ABSTRACT

The Peace of Mind (POM) program was designed to enable combat veterans in Israel to process their combat experience, address difficulties in the transition to civilian life and facilitate psychological growth as a result of their military experience. During the course of the program, 1068 participants were studied at four time points. Post-traumatic symptoms were measured using the PTSD checklist for DSM-5 (PCL-5), and post-traumatic growth (PTG) was measured using the Post Traumatic Growth Inventory (PTGI). Multilevel Modeling (MLM) was used to assess symptom and psychological trajectories for all participants and for those who began with and without PTSD symptoms, respectively. The results demonstrated that those who began the program with elevated PTSD symptoms experienced a significant reduction in PTSD symptoms following the completion of the intensive element of the program. Additionally, all participants demonstrated an increase in PTG following the intensive section of the program and this was maintained throughout follow-up. The findings indicate that the POM program is beneficial in relation to both positive and negative outcomes of traumatic military experiences though it is clear that the transition from combat to civilian life is more complex than the current measures identify and that further research needs to examine the distinct lifestyle and functional changes which occur following the program.

 抽象的

心灵平静（POM）计划旨在帮助以色列退伍军人处理他们的战斗经历，解决向平民生活过渡的困难，并促进他们因军事经历而获得的心理成长。在该项目进行期间，我们在四个时间点对 1068 名参与者进行了研究。使用 DSM-5 (PCL-5) 的 PTSD 检查表测量创伤后症状，并使用创伤后生长量表 (PTGI) 测量创伤后生长 (PTG)。多层次建模（MLM）用于评估所有参与者以及那些开始时有或没有 PTSD 症状的参与者的症状和心理轨迹。结果表明，那些在开始该计划时 PTSD 症状加重的人在完成该计划的强化部分后，其 PTSD 症状显着减轻。此外，所有参与者在项目的强化部分后都表现出 PTG 增加，并且在整个后续过程中都保持这种情况。研究结果表明，POM 计划对于创伤性军事经历的积极和消极结果都是有益的，尽管很明显，从战斗到平民生活的过渡比当前措施所确定的更为复杂，并且需要进一步的研究来检验不同的影响因素。计划后发生的生活方式和功能变化。