ArticleRehabilitation psychology2019
Resilience facilitates adjustment through greater psychological flexibility among Iraq/Afghanistan war veterans with and without mild traumatic brain injury.
Article in Rehabilitation psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 43 citations in OpenAlex.
- Psychological Flexibility, Community Resilience, and Distress in Parents of Children With Autism and Typical Development During Wartime.Journal of autism and developmental disorders · 2026Article
- The Roles of Psychological Flexibility and Perceived Parental Emotional Support in Resilience and Social Anxiety Among College Students.Behavioral sciences (Basel, Switzerland) · 2026Article
- Setbacks to strengths: A scoping review of positive psychology constructs among veterans and service members with traumatic brain injury.Rehabilitation psychology · 2026Article
- Peer delivered, emotion regulation-focused mental health prevention training for fire fighter trainees: Design and methodology of a randomized controlled trial.Contemporary clinical trials communications · 2025Article
- Observational
- Psychological flexibility as a mediator in the relationship between resilience and academic burnout among Doctor of Physical Therapy students: A structural equation modeling study.Health science reports · 2024Article
- Management of Psychological Complications Following Mild Traumatic Brain Injury.Current neurology and neuroscience reports · 2023Review
- The relationship between social support and depression among HIV-positive men who have sex with men in China: the chain mediating role of psychological flexibility and hope.Frontiers in public health · 2023Article
- Correlates and predictors of resilience in veterans with persistent traumatic brain injury symptoms.Postepy psychiatrii neurologii · 2022Article
- Personality metatraits predict resilience among family caregivers responsible for a dependent youth's chronic respiratory management.BMC psychology · 2022Article
- Resilience, coping, and distress among healthcare service personnel during the COVID-19 pandemic.BMC psychiatry · 2021Article
- Two-Step Resilience-Oriented Intervention for Veterans with Traumatic Brain Injury: A Pilot Randomized Controlled Trial.Clinical neuropsychiatry · 2021Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesAlthough many Iraq/Afghanistan warzone veterans report few problems with adjustment, a substantial proportion report debilitating mental health symptoms and functional impairment, suggesting the influence of personal factors that may promote adjustment. A significant minority also incur warzone-related traumatic brain injury (TBI), the majority of which are of mild severity (mTBI). We tested direct and indirect pathways through which a resilient personality prototype predicts adjustment of warzone veterans with and without mTBI over time.
methodA sample of 264 war veterans (181 men) completed measures of lifetime and warzone-related TBIs, personality traits, psychological adjustment, quality of life, and functional impairment. Social support, coping, and psychological flexibility were examined as mediators of the resilience-adjustment relationship. Instruments were administered at baseline, 4-, 8-, and 12-month assessments. Structural equation models accounted for combat exposure and response style.
resultsCompared with a nonresilient personality prototype, a resilient prototype was directly associated with lower PTSD, depression, and functional disability, and higher quality of life at all time-points. Warzone mTBIs frequency was associated with higher scores on a measure of functional disability. Indirect effects via psychological flexibility were observed from personality to all outcomes, and from warzone-related mTBIs to PTSD, depression, and functional disability, at each time-point.
conclusionsSeveral characteristics differentiate veterans who are resilient from those who are less so. These findings reveal several factors through which a resilient personality prototype and the number of mTBIs may be associated with veteran adjustment. Psychological flexibility appears to be a critical modifiable factor in veteran adjustment. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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