Due to growing field experience with psychological challenges of combat- or conflict-based trauma the body of (especially military psychology-related) literature on prevalence and assessment of post-deployment stress recently has rapidly expanded. Although the methodologically refined study of Wittchen at al. (2012) shows that PTSD-prevalence in German Afghanistan-based units is far lower than reported especially in US-combat troops after redeployment from Afghanistan and Iraq, the report still documents that about 45 % of the expected cases go unnoticed and unreported. This is especially alarming, as we can conclude from Morey at al. (2011) that health issues are very likely to emerge post-deployment. In general these findings will apply to civilian personnel in conflict regions as well.
Apart from prevalence research new generations of brief measurement scales for the traumatic impact of events and experiences are in development (e.g., Bonanno & Pat-Horenczyk, 2011; Carlson et. al, 2011), which offers added potential for prevention.
While it is unknown to us, how far a systematic post-deployment process that incorporates psychological prevention activities is implemented in international organizations´and multinationals´ policies for returning experts from crisis-prone locations, we would like to propose a threefold general approach to assess possible risks: a multi-method post-deployment evaluation that is based on a mix of focus groups, expert interviews, and an online-survey that utilizes selected psychometric instruments.
We especially propose to utilize some measure of resilience (see Meredith et al. 2011) as well as psychological hardiness – a mental construct that has turned out to be extremely useful in assessing personnel for occupational high stress and high commitment environments (Bartone, 1991; Bartone et al., 2008, Carston & Gardner, 2009).
To arrive at a better understanding of the stressors in conflict zones a (possibly adapted) version of Katz et al.´s (2012) current measurement scale could be used.
The integration of (short) scales to measure resilience and psychological hardiness in combination with a systematic sampling of conflict-/combat-experience might not only provide a framework for a better understanding of post-deployment risk- and support-factors, but can add as well considerable insight into the design of psychometric pre-selection tools, until now not utilized to their full potential.
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