery pathways and the sport recovery pathway. Research Method/Design: A cross-sectional battery of questionnaires were completed by 514 military veterans who had been enrolled in Help for Heroes recovery pathways (e.g., sports recovery pathway) from 3 months to 10 years. Data were analyzed by multinomial logistic and multiple linear regressions and mediation analyses using the PROCESS SPSS macro. RESULTS Engagement in all recovery pathways (i.e., frequency and duration of attendance) was predicted by basic psychological needs frustration and perceived social support (Nagelkerke R² = .16). Sport-related social support (p < .05) and competence satisfaction (p < .001) were directly positively associated with mental health, and competence satisfaction with physical health (p < .001) and well-being (p < .001) on the sport recovery pathway. While perceived stress was directly negatively associated with mental health and well-being (p < .001). Mediation analyses revealed no significant, indirect effects of psychosocial variables on health and wellbeing through level of engagement. CONCLUSIONS/IMPLICATIONS In sum, engagement in recovery pathways does not mediate the effects of psychosocial variables on veterans' health and well-being. Perceived social support, satisfaction of veterans' needs, and perceived stress were better predictors of health and well-being outcomes and should be an important focus of future research and recovery. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

退伍军人参与定制恢复途径以及健康和福祉结果的预测因素。

目的/目标 本横断面研究的目的是评估社会心理变量如何预测英国退伍军人在定制恢复途径(目标 1)和特定运动恢复途径(目标 2)中的参与程度。本研究的另一个目的是测试预测变量是否间接预测身体健康(目标 3)、心理健康(目标 4)和主观活力(目标 5)的结果变量,当通过参与所有康复途径的水平和运动恢复途径。研究方法/设计:由 514 名在 3 个月至 10 年期间参加“英雄帮助”康复途径(例如,运动康复途径)的退伍军人完成了一组横断面调查问卷。使用 PROCESS SPSS 宏通过多项逻辑和多元线性回归和中介分析分析数据。结果 通过基本心理需求挫折和感知社会支持(Nagelkerke R² = .16)预测参与所有恢复途径(即出勤频率和持续时间)。运动相关的社会支持 (p < .05) 和能力满意度 (p < .001) 与心理健康直接正相关,能力满意度与身体健康 (p < .001) 和幸福感 (p < .001) 直接相关在运动恢复路径上。虽然感知压力与心理健康和幸福感直接负相关(p < .001)。中介分析显示,通过参与程度,心理社会变量对健康和福祉没有显着的间接影响。结论/影响 总之,参与康复途径并不能调节心理社会变量对退伍军人健康和福祉的影响。感知到的社会支持、对退伍军人需求的满足以及感知到的压力是健康和福祉结果的更好预测指标,应该成为未来研究和恢复的重要焦点。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。
更新日期:2021-11-29
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