English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

Background  The transition out of military service and subsequent reintegration to civilian life has been established as a period associated with an increased risk of psychological adjustment difficulties, psychiatric disorders and suicide risk, yet no tool exists to measure cultural and psychological adjustment following permanent separation from the military. This study describes the two-phase mixed-methods development and validation of the self-report Military-Civilian Adjustment and Reintegration Measure (M-CARM).    Methods  In Phase I, four focus groups  (n  = 20) and semi-structured one-on-one interviews ( n  = 80) enabled thematic analysis and generation of 53 initial items that were reviewed by an expert multidisciplinary panel ( n  = 12) and piloted for clarity and relevance in an Australian service-veteran sample ( n  = 11). In Phase II, psychometric properties of the 47 items resulting from Phase I were evaluated with online assessment of a convenience sample of transitioned Australian Defence Force veterans ( n  = 725). Analyses included exploratory and confirmatory factor analyses, as well as evaluation of test-retest reliability, internal consistency, and convergent, divergent and discriminant validity.    Results  Exploratory factor analysis on a randomized split-half sample ( n  = 357), resulted in a 21-item, five-factor solution of  Purpose and Connection ,  Help seeking ,  Beliefs about civilians ,  Resentment and regret , and  Regimentation , explaining 53.22% of the variance. Confirmatory factor analysis ( n  = 368) verified this factor structure without modification ( χ2  = 304.96,  df  = 160; CFI = .96, TLI = .94, NFI = .91, RMSEA = .05). Strong convergent, divergent and discriminant validity was demonstrated as M-CARM scores significantly correlated with related constructs assessed by standardised clinical measures as well as differentiated groups based on three binary reintegration items, with large effect sizes ( d  = > 1). Strong test-retest reliability for the total score ( n  = 186,  r  = .93) and excellent internal consistency ( n  = 725,  a  = .90) were also found.    Conclusions  Results provide promising evidence the M-CARM is a valid, reliable measure of psychological and cultural reintegration to civilian life, with potential for considerable clinical and research application.    Supplementary Information  The online version contains supplementary material available at 10.1186/s12888-020-02936-y.

bmc psychiatry

Assessing psychological adjustment and cultural reintegration after military service: development and psychometric evaluation of the post-separation Military-Civilian Adjustment and Reintegration Measure (M-CARM)