Erica Armstrong, University of Utah
Social and Behavioral Sciences
Combat exposure is associated with increased mental health symptom severity among military personnel, whereas unit cohesion is associated with decreased severity. However, to date no studies have examined these relationships among U.S. Air Force pararescuemen, a unique and specialized career field that serves in both medical and combatant capacities. Self-report survey data regarding depression symptoms, post-traumatic stress (PTSD) symptoms, perceived unit support, and exposure to traditional combat experiences (e.g., firefights) and medical-related consequences of combat (e.g., injuries and human remains) were collected from 194 pararescuemen from seven rescue squadrons. Levels of combat exposure were comparable to previously-published findings from combat units, and levels of medical exposure were comparable to previously-published findings among military medical professionals. Medical exposure intensity showed a stronger relationship with PTSD severity (β = .365, p = .018) than combat exposure intensity (β = .136, p = .373), but neither combat nor medical exposure was associated with depression severity (β’s < .296, p’s > .164). Unit support was associated with less severe PTSD (β = -.402, p < .001) and depression (β = -.259, p = .062) symptoms and did not moderate the effects of combat or medical exposure. Medical-related stressors contribute more to PTSD among pararescuemen than traditional combat-related stressors. Unit support is associated with reduced PTSD and depression severity regardless of intensity of warzone exposure among pararescuemen.