Evidence map›Paper›PMID 40317629›Full record

SynthesisStress and health : journal of the International Society for the Investigation of Stress2025

Emotion Regulation and Coping in Active Military Personnel: A Systematic Review.

Rebecca Kirkham, Chang Liu, Teresa Wulundari, Eugene Aidman, Murat Yucel, Joshua Wiley, Lucy Albertella

Abstract readSystematic Review
In one paragraph

Synthesis in Stress and health : journal of the International Society for the Investigation of Stress, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

7 authors.

Rebecca KirkhamSchool of Psychological Sciences, Monash University, Victoria, Australia.ORCID https://orcid.org/0000-0002-3004-7219
Chang LiuSchool of Psychological Sciences, Monash University, Victoria, Australia.ORCID https://orcid.org/0000-0003-0324-8151
Teresa WulundariCentre for Digital Transformation of Health, University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-5246-5112
Eugene AidmanSchool of Psychology, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-7711-794X
Murat YucelQIMR Berghofer Medical Research Institute, Herston, Australia.ORCID https://orcid.org/0000-0002-4705-452X
Joshua WileySchool of Psychological Sciences, Monash University, Victoria, Australia.ORCID https://orcid.org/0000-0002-0271-6702
Lucy AlbertellaSchool of Psychological Sciences, Monash University, Victoria, Australia.ORCID https://orcid.org/0000-0001-5232-6414

Funding

Australian Defense Science and Technology GroupAustralian Research CouncilCommonwealth of Australia as represented by the Defence Science and Technology Group of the Department of DefenceDavid Winston Turner Endowment Fund and Wilson FoundationDepartment for Industry, Innovation, and ScienceIncannex Healthcare LtdNational Health and Medical Research CouncilNational Institutes of Health United StatesNHMRC Investigator #1178487Research Training Program Scholarship
6 · The paper itself

Abstract

Emotions significantly impact decision-making, teamwork, stress management, and resilience in high-pressure occupations such as the military, emergency services and competitive sports, making effective emotion regulation (ER) essential to performance and mental health. However, there are considerable knowledge gaps about ER in active-service military populations, particularly regarding the measures used to quantify ER, the variables studied, and identified relationships. Synthesising this literature is critical to progressing the ER research toward realistic solutions to enhancing performance and mental health in this population. This systematic review aimed to explore measurement tools, the variables examined alongside ER, and the relationship between ER and performance and military variables in active-service military personnel. Preregistered (PROSPERO; CRD42023358657) and adhering to PRISMA guidelines, this review focused on English peer-reviewed publications on ER or coping strategies in active-service military populations without date restrictions. Scopus, Web of Science, Military database, Medline and PsycINFO were last searched on 12/10/2022. Two reviewers screened studies, conducted data extraction and risk of bias assessment. A tabular synthesis method was used to systematically organise study details, ER measures, strategies, performance and military variables, outcomes, and quality. The literature search yielded 5780 studies, 46 of which were deemed relevant. The review identified 17 measurement tools, with the Coping Orientation to Problems Experienced Inventory (COPE) and Emotion Regulation Questionnaire being the most used. Psychological factors such as personality, resilience, and stress were most frequently examined (54%), while performance variables were studied in 3 (6.5%) and military variables in 6 (13%) of the source studies. Of the 10 performance and military variables examined, 50% were identified as being at high risk of bias, 30% moderate risk and 20% low risk. This review highlights a scarcity of published research on ER and performance and military variables in active-service military members. Overall, studies suggest that ER may be associated with performance and military variables in varying contexts and capacity. The review examines the implications of these relationships in detail. However, these studies vary in quality, the measurement tools used, and the variables assessed alongside ER, making synthesis challenging. The high risk of bias identified suggests that the relationships with ER should be interpreted with caution. This review suggests a link between ER and performance and military outcomes, however further research is needed to understand this nuanced relationship in the military context.

Indexed as

Adaptation, PsychologicalEmotional RegulationMilitary PersonnelHumanscopingcoping strategiesemotion regulationemotion regulation strategieshigh‐pressuremental healthmilitaryperformancestress

Identifiers

PMID40317629
PMCPMC12047616

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.