Protective and vulnerability factors contributing to resilience in post-9/11 veterans with service-related injuries in postsecondary education.
Open accessAbstract
OBJECTIVE: To examine differences in psychosocial protective factors (social support, meaningful occupation, and academic self-efficacy) and health-related vulnerability factors (posttraumatic stress, depression, and somatic symptoms) contributing to resilience in post-9/11 veterans with service-related injuries and nonveterans in postsecondary education. METHOD: A cross-sectional, matched-participants design using propensity score matching was used to test differences in mean levels of protective and vulnerability factors between injured veterans (n = 26) and nonveterans (n = 19); zero-order correlations explored relationships among study variables. RESULTS: The veteran sample demonstrated lower levels of psychosocial protective factors and higher levels of health-related vulnerability factors compared with nonveterans (|0.49| to |1.56|). Psychosocial protective factors were consistently negatively associated with health-related vulnerability factors (-.27 to -.63). CONCLUSION: Post-9/11 veterans with service-related injuries are at a substantial disadvantage in terms of resilience; lower protective factors and elevated vulnerability factors may increase their risk for poor campus integration and impede academic achievement.
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Those people who found meaning in the 9/11 attacks by aligning with their personal values and responsibilities, while acknowledging the emotional weight of the attack, fared particularly well in terms of low rates of psychological complications and increased resilience.
“Those people who found meaning in the attacks by aligning with their personal values (e.g., friendship, social bonds, spiritual/ religious pursuits, kindness to others, compassion) and responsibilities, while acknowledging the emotional weight of the attack, fared particularly well in terms of low rates of psychological complications and increased resilience.”
From Stress and coping in the time of COVID-19: Pathways to resilience and recovery (2020) · cites this paper as Eakman, Schelly, & Henry, 2016
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Experimental — accuracy not yet measuredFindings are consistent with many studies that show psychological flexibility is associated with resilience and post-traumatic growth during adversity.
“These findings are consistent with many studies that show psychological flexibility is associated with resilience and post-traumatic growth during adversity”
From Health Anxiety and Mental Health Outcome During COVID-19 Lockdown in Italy: The Mediating and Moderating Roles of Psychological Flexibility (2020) · cites this paper as Eakman et al., 2016
The Resilience-Based Model section discusses resilience and possible psychosocial growth after adversity, but does not link either to psychological flexibility. Searches for “psychological flexibility” and “posttraumatic growth” found no passage addressing the claimed association; page numbers were not available in our copy. (LLM, conf=0.74)
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- Authors
- Eakman, A. M., Schelly, C., & Henry, K. L.
- Affiliations
- Colorado State University (US)
- Corresponding author
- Eakman, Aaron M.
- Venue
- American Journal of Occupational Therapy
- Publisher
- SAGE Publications
- Published
- 2015-12-14
- Volume
- 70
- Issue
- 1
- Pages
- 61-71
- ISSN
- 0272-9490 (ISSN-L)
- 1943-7676
- OpenAlex
- W2219457593
- Cited by
- 35
- References
- 65
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 8 · 2019: 6 · 2018: 3 · 2017: 5 · 2016: 1
- FWCI
- 15.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Occupational Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Education › Education and Military Integration
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Safety Research › Disability Education and Employment
- Keywords
- resilience, post-9/11 veterans, post-traumatic stress, depression, somatic symptoms, social support, meaningful occupations, academic self-efficacy, postsecondary education, campus integration, academic performance, protective factors, vulnerability factors
- MeSH terms
- War-Related Injuries, Adult, Depression, Female, Humans, Male, Middle Aged, Military Personnel, Social Support, Stress Disorders, Post-Traumatic, Veterans, Self Efficacy, September 11 Terrorist Attacks, Resilience, Psychological, Young Adult, Propensity Score
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