Page 30 - Biobehavioral Resilence to Stress
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Prediction of Resilience                                          7

                             thus far, ongoing evaluations are needed. Follow-up data should be gathered
                             over a number of years to adequately address the question of attrition from
                             military service. Also, it is important to clarify if the addition of the AIM to
                             the other components of the TTAS leads to an increment in validity.
                                An Early Psychiatric Screen (EPS) is still undergoing evaluation through
                             research (Koltko-Rivera & Niebuhr, 2004). This test was designed and

                              developed* for use prior to basic training, to identify psychiatric conditions
                             such as anxiety, depression, mania, psychosis, and antisocial tendencies.
                             However, because the EPS is still in the early stages of evaluation, conclu-
                             sions cannot yet be drawn concerning its validity. †
                                Finally, a new biodata screening instrument, the Lackland  Behavioral
                             Questionnaire (Lackland BQ; Garb, 2005), has been designed for the
                               screening of all U.S. Air Force recruits during basic training. Th e Lackland
                             BQ is designed to gather biodata relevant to preservice adjustment, includ-
                             ing antisocial behavior and behavior related to mental disorder and treat-

                             ment. The decision to employ a biodata questionnaire was based in part
                             on an examination of the results that were obtained by the study of earlier
                              biodata tests such as the ASP, ASAP, and ASPEN. Because the Lackland BQ
                             was only recently constructed, research data on its validity are still being
                             collected.



                             Risk Factors for Stress and Attrition


                             In extreme or dangerous conditions, the ability to perform under stress may
                             be nothing less than critical to psychological and physical survival. Adequate
                             training is certainly necessary to improve survivability under stress, and the
                             demands of military training are oft en  an  effective means to “weed out”

                               individuals who lack the fortitude or commitment to endure the harsh and
                             prolonged challenges of combat.
                                Although BMT is helpful as a means to de-select recruits who have low
                             tolerance for the basic demands of military performance, it is not a perfect

                             filter by which to identify all entrants who might eventually succumb to

                             stress. Our most current perspective on first-term attrition emerges from a
                             review published in 2004 by the U.S. Army Center for Health Promotion and
                             Preventive Medicine at the request of the Center for Accessions Research
                             (Knapik, Jones, Hauret, Darakjy & Piskator, 2004). Findings reported in this



                             * Development of the EPS was sponsored by the Accession Medical Standards Analysis
                              and Research Activity (AMSARA), within the Division of Preventive Medicine at the
                              Walter Reed Army Institute of Research.
                             †   Results on convergent validity (but not discriminant validity) have been reported for a
                              sample of college students (Koltko-Rivera & Niebuhr, 2004). Results have not yet been
                              reported for data gathered from military personnel.






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