The prospective association between psychological strengths and incident musculoskeletal injury in active duty Army soldiers

Author:

Vie Loryana L1ORCID,Ho Tiffany E1,Whittaker Kerry S1,Hawkins Jacob1

Affiliation:

1. Research Facilitation Laboratory/Army Analytics Group, Monterey, CA, USA

Abstract

Extensive training, overuse, overexertion, and repetitive movements put Soldiers at increased risk for musculoskeletal injuries (MSIs). The present study investigated the prospective association between psychological strengths, physiological and social factors, and non-combat-related MSI in a sample of 24,746 active duty Army Soldiers. Over a mean follow-up period of 21.07 months (SD = 16.07), 65.42% of the Soldiers examined were treated for an MSI. Applying survival analysis techniques and adjusting for relevant physiological and social factors, we found greater baseline Optimism, Positive Affect, Coping, and Adaptability were each associated with a modest reduction in risk of MSI (4-8%). Additionally, being older, female, married, and having a higher BMI were each associated with an increased MSI risk, whereas being an officer (relative to enlisted) and obtaining post-secondary education were each associated with a decreased MSI risk. Future research should examine the mechanisms through which psychological-based interventions may impact Soldiers’ risk of MSI.

Funder

Army Studies Program Management Office

Publisher

SAGE Publications

Reference59 articles.

1. American Academy of Orthopaedic Surgeons (2016) One in two Americans have a musculoskeletal condition costing an estimated $213 billion each year in treatment and lost wages. Available at: https://aaos-annualmeeting-presskit.org/2016/news_releases/musculoskeletal.shtml#:∼:text=An_estimated_126.6_million_Americans_%28one_in_two,by_the_U.S._Bone_and_Joint_Initiative_%28USBJI%29 (accessed 14 December 2017.

2. Athletic injury, psychosocial factors and perceptual changes during stress

3. Army Medical Department Civilian Corps (2017) Army medicine campaign plan. Available at https://armymedicine.mil/Documents/Army_Medicine_2017_Campaign_Plan.pdf

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