Evidence map›Paper›PMID 35546398›Full record

ArticleBMC public health2022

US soldiers and the role of leadership: COVID-19, mental health, and adherence to public health guidelines.

Amy B Adler, Ian A Gutierrez, Stephanie A Q Gomez, Matthew R Beymer, Theresa Jackson Santo, Jeffrey L Thomas, David S Cates, Amy Millikan Bell, Phillip J Quartana

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Engage: A bystander intervention training for U.S. Army soldiers.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2026
    Trial
  2. Trial
  3. Psychological, personal, and professional development needs of military mental health clinicians: Identifying implications for wellbeing and best practice utilizing the Delphi method.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2026
    Article
  4. Review
  5. The self-reported impacts of the COVID-19 pandemic on psychological health of U.S. Air Force cyber personnel.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024
    Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Amy B AdlerWalter Reed Army Institute of Research, 503 Robert Grant Ave, Silver Spring, MD, 20910, USA. amy.b.adler.civ@mail.mil.
Ian A GutierrezWalter Reed Army Institute of Research, 503 Robert Grant Ave, Silver Spring, MD, 20910, USA.
Stephanie A Q GomezUS Army Public Health Center, Aberdeen Proving Ground, Aberdeen, MD, USA.
Matthew R BeymerUS Army Public Health Center, Aberdeen Proving Ground, Aberdeen, MD, USA.
Theresa Jackson SantoUS Army Public Health Center, Aberdeen Proving Ground, Aberdeen, MD, USA.
Jeffrey L ThomasNational Defense University, Washington, DC, USA.
David S CatesNebraska Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Amy Millikan BellUS Army Public Health Center, Aberdeen Proving Ground, Aberdeen, MD, USA.
Phillip J QuartanaWalter Reed Army Institute of Research, 503 Robert Grant Ave, Silver Spring, MD, 20910, USA.
U.S. Army Center for Health Promotion and Preventive Medicine · USWalter Reed Army Institute of Research · USNational Defense University · USUniversity of Nebraska Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have documented the impact of domain-specific leadership behaviors on targeted health outcomes in employees. The goal of the present study was to determine the association between specific leadership behaviors addressing COVID-19 and US soldiers' mental health and adherence to COVID-19 public health guidelines.

methodsAn electronic, anonymous survey was administered to US Army soldiers across three major commands (N = 7,829) from December 2020 to January 2021. The primary predictor of interest was soldiers' ratings of their immediate supervisors' behaviors related to COVID-19. The outcomes were soldiers' mental health (i.e., depression and generalized anxiety) and adherence to COVID-19 public health guidelines. Covariates were rank, gender, ratings of immediate supervisors' general leadership, level of COVID-19 concerns, and COVID-19 status (e.g., tested positive, became seriously ill). Logistic regressions were used to model the unique association of COVID-19 leadership behaviors with outcomes after adjusting for covariates.

resultsHigh levels of COVID-19 leadership behaviors were associated with lesser likelihood of soldiers' screening positive for depression (AOR = 0.46; 95% CI [0.39, 0.54]) and anxiety (AOR = 0.54; 95% CI [0.45, 0.64]), and greater likelihood of frequent adherence to preventive health guidelines (AORs = 1.58; 95% CI [1.39, 1.80] to 2.50; 95% CI [2.01, 3.11]).

conclusionHigher levels of COVID-19 leadership behaviors may support soldiers' mental health and encourage their adherence to COVID-19 public health guidelines. Given the link between these leader behaviors and soldier adaptation to the pandemic over and above general leadership, training for supervisors should focus on targeting specific health-promoting behaviors. Results can inform leader training for the military and other high-risk occupations.

Indexed as

COVID-19Military PersonnelHumansLeadershipMental HealthPublic HealthHealth promotionMilitaryOccupational healthPandemicSupervisor

Identifiers

PMID35546398
PMCPMC9092038
OpenAlexW4280538949

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.