RESEARCH NOTE
Effects of Hardiness and Years of Military Service on Posttraumatic
Stress Symptoms in U.S. Army Medics
Barbara L. Pitts and Martin A. Safer
Catholic University of America
Dale W. Russell
Uniformed Services University of the Health
Sciences
Paula L. Castro-Chapman
James A. Haley Veterans Hospital, Tampa, Florida, and Morsani College of Medicine,
University of South Florida
We examined the effects of hardiness on symptoms of posttraumatic stress (PTS) in
postdeployed U.S. Army medics (N = 322). Medics endure a high level of work-related
stress on and off the battlefield. Hardiness correlated negatively with reports of PTS
symptoms and moderated the cumulative effects of years of military service on PTS
symptoms. After controlling for socially desirable responding, PTS symptoms in-
creased with years of military service for those with low levels of hardiness and
decreased with years of military service for those with very high levels of hardiness.
The military’s current resiliency training programs would likely benefit from incorpo-
rating hardiness measures and principles into its curriculum.
Keywords: PTSD, hardiness, years of military service, medics, health care specialists
Military veterans are more likely than those
without military experience to suffer from both
physical and behavioral health problems
(O’Toole, Catts, Outram, Pierse, & Cockburn,
2009). Psychological hardiness, a personality
factor that describes individual differences in
commitment, control, and challenge (Kobasa,
1979), may serve to protect some service mem-
bers from physical and behavioral health prob-
lems. Indeed, Escolas, Pitts, Safer, and Bartone
(2013) found a positive relationship between
years of military service and posttraumatic
stress (PTS) symptoms only among those who
self-reported hardiness. The present note inves-
tigates whether hardiness similarly moderates
the effects of years of military service on PTS
symptoms in a sample of U.S. Army medics.
U.S. Army medics provide medical support
to their units both in garrison and when de-
ployed. Medics in garrison are assigned to clin-
This article was published Online First May 12, 2016.
Barbara L. Pitts and Martin A. Safer, Department of
Psychology, Catholic University of America; Dale W. Rus-
sell, Center for the Study of Traumatic Stress, Uniformed
Services University of the Health Sciences; Paula L. Cas-
tro-Chapman, Research Service, James A. Haley Veterans
Hospital, Tampa, Florida, and Department of Psychiatry
and Behavioral Neurosciences, Morsani College of Medi-
cine, University of South Florida.
The authors acknowledge the contribution of LTC David
Cabrera, the original principal investigator of the Soldier
Medic Mettle Study, who was killed in action in Kabul,
Afghanistan, on October 29, 2011. This study was funded
by the U.S. Army Medical Research and Materiel Com-
mand and approved by the Catholic University of America
and Uniformed Services University of the Health Sciences
institutional review boards. The views expressed are those
of the authors and do not reflect the official policy or
position of the U.S. government, the U.S. Department of
Defense, the U.S. Department of Veteran Affairs, or the
University of South Florida. This material is the result of
work supported with resources and the use of facilities at
the James A. Haley Veterans Hospital.
Correspondence concerning this article should be ad-
dressed to Dale W. Russell, Center for the Study of Trau-
matic Stress, Uniformed Services University of the Health
Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
E-mail: dale.russell@usuhs.mil
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