Psychiatr Prax 2015; 42(08): 436-442
DOI: 10.1055/s-0034-1370242
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Zusammenhänge zwischen Psychischer Symptomatik und Persönlichen Werten bei Bundeswehrsoldaten nach einem Auslandseinsatz

Mental Disorders in German Soldiers after Deployment – Impact of Personal Values and Resilience
Peter Zimmermann
1   Psychotraumazentrum der Bundeswehr, Bundeswehrkrankenhaus Berlin
,
Susanne Firnkes
2   Stab 1. Panzerdivision, Hannover
,
Jens Kowalski
1   Psychotraumazentrum der Bundeswehr, Bundeswehrkrankenhaus Berlin
,
Johannes Backus
2   Stab 1. Panzerdivision, Hannover
,
Christina Alliger-Horn
1   Psychotraumazentrum der Bundeswehr, Bundeswehrkrankenhaus Berlin
,
Gerd Willmund
1   Psychotraumazentrum der Bundeswehr, Bundeswehrkrankenhaus Berlin
,
Andrea Hellenthal
1   Psychotraumazentrum der Bundeswehr, Bundeswehrkrankenhaus Berlin
,
Amanda Bauer
1   Psychotraumazentrum der Bundeswehr, Bundeswehrkrankenhaus Berlin
,
Franz Petermann
3   Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen
,
Andreas Maercker
4   Psychopathologie und Klinische Intervention, Psychologisches Institut der Universität Zürich/Schweiz
› Author Affiliations
Further Information

Publication History

Publication Date:
26 August 2014 (online)

Zusammenfassung

Ziel: Der Einfluss von Wertorientierungen ist bislang im militärischen Kontext nicht empirisch untersucht.

Methodik: 117 Soldaten bearbeiteten nach Auslandseinsatz den Portrait-Values-Questionnaire, den Patient-Health-Questionnaire sowie die Resilienzskala-11.

Ergebnisse: Hedonismus, Benevolenz, Tradition, Selbstbestimmung und Universalismus hatten einen in der Zusammensetzung jeweils differenten signifikanten Einfluss auf depressive, ängstliche und somatoforme Syndrome im PHQ. Die RS-11 korrelierte negativ mit der Symptomatik.

Schlussfolgerung: Werteorientierungen und Resilienz sollten bei Soldaten nach Einsätzen vermehrt Beachtung finden.

Abstract

Objective: Soldiers are at increased risk of developing mental health disorders after military deployment. The impact of personal values on psychological symptomatology based on an empirical working model has not yet been studied in a military environment.

Methods: 117 German Armed Forces soldiers completed the Portrait-Values-Questionnaire (PVQ), the Patient-Health-Questionnaire (PHQ) and the Resilience-Scale (RS-11) after their deployment to Afghanistan.

Results: In the regression analyses the values hedonism, benevolence, tradition, self-direction and universalism had a differential significant impact on depression, anxiety and somatoform symptoms of the PHQ. The RS-11 sum scale values were negatively correlated with symptomatology.

Conclusion: Personal values and resilience seem to be associated with psychological symptomatology in soldiers after military deployment. The results can contribute to the further development of both preventive and therapeutic approaches.

 
  • Literatur

  • 1 Wittchen HU, Schönfeld S, Kirschbaum K et al. Traumatic experiences and posttraumatic stress disorder in soldiers following deployment abroad – how big is the hidden problem?. Dtsch Arztebl Int 2012; 109: 559-568
  • 2 Zimmermann P, Biesold KH, Barre K et al. Long-term course of post-traumatic stress disorder in German soldiers – effects of inpatient eye movement desensitization and reprocessing therapy and specific trauma characteristics in patients with non-combat-related PTSD. Mil Med 2007; 172: 456-460
  • 3 Hoge CW, Castro CA, Messer SC et al. Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. N Engl J Med 2004; 351: 13-22
  • 4 Sareen J, Cox BJ, Afifi TO et al. Combat and peacekeeping operations in relation to prevalence of mental disorders and perceived need for mental health care: findings from a large representative sample of military personnel. Arch Gen Psychiatry 2007; 64: 843-852
  • 5 Pietrzak RH, Whealin JM, Stotzer RL et al. An examination of the relation between combat experiences and combat-related posttraumatic stress disorder in a sample of Connecticut OEF-OIF veterans. J Psychiat Res 2011; 45: 1579-1584
  • 6 Dolan CA, Adler AB. Military hardiness as a buffer of psychological health on return from deployment. Mil Med 2006; 171: 93-98
  • 7 Tedeschi RG, Calhoun LG. Posttraumatic Growth: conceptual foundations and empirical evidence. Psychol Inquiry 2004; 15: 1-18
  • 8 Werner EE. Risk, resilience and recovery: Perspectives from the Kauai longitudinal study. Dev Psychopathol 1993; 5: 503-515
  • 9 Werner EE. Children and war: risk, resilience, and recovery. Dev Psychopathol 2012; 24: 553-558
  • 10 Noeker M, Petermann F. Resilienz – Funktionale Adaptation an widrige Umgebungsbedingungen. Z Psychiat Psycho Psychother 2008; 56: 255-263
  • 11 Maercker A, Gäbler I, O’Neil J et al. Long-term trajectories of PTSD or resilience in former East German political prisoners. Torture 2013; 23: 15-27
  • 12 Streb M, Häller P, Michael T. PTSD in Paramedics: Resilience and Sense of Coherence. Behav Cogn Psychother 2013; 29: 1-12
  • 13 Green KT, Calhoun PS, Dennis MF et al. Mid-Atlantic Mental Illness Research, Education and Clinical Center Workgroup. Exploration of the resilience construct in posttraumatic stress disorder severity and functional correlates in military combat veterans who have served since September 11, 2001. Clin Psychiat 2010; 71: 823-830
  • 14 Schermer JA, Feather NT, Zhu G. Phenotypic, genetic, and environmental properties of the portrait values questionnaire. Twin Research Hum Genet 2008; 11: 531-537
  • 15 Bardi A, Lee JA, Hofmann-Towfigh N et al. The structure of intraindividual value change. J Personality Soc Psychol 2009; 97: 913-929
  • 16 Kluckhohn C. Values and value-orientations in the theory of action: An exploration in definition and classification. In: Parsons T, Shils E, eds. Towards a general theory of action. Cambridge, MA: Harvard University Press; 1951: 388-433
  • 17 Rokeach M ed. The nature of human values. NewYork: Free Press; 1973
  • 18 Schwartz SH. Are there universal aspects in the content and structure of values?. J Soc Issues 1994; 50: 19-45
  • 19 Hinz A, Brähler E, Schmidt P et al. Investigating the circumplex structure of the Portrait Values Questionnaire (PVQ). J Individ Differences 2005; 26: 185-193
  • 20 Schwartz SH, Melech G, Lehmann A et al. Extending the cross-cultural validity of the theory of basic human values with a different method of measurement. J Cross-cultural Psychol 2001; 32: 519-542
  • 21 Maercker A, Mohiyeddini C, Müller M et al. Traditional versus modern values, self-perceived interpersonal factors, and posttraumatic stress in Chinese and German crime victims. Psychol Psychother 2009; 82: 219-232
  • 22 Müller M, Forstmeier S, Wagner B et al. Traditional versus modern values and interpersonal factors predicting stress response syndromes in a Swiss elderly population. Psychol Health Med 2011; 8: 1-24
  • 23 Schwartz SH. A proposal for measuring value orientations across nations. In: ESS, Hrsg. Questionnaire development report (Mai 2013). 259-319 Im Internet: http://naticent02.uuhost.uk.uu.net/questionnaire/questionnaire_development/chapter_07.doc (Stand: 18.02.2014)
  • 24 Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale. J Nursing Measurement 1993; 1: 165-178
  • 25 Gräfe K, Zipfel S, Herzog W et al. Screening psychischer Störungen mit dem „Gesundheitsfragebogen für Patienten (PHQ-D)“. Ergebnisse der deutschen Validierungsstudie. Diagnostica 2004; 78: 131-140
  • 26 Schumacher J, Leppert K, Gunzelmann T et al. Die Resilienzskala – ein Fragebogen zur Erfassung der psychischen Widerstandsfähigkeit als Personmerkmal. Z Klin Psychol Psychiat Psychother 2004; 53: 16-39
  • 27 Dollinger SJ, Kobayashi R. Values correlates of collegiate alcohol abuse. Psychol Rep 2003; 93: 848-850
  • 28 Galdos JS, Sanchez IM. Relationship between cocaine dependence treatment and personal values of openness to change and conservation. Adicciones 2010; 22: 51-58
  • 29 Schmidt P, Bamberg S, Davidov E et al. The Measurement of values with the „Portrait Value Questionnaire“. Z Sozialpsychologie 2007; 38: 261-275
  • 30 Schwartz SH, Cieciuch J, Vecchione M et al. Refining the theory of basic individual values. J Pers Soc Psychol 2012; 103: 663-688