Military Identity Project

NCT ID: NCT04261842

Last Updated: 2022-04-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

115 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-04-07

Study Completion Date

2021-12-31

Brief Summary

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The Military Identity Project is an exploration of military identity in Active Duty Service Members of the Army, Navy, Air Force \& Marine Corps. The purpose of this project is to discover common identity attributes shared by active duty members across Service branches and to see if specific traits are related to levels of well-being and resilience.

Detailed Description

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Rationale: Psychological health (PH) disorders continue to be the highest consumer of inpatient bed days and are in the top 10 diagnoses for Active Duty Service Members (ADSM) lost duty days and appointment utilization. Cognitive therapies (CT) are the evidence-based choice for PH conditions. Little is known about the cognitive contents of Military Identity (MI) and the potential for identifying specific cognitive vulnerabilities and resources common in ADSMs. Understanding the role of MI in common military PH conditions can inform the development of new military-specific clinical strategies for CTs.

Study Objective: To validate findings from a pilot Military Identity (MI) study utilizing a self-schema model to determine core cognitive contents of MI and to explore relationships between MI and psychological well-being (PWB).

Specific Aims:

Aim 1: Describe the core cognitive content of MI in active duty service members.

Aim 2: Examine the effect of MI on information processing response times.

Aim 3: Explore the relationship between MI and self-perceived psychological well-being scores.

Design: A descriptive cross-sectional mixed methods content analysis and a four-group information processing paradigm will be utilized to investigate a stratified sample of ADSMs across Joint Services (25% sample from each Army, Navy, Air Force, Marine).

Methods: Open-Ended and Closed-Ended Identity Attribute Tasks will be used to explore MI content as well as a 60 attribute response time task along with a demographic questionnaire, Inclusion of In-group in Self Scale, and Ryff's PWB Scales. All measures will be collected via computerized software program developed by Harvard's Project Implicit.

Dissemination of Results: Results from the study will be disseminated through publications, poster and/or podium presentations at professional annual conferences such as the American Psychological Association (APA), Military Health Systems Research Symposium, Association of Military Surgeons United States (AMSUS), and Tri-Service Nursing Research Program (TSNRP). Manuscripts will be submitted for publication to appropriate journals such as Military Psychology, Military Behavioral Health, and Military Medicine.

Conditions

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Military Identity Self-schemas Psychological Well-being

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Eligibility Criteria

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Inclusion Criteria

* An active duty member of the US Army, US Air Force, US Marine Corps, US Navy
* Willing to complete the online identity tasks requiring approximately 45 minutes

Exclusion Criteria

* Civilian
* Guard or Reserve Service Members
* U.S. Public Health Service Member
* U.S. Coast Guard Service Member
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Uniformed Services University of the Health Sciences

FED

Sponsor Role collaborator

University of Rochester

OTHER

Sponsor Role collaborator

San Antonio Military Medical Center

FED

Sponsor Role collaborator

Walter Reed National Military Medical Center

FED

Sponsor Role collaborator

Womack Army Medical Center

FED

Sponsor Role collaborator

Tripler Army Medical Center

FED

Sponsor Role collaborator

David Grant U.S. Air Force Medical Center

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Laurie A Migliore, PhD

Role: PRINCIPAL_INVESTIGATOR

David Grant USAF Medical Center

Locations

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David Grant USAF Medical Center

Travis Air Force Base, California, United States

Site Status

Countries

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United States

References

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American Association of Nurse Practitioners. (2015). NP Facts. Www.Aanp.Org, 78711. Retrieved from https://www.aanp.org/images/documents/about-nps/npfacts.pdf

Reference Type BACKGROUND

Andersen, B. L., & Cyranowski, J. M. (1994). Women's sexual self-schema. Journal of Personality and Social Psychology. http://doi.org/10.1037/0022-3514.67.6.1079

Reference Type BACKGROUND

Anderson NH. Likableness ratings of 555 personality-trait words. J Pers Soc Psychol. 1968 Jul;9(3):272-9. doi: 10.1037/h0025907. No abstract available.

Reference Type BACKGROUND
PMID: 5666976 (View on PubMed)

Armed Forces Health Surveillance Branch. Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2016. MSMR. 2017 Apr;24(4):2-8. No abstract available.

Reference Type BACKGROUND
PMID: 28488875 (View on PubMed)

Baayen, H. R., & Milin, P. (2010). Analyzing reaction times. International Journal of Psychological Research, 3(2).

Reference Type BACKGROUND

Beck AT. The evolution of the cognitive model of depression and its neurobiological correlates. Am J Psychiatry. 2008 Aug;165(8):969-77. doi: 10.1176/appi.ajp.2008.08050721. Epub 2008 Jul 15.

Reference Type BACKGROUND
PMID: 18628348 (View on PubMed)

Berghaus, P. T., & Cartagena, N. L. (2013). Developing good soldiers: The problem of fragmentation within the Army. Journal of Military Ethics, 12(4), 287-303. http://doi.org/10.1080/15027570.2013.869389

Reference Type BACKGROUND

Brewin CR, Garnett R, Andrews B. Trauma, identity and mental health in UK military veterans. Psychol Med. 2011 Aug;41(8):1733-40. doi: 10.1017/S003329171000231X. Epub 2010 Dec 14.

Reference Type BACKGROUND
PMID: 21144125 (View on PubMed)

Brewin CR. Understanding cognitive behaviour therapy: A retrieval competition account. Behav Res Ther. 2006 Jun;44(6):765-84. doi: 10.1016/j.brat.2006.02.005. Epub 2006 Apr 18.

Reference Type BACKGROUND
PMID: 16620779 (View on PubMed)

Corte C, Stein KF. Self-cognitions in antisocial alcohol dependence and recovery. West J Nurs Res. 2007 Feb;29(1):80-99. doi: 10.1177/0193945906295480.

Reference Type BACKGROUND
PMID: 17228062 (View on PubMed)

Cyranowski JM, Aarestad SL, Andersen BL. The role of sexual self-schema in a diathesis-stress model of sexual dysfunction. Appl Prev Psychol. 1999;8(3):217-228. doi: 10.1016/S0962-1849(05)80078-2.

Reference Type BACKGROUND
PMID: 19587834 (View on PubMed)

Daley, J. G. (1999). Understanding the military as an ethnic identity. Social work practice in the military, 291-303.

Reference Type BACKGROUND

Dalgleish T. Cognitive approaches to posttraumatic stress disorder: the evolution of multirepresentational theorizing. Psychol Bull. 2004 Mar;130(2):228-60. doi: 10.1037/0033-2909.130.2.228.

Reference Type BACKGROUND
PMID: 14979771 (View on PubMed)

Danish SJ, Antonides BJ. The challenges of reintegration for service members and their families. Am J Orthopsychiatry. 2013 Oct;83(4):550-8. doi: 10.1111/ajop.12054.

Reference Type BACKGROUND
PMID: 24164527 (View on PubMed)

Demers, A. (2011). When Veterans return: The role of community in reintegration. Journal of Loss and Trauma, 16(2), 160-179. http://doi.org/10.1080/15325024.2010.519281

Reference Type BACKGROUND

Deployment Health Clinical Center. (2017). Mental health disorder prevalence among active duty service members in the Military Health System, Fiscal Years 2005 - 2016 prepared by the Deployment Health Clinical Center, (January).

Reference Type BACKGROUND

Disner SG, Beevers CG, Haigh EA, Beck AT. Neural mechanisms of the cognitive model of depression. Nat Rev Neurosci. 2011 Jul 6;12(8):467-77. doi: 10.1038/nrn3027.

Reference Type BACKGROUND
PMID: 21731066 (View on PubMed)

Dobson KS. The science of CBT: toward a metacognitive model of change? Behav Ther. 2013 Jun;44(2):224-7. doi: 10.1016/j.beth.2009.08.003. Epub 2011 Jun 6.

Reference Type BACKGROUND
PMID: 23611072 (View on PubMed)

Dozois, D., & Dobson, K. (2003). The structure of the self-schema in clinical depression: Differences related to episode recurrence. Cognition & Emotion, 17(6), 933-941. http://doi.org/10.1080/02699930244000363

Reference Type BACKGROUND

Dozois DJ, Bieling PJ, Patelis-Siotis I, Hoar L, Chudzik S, McCabe K, Westra HA. Changes in self-schema structure in cognitive therapy for major depressive disorder: a randomized clinical trial. J Consult Clin Psychol. 2009 Dec;77(6):1078-88. doi: 10.1037/a0016886.

Reference Type BACKGROUND
PMID: 19968384 (View on PubMed)

Dozois DJ, Dobson KS. Information processing and cognitive organization in unipolar depression: specificity and comorbidity issues. J Abnorm Psychol. 2001 May;110(2):236-46. doi: 10.1037//0021-843x.110.2.236.

Reference Type BACKGROUND
PMID: 11358018 (View on PubMed)

Evans, D., Dalgleish, T., Dudas, R. B., Denman, C., Howard, M., & Dunn, B. D. (2015). Examining the shared and unique features of self-concept content and structure in borderline personality disorder and depression. Cognitive Therapy and Research, 39(5), 613-626. http://doi.org/10.1007/s10608-015-9695-3

Reference Type BACKGROUND

Foa EB, Gillihan SJ, Bryant RA. Challenges and Successes in Dissemination of Evidence-Based Treatments for Posttraumatic Stress: Lessons Learned From Prolonged Exposure Therapy for PTSD. Psychol Sci Public Interest. 2013 May;14(2):65-111. doi: 10.1177/1529100612468841.

Reference Type BACKGROUND
PMID: 25722657 (View on PubMed)

Franke, V. (1999). Preparing for Peace. Miltary Identity, Value Orientations, and Professional Military Education. Igarss 2014. http://doi.org/10.1007/s13398-014-0173-7.2

Reference Type BACKGROUND

Ghosh VE, Gilboa A. What is a memory schema? A historical perspective on current neuroscience literature. Neuropsychologia. 2014 Jan;53:104-14. doi: 10.1016/j.neuropsychologia.2013.11.010. Epub 2013 Nov 23.

Reference Type BACKGROUND
PMID: 24280650 (View on PubMed)

Gilboa A, Moscovitch M. Ventromedial prefrontal cortex generates pre-stimulus theta coherence desynchronization: A schema instantiation hypothesis. Cortex. 2017 Feb;87:16-30. doi: 10.1016/j.cortex.2016.10.008. Epub 2016 Oct 31.

Reference Type BACKGROUND
PMID: 27890323 (View on PubMed)

Government Accountability Office. (2016). Defense health care: DOD is meeting most mental health care access standards , but it needs a standard for follow- up appointments.

Reference Type BACKGROUND

Green G, Emslie C, O'Neill D, Hunt K, Walker S. Exploring the ambiguities of masculinity in accounts of emotional distress in the military among young ex-servicemen. Soc Sci Med. 2010 Oct;71(8):1480-8. doi: 10.1016/j.socscimed.2010.07.015. Epub 2010 Aug 5.

Reference Type BACKGROUND
PMID: 20739109 (View on PubMed)

Griffith, J. (2011). Reserve identities: What are they? And do they matter? An empirical examination. Armed Forces & Society, 37(4), 619-635. http://doi.org/10.1177/0095327X10382213

Reference Type BACKGROUND

Griffith, J., & Vaitkus, M. (2013). Perspectives on suicide in the Army National Guard. Armed Forces & Society, 39(4), 628-653. http://doi.org/10.1177/0095327X12471333

Reference Type BACKGROUND

Gillihan, S. J., Conklin, P., & Foa, E. B. (2014). Dissemination and implementation of evidence-based treatments. The Wiley handbook of anxiety disorders, 1228-1241.

Reference Type BACKGROUND

Harris, K., Gringart, E., & Drake, D. (2013). Military retirement: Reflections from former members of Special Operations Forces. Identity, 10(3), 97-112. Retrieved from http://www.army.gov.au/Our-future/LWSC/Our-publications/Australian-Army-Journal/~/media/Files/Our future/LWSC Publications/AAJ/2013Winter/AustralianArmyJournal_V10N3Winter_Identity-MilitaryRetirement.pdf

Reference Type BACKGROUND

Jobson L, O'Kearney R. Cultural differences in personal identity in post-traumatic stress disorder. Br J Clin Psychol. 2008 Mar;47(Pt 1):95-109. doi: 10.1348/014466507X235953.

Reference Type BACKGROUND
PMID: 17708833 (View on PubMed)

Johansen, R. B., Laberg, J. C., & Martinussen, M. (2013). Military identity as predictor of perceived military competence and skills. Armed Forces & Society, (May). http://doi.org/10.1177/0095327X13478405

Reference Type BACKGROUND

Kelley PW, Kenny D, Donley R. Experiences of vulnerability and uncertainty during the Iraq and Afghanistan wars: Stories of wounded service members and the nurses who cared for them. Nurs Outlook. 2017 Sep-Oct;65(5S):S71-S80. doi: 10.1016/j.outlook.2017.08.007. Epub 2017 Aug 12.

Reference Type BACKGROUND
PMID: 28886867 (View on PubMed)

Kendzierski, D. (1988). Self-schemata and exercise. Basic and Applied Social Psychology, 9(1), 45-59. http://doi.org/10.1207/s15324834basp0901_4

Reference Type BACKGROUND

Kendzierski D. Exercise self-schemata: cognitive and behavioral correlates. Health Psychol. 1990;9(1):69-82. doi: 10.1037//0278-6133.9.1.69.

Reference Type BACKGROUND
PMID: 2323330 (View on PubMed)

Kihlstrom, J. F., Beer, J. S., & Klein, S. B. (2013). Self and identity as memory. The Handbook of Self and Identity, 68-90.

Reference Type BACKGROUND

Klein SB. Self, memory, and the self-reference effect: an examination of conceptual and methodological issues. Pers Soc Psychol Rev. 2012 Aug;16(3):283-300. doi: 10.1177/1088868311434214. Epub 2012 Jan 30.

Reference Type BACKGROUND
PMID: 22291045 (View on PubMed)

Lancaster, S. L., & P. Hart, R. (2015). Military identity and psychological functioning: A pilot study. Military Behavioral Health, 3(1), 83-87. http://doi.org/10.1080/21635781.2014.995254

Reference Type BACKGROUND

Markus, H. (1977). Self-schemata and processing information about the self. Journal of Personality and Social Psychology, 35(2), 63-78.

Reference Type BACKGROUND

Markus, H., Crane, M., Bernstein, S., & Siladi, M. (1982). Self-schemas and gender. Journal of Personality and Social Psychology. http://doi.org/10.1037/0022-3514.42.1.38

Reference Type BACKGROUND

Markus, H., Hamill, R., & Sentis, K. P. (1987). Thinking fat: Self-schemas for body weight and the processing of weight relevant information. Journal of Applied Social Psychology, 17(1), 50-71. http://doi.org/10.1111/j.1559-1816.1987.tb00292.x

Reference Type BACKGROUND

Mayring, P. (2014). Qualitative content analysis. Theoretical foundation, basic procedures and software solution. Advances in Bioethics. http://doi.org/10.1016/S1479-3709(07)11003-7

Reference Type BACKGROUND

McNally RJ, Lasko NB, Macklin ML, Pitman RK. Autobiographical memory disturbance in combat-related posttraumatic stress disorder. Behav Res Ther. 1995 Jul;33(6):619-30. doi: 10.1016/0005-7967(95)00007-k.

Reference Type BACKGROUND
PMID: 7654154 (View on PubMed)

Migliore, L. A., & Nathan, D. (2018) The Military Identity Project: Self-descriptive content and response time as indicators for presence of military self-schemas. Manuscript submitted for publication.

Reference Type BACKGROUND

Migliore, L. A., & Pound, L. B. (2016). The Military Identity Project: A mixed method investigation of military self-schema content. Military Behavioral Health, 4(2), 183-192. http://doi.org/10.1080/21635781.2015.1133351

Reference Type BACKGROUND

Noureddine S, Stein K. Healthy-eater self-schema and dietary intake. West J Nurs Res. 2009 Mar;31(2):201-18. doi: 10.1177/0193945908327157. Epub 2008 Dec 2.

Reference Type BACKGROUND
PMID: 19050230 (View on PubMed)

Oyserman, D., Smith, G. C., & Elmore, K. C. (2014). Identity-based motivation: Implications for health and health disparities. Journal of Social Issues, 70(2), 206-225. http://doi.org/10.1111/josi.12056

Reference Type BACKGROUND

Rivers FM, Gordon S, Speraw S, Reese S. U.S. Army nurses' reintegration and homecoming experiences after Iraq and Afghanistan. Mil Med. 2013 Feb;178(2):166-73. doi: 10.7205/milmed-d-12-00279.

Reference Type BACKGROUND
PMID: 23495462 (View on PubMed)

Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069.

Reference Type BACKGROUND

Ryff CD, Keyes CL. The structure of psychological well-being revisited. J Pers Soc Psychol. 1995 Oct;69(4):719-27. doi: 10.1037//0022-3514.69.4.719.

Reference Type BACKGROUND
PMID: 7473027 (View on PubMed)

Scannell-Desch E, Doherty ME. Experiences of U.S. military nurses in the Iraq and Afghanistan wars, 2003-2009. J Nurs Scholarsh. 2010 Mar;42(1):3-12. doi: 10.1111/j.1547-5069.2009.01329.x.

Reference Type BACKGROUND
PMID: 20487181 (View on PubMed)

Schaefer SM, Morozink Boylan J, van Reekum CM, Lapate RC, Norris CJ, Ryff CD, Davidson RJ. Purpose in life predicts better emotional recovery from negative stimuli. PLoS One. 2013 Nov 13;8(11):e80329. doi: 10.1371/journal.pone.0080329. eCollection 2013.

Reference Type BACKGROUND
PMID: 24236176 (View on PubMed)

Smith, R., & True, G. (2014). Warring Identities: Identity conflict and the mental distress of American Veterans of the wars in Iraq and Afghanistan. Society and Mental Health. http://doi.org/10.1177/2156869313512212

Reference Type BACKGROUND

Stein, K. (1994). Complexity of the self-schema and responses to disconfirming feedback. Cognitive Therapy and Research, 18(2), 161-178. http://doi.org/10.1007/BF02357222

Reference Type BACKGROUND

Stein KF. The organizational properties of the self-concept and instability of affect. Res Nurs Health. 1995 Oct;18(5):405-15. doi: 10.1002/nur.4770180506.

Reference Type BACKGROUND
PMID: 7676074 (View on PubMed)

Stein KF. The self-schema model: a theoretical approach to the self-concept in eating disorders. Arch Psychiatr Nurs. 1996 Apr;10(2):96-109. doi: 10.1016/s0883-9417(96)80072-0.

Reference Type BACKGROUND
PMID: 8935986 (View on PubMed)

Stein KF, Corte C. Reconceptualizing causative factors and intervention strategies in the eating disorders: a shift from body image to self-concept impairments. Arch Psychiatr Nurs. 2003 Apr;17(2):57-66. doi: 10.1053/apnu.2003.50000.

Reference Type BACKGROUND
PMID: 12701083 (View on PubMed)

Stein KF, Corte C. The identity impairment model: a longitudinal study of self-schemas as predictors of disordered eating behaviors. Nurs Res. 2008 May-Jun;57(3):182-90. doi: 10.1097/01.NNR.0000319494.21628.08.

Reference Type BACKGROUND
PMID: 18496104 (View on PubMed)

Stein KF, Corte C, Chen DG, Nuliyalu U, Wing J. A randomized clinical trial of an identity intervention programme for women with eating disorders. Eur Eat Disord Rev. 2013 Mar;21(2):130-42. doi: 10.1002/erv.2195. Epub 2012 Sep 27.

Reference Type BACKGROUND
PMID: 23015537 (View on PubMed)

Stein KF, Keller C, Corte C. Creando Posibilidades: A Cognitive Model of Risk Behaviors in Mexican American Women. J Food Nutr Disord. 2014 Jun;3(3):144. doi: 10.4172/2324-9323.1000144. Epub 2014 Jun 13.

Reference Type BACKGROUND
PMID: 29911123 (View on PubMed)

Stein, K. F., & Nyquist, L. (2001). Disturbances in the self : A source of eating disorders. Eating Disorders Review, 12(1), 1-8.

Reference Type BACKGROUND

Stein KF, Roeser R, Markus HR. Self-schemas and possible selves as predictors and outcomes of risky behaviors in adolescents. Nurs Res. 1998 Mar-Apr;47(2):96-106. doi: 10.1097/00006199-199803000-00008.

Reference Type BACKGROUND
PMID: 9536193 (View on PubMed)

Swann, W. B., & Bosson, J. K. (2010). Self and Identity. In Handbook of Social Psychology (pp. 589-628).

Reference Type BACKGROUND

ZAJONC RB. The process of cognitive tuning in communication. J Abnorm Soc Psychol. 1960 Sep;61:159-67. doi: 10.1037/h0047987. No abstract available.

Reference Type BACKGROUND
PMID: 13787720 (View on PubMed)

Other Identifiers

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HU00011820041 N18-B07

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

FDG20180009E

Identifier Type: -

Identifier Source: org_study_id

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