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The role of collective and personal self-esteem in a military context

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Abstract

Collective self-esteem refers to individuals’ evaluations of their social identities, their group affiliations. Private collective self-esteem includes assessments of how individuals privately evaluate their social group or groups while public collective self-esteem assesses how individuals believe others evaluate their social group or groups. This study examines the relationships between military cadets’ personal self-esteem, private and public collective selfesteem, and well-being. We find that cadets with higher private and public collective self-esteem also report higher personal self-esteem and lower levels of depression. While both private and public collective self-esteem have direct effects on depression, most of the effects of public collective self-esteem operate through personal self-esteem.
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Submitted: August 22, 2013
Revision: November 8, 2013
Accepted: April 3, 2014
The Role of Collective and Personal Self-Esteem in a Military Context
David E. Rohall
Olena Prokopenko
Western Illinois University
Morten G. Ender
Michael D. Matthews
United States Military Academy, West Point
ABSTRACT
Collective self-esteem refers to individuals’ evaluations of their social identities, their group
affiliations. Private collective self-esteem includes assessments of how individuals privately
evaluate their social group or groups while public collective self-esteem assesses how
individuals believe others evaluate their social group or groups. This study examines the
relationships between military cadets’ personal self-esteem, private and public collective self-
esteem, and well-being. We find that cadets with higher private and public collective self-esteem
also report higher personal self-esteem and lower levels of depression. While both private and
public collective self-esteem have direct effects on depression, most of the effects of public
collective self-esteem operate through personal self-esteem.
INTRODUCTION
Social identity theory as developed by Tajfel and Turner (1986) argues that there are two distinct
aspects of the self-concept: personal identity and social identity (also known as collective
identity) (Crocker & Luhtanen, 1992). Hence, self-esteem can exist on the personal and the
social level. Personal self-esteem refers to the positive or negative evaluation of our senses of
self as an object (Rosenberg, 1989). In addition to personal self-esteem, Crocker and Luhtanen
(1990) propose that there is a second type of self-esteem, collective self-esteem. Collective self-
esteem refers to our evaluations of social identities. What-is-more, they argue that we strive to
maintain both our personal and collective self-esteem and the two concepts may interact with one
another such that collective self-esteem may influence personal self-esteem and well-being.
The goal of this study is to examine the relationship between perceptions of group evaluations
and individual self-esteem and well-being among military cadets. The military context is
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particularly relevant in the study of group and individual identities because of the salience of
cohesion and other group processes in the military. It is widely believed that military units with a
strong sense of cohesion will perform better than those with less cohesion (Costa & Kahn, 2010;
Griffith, 2007). However, no research has been conducted to assess whether collective identity in
the military influences personal-level self-esteem.
Personal and Collective Self-Esteem
Social identity theory posits that individuals strive to maintain or enhance not only a positive
personal identity but also a positive collective identity. Collective identity may be positive or
negative according to the evaluations of one’s social groups, rather than one’s personal attributes
or achievements within groups. Social identity is a function of both how one evaluates one’s
groups and how others evaluate those groups. Individuals must be subjectively identified with
their in-groups (i.e., the in-groups must have some emotional significance to the individuals) for
the groups to contribute to the individuals’ self-concepts (Porter & Washington, 1993; Tajfel &
Turner, 1986; see also Andreopoulo & Houson, 2002). Ultimately, group-level self-esteem
protects personal-level self-esteem. Positive stereotypes of the in-group and less positive ones for
out-group members serve the purpose of protection or enhancement of our positive social
identity (Tajfel & Turner, 1986).
Several researchers have developed measures of collective self-esteem. The scale suggested by
Luhtanen and Crocker (1992) includes private collective self-esteem (an assessment of how
individuals privately evaluate their social group or groups), public collective self-esteem
(assesses how individuals believe others evaluate their social group or groups), and the
importance to identity (assesses the role of group membership in the self-concept).
Another model often used in the scholarly literature, rooted in the looking-glass self and the
identity-control theory, focuses on the relationship between reflected appraisals and self-esteem
(Burke, 1991; Cooley, 1902). Here, the focus is on the role of our perceptions of the value other
people place on our identities. One study, for instance, found a negative correlation between the
importance other people are thought to place on respondents’ race, sex, age, among other
characteristics, and respondents’ self-esteem (Jaret, Reitzes, & Shapkina, 2005). In this sense,
public collective self-esteem is the equivalent of reflected appraisals on the group level.
Linking Self-Esteem to Well-Being
The role of group identity and self-esteem is traditionally studied in context of discrimination
among racial and ethnic minorities. Jackson and Lassiter (2001) suggest that discrimination
reduces both group and individual-level self-esteem. The underlying premise of this approach is
that minorities are likely to internalize an imposed negative self-image based on the principles of
reflected appraisals and social comparisons. Discrimination produces lower group evaluations
which, in turn, lower individuals’ personal self-esteem. Thereafter, lower personal self-esteem
reduces well-being.
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In their study of minority identity and self-esteem, for instance, Porter and Washington (1993)
argue that previous research indicates a reciprocal relationship between personal and racial self-
evaluation: positive group image protects individual self-esteem, while high individual self-
esteem increases minorities’ ability to successfully cope with discrimination, to manage the
stress associated with discrimination. Furthermore, Mossakowski (2003) demonstrated that the
stronger respondents’ ethnic identification, the less likely they were to report depressive
symptoms. It also showed ethnic identity to be an effective coping resource for racial and ethnic
minorities since it buffers stress of perceived discrimination and is strongly associated with
fewer symptoms of depression.
Military Contexts
There is not a lot of research on self-esteem among military personnel. The few studies there are
have either excluded those in military service (Bachman & O’Malley, 1977), had small samples
(Platt et al., 1970), or are dated (Julian, Bishop, & Fiedler, 1966). However, low self-esteem for
some soldiers is a product of mental health stigma (Greene-Shortridge, Britt, & Castro, 2007).
Notably, traditional research in the military context emphasizes the role of group cohesion on
individuals’ and groups’ performance. Cohesion is often thought of as a group’s “esprit des
corps” or sense of oneness (Shils & Janowitz, 1948). Units with greater sense of cohesion are
thought to perform better than those with lower cohesion and have greater well-being (Costa &
Kahn, 2010; Griffith, 2007). Social scientists, as well as military leaders tend to cite unit
cohesion as the key element in combat motivation and fighting resilience (Ben-Shalom, Lehrer,
& Ben-An, 2005). However, research on the effects of cohesion on individual morale and
readiness appears to be mixed. Costa and Kahn (2010) in their study of the Union Army veterans
of the Civil War argue that men from more cohesive companies were significantly less likely to
experience the impact of wartime stress. However, another study on cohesion in the military
showed that the fighting power of military units may not be diminished by the lack of their social
cohesion and reliance on temporary frameworks and short-term components (Ben-Shalom,
Lehrer, & Ben-An 2005).
Patriotism has also been cited as a possible motivation for fighting (Wong et al., 2003). While
not designed to be a measure of collective self-esteem, it reflects perceptions towards one’s
country. Patriotism is also studied under the rubric of national identity (Evans & Kelly, 2002;
Smith & Kim, 2006). The logic of the argument is that men and women will be more willing to
sacrifice their personal lives for their love of the country, their sense of national (group) pride.
Research on this hypothesis has also been mixed. Traditional research coming out of World War
II found that the desire to end the conflict and group relationships (e.g., protecting one’s platoon)
are two primary reasons for fighting in combat (Marshall, 1947; Shils & Janowitz, 1948; Stouffer
et al., 1949). However, Leonard Wong and his associates (2003) found that many soldiers
fighting in Iraq also attributed some of their motivation toward their sense of honor and duty
towards the U.S.
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While research in the military context has not emphasized self-esteem per se, it is clear that
military researchers believe that group conditions influence individuals. Given what we know
about the relationship between collective and individual self-esteem, we predict that collective
self-esteem, attitudes toward the military as a whole, will be positively related to personal self-
esteem among individuals associated with the military. Further, both group and individual-level
self esteem will be positively related to well-being; higher levels of self-esteem will be
associated with greater well-being.
METHODS
Data for this project come from a survey of Reserve Officer Training Corps (ROTC) cadets and
cadets from American military academies conducted between 2002 and 2009. A total of 3,054
cadets are included in these analyses. The academy cadets are from the academies at the United
States Military Academy (West Point), and the United States Air Force Academy (n=2,112). In
addition, 942 ROTC cadets were also surveyed from colleges around the U.S. including states
ranging from California and Colorado to New York and New Hampshire (see Ender, Rohall, &
Matthews, 2013 for further description of the sample).
Measures
In this study, we focus on three major sets of items: individual self-esteem of military personnel,
collective self-esteem in the military, and psychological well-being measured by levels of
depression. Individual self-esteem is measured utilizing six items from the Rosenberg Self-
Esteem Scale (Rosenberg, 1986). Respondents were asked the degree to which they agree with
six items such as “I feel that I’m a person of worth, at least on an equal plane as others”, “I feel
that I have a number of good qualities”, and “All in all, I am inclined to think that I am a failure”
(see Table 1 for six items). Responses ranged from 1 ‘Strongly Agree’ to 4 ‘Strongly Disagree’.
Items were recoded such that higher scores reflected higher levels of self esteem. The combined
set of items yielded a Cronbach’s alpha coefficient of .82 with a mean of 3.59 and a standard
deviation of .50.
We divide collective self-esteem in terms of private and public collective self-esteem wherein
private collective self-esteem includes respondents’ personal assessment of their group identity
while public collective esteem refers to their perceptions of what they believe other people think
about their group (see Luhtanen & Crocker, 1992).
We utilize two items to assess private collective self-esteem:
- I am proud of the men and women that serve in the military;
- I have confidence in the ability of the military;
One item is utilized to reflect public collective self-esteem:
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- The American people understand the sacrifices made by the people who serve in the U.S.
military.
Responses to both groupings range from 1 ‘Agree Strongly’ to 4 ‘Disagree Strongly’ but were
coded to reflect higher levels of collective self-esteem. In the case of the private collective self-
esteem, a Cronbach’s alpha coefficient of .72 was obtained with a mean of 3.78 and a standard
deviation of .50. The measure of public collective self-esteem yielded a mean score of 2.43 with
a standard deviation of .93. Additional analysis was conducted to determine whether these items
overlapped. Factor analysis of all three items indicated that the first two items loaded differently
from the third. Our single item measuring public collective self-esteem did not load with the
items we utilized to measure private collective self-esteem. Further, the two items used to
measure private collective self-esteem are highly related to each other (r=.43, p<.001), public
collective self-esteem is less related to our measure of private collective self-esteem (r=.047,
p<.05).
Factor analysis is utilized to help ensure that three distinct forms of self-esteem are operating in
this study. The factorability of nine items (six personal, two private collective, and one public
collective self-esteem) was examined. Overall, it is clear that three components appear distinct
from one another (see Table 1). The Kaiser-Meyer Olkin measure of sampling adequacy
suggests that the sample was factorable (KMO=.801).
Table 1. Component Matrix of Personal and Collective Self-Esteem Measures
Component
1 2 3
I feel that I'm a person of worth, an equal plane with others .805
I feel that I have a number of good qualities .816
All in all, I am inclined to think that I am a failure .693
I am able to do things as well as most other people .693
I feel that I do not have much to be proud of .622
I take a positive attitude toward myself .748
I am proud of the men and women that serve in the military
.805
I have confidence in the ability of the military
.791
The American people understand sacrifices by the people in
military
.951
Extraction Method: Principal Component Analysis; Factor loadings <.3 are suppressed.
a. 3 components extracted.
Well-being is measured utilizing items from the Center for Epidemiological Studies Depression
scale (Radloff, 1977). Altogether, 10 of the 20 items were included in the questionnaire and
included items such as, “I did not feel like eating”, “I felt that everything I did was an effort”,
and “My sleep was restless.” The response scale included the following options: 1 ‘Not at all,’ 2
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‘Occasionally,’ 3 ‘Frequently,’ and 4 ‘Almost all of the time’. The combined scale yielded a
Cronbach’s alpha coefficient of .82 with a mean of 1.78 and a standard deviation of .44.
We also include a number of variables generally associated with well-being. Specifically, women
typically report higher levels of depression than men, hence, differences in self-esteem may
reflect the gender composition of the sample. In our case, 19 percent of our sample identified
themselves as female. There are also class differences associated with well-being but since our
sample is based on similar class and age levels, we control for parents’ education levels as a
proxy for class background (see Rosenberg, 1986). Fifty-six percent of our sample had at least
one parent who graduated from college.
RESULTS
The goal of our analysis is to assess whether measures of individual self-esteem are related to
collective self-esteem (public and private) and their relationship to well-being. Overall, it appears
that most of the model variables are associated in the predicted direction. For instance, personal
self-esteem is positively associated with private collective self-esteem (r=.18, p<.001). Cadets
who have a positive attitude toward the military report higher levels of personal self-esteem
(Table 2). Furthermore, both public and private collective self-esteem is negatively related to
depression. Respondents with higher levels of private collective self-esteem report significantly
lower levels of depression (r=-.10, p<.001). Similarly, higher levels of public collective self-
esteem are associated with lower levels of depression (r=-.12, p<.001).
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Table 2. Correlation of Personal Self-Esteem, Collective Self-Esteem, and Well-Being
1 2 3 4 5 6
1. Personal Self-
Esteem
Pearson Correlation 1.000
Sig. (2-tailed)
N 2878
2. Private Collective
Self-Esteem
Pearson Correlation .175
**
1.000
Sig. (2-tailed) .000
N 2845 2984
3. Public Collective
Self-Esteem
Pearson Correlation .029 .047
*
1.000
Sig. (2-tailed) .126 .012
N 2837 2891 2908
4. Depression Pearson Correlation -.445
**
-.104
**
-.118
**
1.000
Sig. (2-tailed) .000 .000 .000
N 2802 2866 2795 2907
5. Parents’ Education
(1=College Degree)
Pearson Correlation -.018 -.027 .014 .014 1.000
Sig. (2-tailed) .346 .149 .463 .440
N 2864 2955 2879 2896 2996
6. Sex (1=Female) Pearson Correlation -.093
**
.000 -.048
**
.101
**
-.027 1.000
Sig. (2-tailed) .000 .990 .010 .000 .144
N 2871 2962 2887 2901 2988 3026
*Correlation is significant at the 0.05 level (2-tailed); **Correlation is significant at the 0.01 level (2-tailed)
We also find that gender is associated with both levels of depression and self-esteem. As our
analysis indicates, women in the military setting tend to have lower personal self-esteem than
men (r=-.09, p<.001) (Table 2), lower public collective self-esteem (r=-.05, p<.01), and have a
generally higher level of depression (r=.10, p<.001).
Our next analysis is designed to determine whether the previous relationships continue after
controlling for background characteristics associated with personal self-esteem and well-being.
Here, depression is our dependent variable and both personal self-esteem and collective self-
esteem are treated as independent variables. As with our previous findings, both forms of self-
esteem are associated with greater well-being. First, personal self-esteem is negatively associated
with depression levels (b=-.40, p<.01) (Model 1) (Table 3). Further, private collective self-
esteem as well as public collective self-esteem are independently related to depression (b=-.15
and b=-.06, respectively, both p<.001) (Models 3 and 4).
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Table 3. Effects of Personal and Collective Self-Esteem on Well-Being (Depression)
Model
1
Model
2
Model
3
Model
4
Personal Self-Esteem -.399**
(.015) -.388**
(.016)
Private Collective Self-Esteem -.153**
(.028) -.103**
(.029)
Public Collective Self-Esteem -.057**
(.009)
-.048**
(.008)
Parents’ Education (1=College Degree)
.010
(.486)
Sex (1=Female) .048*
(.011)
*p<.05, ** p<.001
Our final model in Table 3 examines the effects of all levels of self-esteem on well-being,
controlling for background characteristics. Here we see that personal self-esteem continues to
affect well-being, controlling for collective self-esteem and background characteristics (b=.39,
p<.05) (Model 4). Both private and public self-esteem also impacts well-being, controlling for all
other model variables (p=-.10 and -.05, p<.05 for both variables). Overall, it appears, private and
public self-esteem are associated with personal well-being. Although women are a relative
minority of cadets (less than 16% at West Point), our findings are similar to other studies with
female military personnel reporting higher levels of depression than men (b=.05, p<.05) (Table
3).
Path analysis is utilized to better assess the relationships among our self-esteem variables and
well-being. The first stage of the model utilizes regression analysis with private and public self-
esteem as the predictor variables and personal self-esteem as the criterion variable. The second
stage utilizes depression as the criterion variable with all three forms of self-esteem as the
predictor variables. As with our previous analysis, we see that private collective self-esteem has
a direct impact on well-being (Figure 1). Also, private collective self-esteem appears to impact
well-being through personal self-esteem.
Figure 1. Full Path Model Linking Self-Esteem and Well-Being
-.07
.17
.02 -.43
-.10
Private
Collective
SE
Public
Collective
SE
Personal
SE
Well-
Being
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Public collective self-esteem does not appear to have significant impact on personal self-esteem
but it does appear to impact well-being directly. It is also important to note that the relationship
is positive: higher public self-esteem is positively related to personal self-esteem.
DISCUSSION
The goal of this study is to apply research and theory regarding the relationships between
personal and collective self-esteem and well-being. Our findings support much of the research
linking personal and collective self-esteem and well-being (Pearlin et al., 1981; Tajfel & Turner,
1986; Porter & Washington, 1993; Brandcombe, Schmitt, & Harvey, 1999; Pearlin 1999;
Jackson & Lassiter, 2001; Mossakowski, 2003; Jaret, Reitzes, & Shapkina, 2005). Respondents
in our study with a positive sense of group identity also reported higher levels of personal self-
worth. In addition, having a greater sense of self-worth is associated with greater well-being.
Specifically, personal self-esteem is positively related to personal well-being. Furthermore,
cadets with more positive attitudes toward the armed services also report greater personal self-
esteem and lower levels of depression.
Although it provides a preliminary analysis of the effects of collective self-esteem on personal
self-esteem in the military context, this study has several methodological limitations both related
to the sample of respondents and measures used to assess self-esteem levels. Our measure of
public collective self-esteem, for instance, did not appear to be related to personal self-worth but
is associated with well-being. We believe that these findings may reflect the measure we utilized
for public collective self-esteem, a single item. If a more robust measure was utilized, we believe
that the finding would have been significant.
Additional analysis (not shown) reveals that a small but significant relationship among public
collective self-esteem and personal self-esteem among academy cadets but not ROTC cadets –
though both are in the same direction. These differences may reflect institutional differences in
these groups that we did not assess in our data. However, we believe that the relationship would
become significant for both groups with a more robust measure.
A major challenge for future research in this area may be to design alternative measures of
collective self-esteem, thereby disaggregating personal self-esteem from collective self-esteem.
Perhaps observing interactions among group members or assessing group self-esteem by
portraying symbols of group pride would help to separate collective self-esteem from personal
self-esteem.
Another limitation to this study lies in the sample used for this study – Reserve Officer Training
Corps cadets and cadets from American military academies. Members of our sample may not
reflect active-duty members of the military. Unlike regular armed forces personnel who are full
members of the military organization, cadets have made an initial, but serious decision, toward
active-duty military membership and thus may not possess a group identity as strong as members
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of the active-duty military. Our findings suggest that the relationship between personal and
group identities may be even more robust should such a sample become available.
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AUTHOR BIOGRAPHIES
David E. Rohall is a professor of sociology and Western Illinois University. His research and
teaching emphasizes the study of self and identity processes. Email address: de-rohall@wiu.edu.
Olena Prokopenko is a former graduate student at Western Illinois University. She currently
works Account Manager, Government Relations, at PBN Hill+Knowlton Strategies in Ukraine.
Morten G. Ender is professor of sociology at the United States Military Academy, West Point.
His research focuses on the impacts of military service on service members and their families.
Michael D. Matthews is professor of psychology at the United States Military Academy, West
Point. His research addresses a wide range of work in military psychology.
... Furthermore, Rosenberg (Rohall et al., 2014) mentions that personal self-esteem refers to a person's positive or negative evaluation of oneself. Crocker and Luhtanen (Rohall et al., 2014) added that collective self-esteem refers to an individual's evaluation of his social identity in the social group he is in. ...
... Furthermore, Rosenberg (Rohall et al., 2014) mentions that personal self-esteem refers to a person's positive or negative evaluation of oneself. Crocker and Luhtanen (Rohall et al., 2014) added that collective self-esteem refers to an individual's evaluation of his social identity in the social group he is in. ...
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... However, among those affected by MI (especially because of military betrayal), their institutional identity and the capacity for trust is believed to be disturbed, lost, impaired, or even destroyed (Kopacz, Ames, & Koenig, 2018). Although most Western identity literature has focused on harm caused by a violation of self-identity, there is also evidence that violations of collective identities, particularly "social death" within one's ingroup, has a greater impact than personal mortality, especially in collective cultures-of which the military is one (Kashima, Halloran, Yuki, & Kashima, 2004;Kira et al., 2018;Rohall, Prokopenko, Ender, & Matthews, 2014). Empirical studies have illustrated that violations to one's social identity are linked to adverse mental health outcomes including internalizing and externalizing disorders, general distress, depressive symptoms, anxiety, substance abuse, anger, psychosis, as well as negative associations with happiness, life satisfaction, and mastery (Pascoe & Smart Richman, 2009). ...
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Introduction: Combat soldiers experience Operational Stress Injuries (OSIs) exacerbating mental illnesses, social difficulties, and spiritual or moral distress. While, research continues to explore OSIs, one of the least understood and under researched aspects are the perspectives of veterans themselves. The purpose of this research was to determine what elements of OSIs veterans deemed to be most injurious to them and why; and develop an explanatory theory exclusively from veterans’ perspectives. Methods: This research was conducted using classical Grounded Theory (GT). Semi-structured interviews were carried out with 18 Canadian combat veterans who had OSIs related to their military service. Interviews were audio-recorded, transcribed, coded, and constantly compared in accordance with the GT method, to discover underlying key theoretical categories. Results: The conceptual theory emerged as “Transitioning fractured identities” and participants deemed two interrelated categories as being injurious: Fracturing experiences and Limboizing. Fracturing experiences were nearly synonymous with current classification of Moral Injury (MI), while Limboizing referred to the Military-to-Civilian Transition (MCT). Discussion: Veterans expressed that unresolved morally injurious experiences often began their negative mental and emotional health trajectories which frequently culminated in a psychiatric diagnosis and being medically released from the military. In addition, a failed MCT may be an important and yet unrecognized component of OSIs, in which MI may play a significant role. Veterans described effective OSIs treatment as not just focusing on their mental illness symptomology but rather treatments which are equally capable of addressing their emotional and spiritual distress, lack of identity, and fractured sense of self. Key Words: Veterans, Operational Stress Injury, Moral Injury, Identity, Military-to-Civilian Transition �
... In military environments, subjects endowed with high-level self-esteem exhibit enhanced well being, more positive attitudes toward the armed services and lower levels of depression. 52 'Mindfulness' implies an ability to be mindful without prior practice in mindfulnessbased meditation. Such a trait is associated with positive effects in several aspects of mental and physical health. ...
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Introduction : La médicalisation de l'avant lors des conflits militaires implique la réalisation de gestes de sauvetage dans un environnement à haut risque et stressant. Les hémorragies de membre sont la première cause de mort évitable au combat. Nous avons cherché à explorer la relation entre certains traits de personnalité et la pose efficace d'un garrot tactique type SOFTT®. Matériel : Soixante-douze militaires français de l'armée de Terre, formés au préalable au Sauvetage au Combat de niveau 1, ont été inclus. La simulation reposait sur une hémorragie de jambe à prendre en charge sur un camarade. L'efficacité du garrot était définie par l'interruption de la pulsatilité du flux Doppler de l'artère poplitée. Des questionnaires spécifiques ont évalué la personnalité empathique des sujets, la qualité de leur relation à autrui (altruisme) ainsi qu'à euxmêmes (mindfulness et estime de soi). Résultats : La pose du garrot était efficace pour 37 participants (51,39%). 19 participants (26,39%) ont satisfait au critère composite d'efficience défini par une pose efficace et rapide (disparition du pouls poplité en moins de 60 secondes). Nous avons observé que les soldats avec des scores faibles d'altruisme actif posaient plus de garrots efficients que ceux ayant un score élevé d'altruisme actif (OR 0,15 IC95%[0,04-0,59]). Les participants avec des scores élevés d'estime de soi posaient également les garrots de façon efficiente plus fréquemment que ceux ayant des scores bas d'estime de soi (OR 3,95 IC95%[1,24-12,56]). Discussion : L'estime de soi apparait bénéfique en termes de compétence et de résilience en milieu militaire, ce qui est un atout dans les environnements stressants rencontrés en opération. Ces résultats ouvrent la voie à des recherches complémentaires pour explorer l'implication des processus psychologiques dans la réalisation des gestes de sauvetage potentiellement douloureux. Une prise en compte des facteurs psychologiques pourrait permettre d’améliorer l’efficacité de la réalisation de ces gestes, notamment la pose du garrot. L’enseignement du Sauvetage au Combat pourrait également prendre en compte ces composantes psychologiques afin d’améliorer l’impact de la formation
... In military environments, subjects endowed with highlevel self-esteem exhibit enhanced well-being, more positive attitudes toward the armed services, and lower levels of depression. 22 "Mindfulness" implies an ability to be mindful without prior practice in mindfulness-based meditation. Such a trait is associated with positive effects in several aspects of mental and physical health. ...
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Introduction : la médicalisation de l’avant des théâtres d’opérations extérieures implique la réalisation de gestes de sauvetage dans un environnement à haut risque et stressant. Les hémorragies sont la principale cause de décès évitables au combat et la pose d’un garrot est dans ce contexte un geste de sauvetage primordial. Cependant, les études montrent un taux d’échec de la pose garrot assez élevé. Nous avons cherché à explorer la relation entre des traits de personnalité et la pose d’un garrot tactique de type SOFTT®. Matériels et méthodes : soixante-douze militaires de l’armée de Terre, formés au Sauvetage au combat durant leur préparation, ont été inclus et évalués à l’aide d’auto-questionnaires. Nous avons évalué la personnalité empathique des sujets, leur conduite dans la relation à l’autre (altruisme actif) ainsi que la qualité de leur relation à eux-mêmes (mindfulness et estime de soi). La simulation reproduisait une hémorragie de membre à prendre en charge sur un camarade grimé. L’efficacité du garrot était déterminée par l’interruption de la pulsatilité du flux Doppler de l’artère poplitée. Un critère composite nommé « efficience » a été défini comme une pose efficace (interruption du flux doppler) en moins de 60 secondes. Résultats : la pose du garrot était efficace pour 37 participants (51,39 %), 19 participants (26,39 %) ont satisfait au critère composite d’efficience défini par une pose efficace et rapide. Nous avons observé que les soldats avec des scores faibles d’altruisme actif posaient plus de garrots efficients que ceux ayant un score élevé d’altruisme actif (OR 0,15 IC95 % [0,04-0,59]). Les participants avec des scores élevés d’estime de soi posaient également les garrots de façon efficiente plus fréquemment que ceux ayant des scores bas d’estime de soi (OR 3,95 IC95 % [1,24-12,56]). Conclusion : l’estime de soi apparaît bénéfique en termes de compétence et de résilience en milieu militaire, ce qui est un atout dans les environnements stressants rencontrés en opération. Ces résultats ouvrent la voie à des recherches complémentaires pour explorer l’implication des processus psychologiques dans la réalisation des gestes de sauvetage potentiellement douloureux. Une prise en compte de l’effet de certains facteurs psychologiques pourrait permettre lors de l’enseignement du Sauvetage au combat de développer un enseignement adaptatif d’un point de vue personnel et d’optimiser la formation collective.
... In military environments, subjects endowed with highlevel self-esteem exhibit enhanced well-being, more positive attitudes toward the armed services, and lower levels of depression. 22 "Mindfulness" implies an ability to be mindful without prior practice in mindfulness-based meditation. Such a trait is associated with positive effects in several aspects of mental and physical health. ...
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Introduction Health care delivery in military conflicts implies high-stress environments. Hemorrhage is the first cause of survivable death among combat casualties, and tourniquet application is one of the most critical lifesaving interventions on the battlefield. However, previous studies have shown high failure rates in tourniquet application. Our study aimed to assess the correlation between personality traits that may interfere with effective tourniquet application in a simulated extremity hemorrhage. Materials Seventy-two French soldiers, previously trained to forward combat casualty care, were evaluated by self-administered questionnaires and submitted to the simulation in group of six. We focused on measuring the empathic personality of the subjects, their peer-to-peer relationships (altruism), as well as their relationship to themselves (mindfulness and self-esteem). The effectiveness of the tourniquet was evidenced by the interruption of the popliteal artery flow Doppler signal. A composite variable called “efficiency” was defined by elimination of popliteal pulse Doppler signal in less than 60 s. Results Tourniquet application interrupted arterial flow in 37 participants (51.39%). Efficiency was obtained by 19 participants (26.39%). We observed that soldiers with high active altruism applied less-efficient tourniquet (odds ratio = 0.15; 95% confidence interval = 0.04–0.59). On the contrary, soldiers with high self-esteem scores applied more efficient tourniquet (odds ratio = 3.95; 95% confidence interval = 1.24–12.56). There was no significant difference concerning empathy and mindfulness scores. Conclusion Tourniquet application is technically simple but painful and may involve personal sensitivity. These initial findings highlight the necessity to further explore the psychological processes involved in lifesaving interventions. Self-esteem stands out as a real asset in terms of military competence and resilience, a major prerequisite in stressful situations. Changing altruistic motivations of soldiers is likely not desirable, but being aware of its potential effects may help to develop personal adaptive strategies and to optimize collective training.
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This research examines the relationship between soldiers’ attitudes towards military service and their self-esteem. The attitudes toward military life and associating it with self-esteem is an important factor in the efficiency of military service and the development of military skills. In this study, the soldiers’ self-esteem is measured using Rosenberg's self-esteem scale. Attitude toward military services is measured with the measurement scale developed by the authors. Application of fuzzy inference instated of statistical inference allows handling imprecision and uncertainty inherent in statistical inference.
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