J Korean Neuropsychiatr Assoc.  2014 May;53(3):178-185.

Control Study on Temperament and Character Traits, Resilience, and Predictors of Military Maladjusted Soldiers

• Jang SG
• Lee SK
• Choi JH

Abstract

OBJECTIVES
The purpose of this study was to reveal psychological traits, risk factors, and predictors of the military maladjusted group. In addition, we attempted to compare the correlation of temperament, character profile, and resilience between maladjusted and adjusted groups.
METHODS
A total of 166 maladjusted soldiers who joined the green camp of three divisions and 125 adjusted soldiers participated in the survey from July to December 2013. As self-report questionnaire methods, Beck Anxiety Inventory, Beck Depression Inventory (BDI), and the Korean version of the Connor-Davidson Resilience Scale, Temperament and Character Inventory (TCI) were used. T-test, binary logistic regression analysis, Pearson's correlation, and multiple regression analysis were used as analytical methods.
RESULTS
The maladjusted group showed a high level of anxiety, depression, and Harm Avoidance and a low level of resilience, Reward Dependence (RD), Persistence, Self-Directedness, and Cooperativeness compared with the adjusted group. BDI and RD were found to be statistically significant for prediction of military maladjustment. Higher correlation between resilience and TCI was observed for the maladjusted group, but not the adjusted group.
CONCLUSION
We suggest that a high depression level and a low RD level should be included as predictors among target symptoms for development of psychological treatment for the maladjusted group. In addition, we suggest that the level of resilience can affect correlation of resilience with TCI.

Keyword

Military maladjustment; Resilience; Temperament; Character; Risk factor

MeSH Terms

Anxiety
Depression
Humans
Logistic Models
Military Personnel*
Surveys and Questionnaires
Reward
Risk Factors
Temperament*

Reference

1. Lee JH, Cho JY. Anxiety, depression and impulsiveness according to military service duration in army-enlisted males. J Korean Neuropsychiatr Assoc. 1999; 38:966–972.

2. Morgan CA 3rd, Hazlett G, Wang S, Richardson EG Jr, Schnurr P, Southwick SM. Symptoms of dissociation in humans experiencing acute, uncontrollable stress: a prospective investigation. Am J Psychiatry. 2001; 158:1239–1247.

3. Hansen-Schwartz J, Kijne B, Johnsen A, Andersen HS. The course of adjustment disorder in Danish male conscripts. Nord J Psychiatry. 2005; 59:193–197.

4. Lee KH, Lee JT, Park HS. Psychiatric aspects of military criminals. J Korean Neuropsychiatr Assoc. 1989; 28:347–351.

5. National Assembly Research Service. Improvement of management system for maladjusted soldiers to prevent military discipline accident. Issue Report No. 135 . 2011. p. 15–22.

6. Ministry of National Defense Republic of Korea. In : 1st suicide prevention seminar; 2012 Apr 20; Seoul. Ministry of National Defense Republic of Korea;2012.

7. Salo M. Determinants of military adjustment and attrition during finnish conscript service. Helsinki: Maanpuolustuskorkeakoulu;2008.

8. Fiedler N, Ozakinci G, Hallman W, Wartenberg D, Brewer NT, Barrett DH, et al. Military deployment to the Gulf War as a risk factor for psychiatric illness among US troops. Br J Psychiatry. 2006; 188:453–459.

9. Warner CH, Appenzeller GN, Parker JR, Warner CM, Hoge CW. Effectiveness of mental health screening and coordination of in-theater care prior to deployment to Iraq: a cohort study. Am J Psychiatry. 2011; 168:378–385.

10. Choi K, Im H, Kim J, Choi KH, Jon DI, Hong H, et al. Relationship of early-life stress and resilience to military adjustment in a young adulthood population. Soc Psychiatry Psychiatr Epidemiol. 2013; 48:1767–1776.

11. Na KS, Oh SJ, Jung HY, Lee SI, Kim YK, Han C, et al. Temperament and character of young male conscripts with adjustment disorder: a case-control study. J Nerv Ment Dis. 2012; 200:973–977.

12. Han KH, Lee SB. The temperament and character of korean male conscripts with military maladjustment-a preliminary study. Psychiatry Investig. 2013; 10:131–136.

13. Davydov DM, Stewart R, Ritchie K, Chaudieu I. Resilience and mental health. Clin Psychol Rev. 2010; 30:479–495.

14. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the connor-davidson resilience scale. Psychiatry Investig. 2010; 7:109–115.

15. Cloninger CR. Temperament and personality. Curr Opin Neurobiol. 1994; 4:266–273.

16. World Health Organization. Lexicon of psychiatric and mental health terms. 2nd ed. Geneva: World Health Organization;1994.

17. Richardson GE. The metatheory of resilience and resiliency. J Clin Psychol. 2002; 58:307–321.

18. O'Donnell DA, Schwab-Stone ME, Muyeed AZ. Multidimensional resilience in urban children exposed to community violence. Child Dev. 2002; 73:1265–1282.

19. Kim JW, Lee HK, Lee K. Influence of temperament and character on resilience. Compr Psychiatry. 2013; 54:1105–1110.

20. Yook SP, Kim ZS. A clinical study on the Korean version of Beck Anxiety Inventory: comparative study of patient and non-patient. Korean J Clin Psychol. 1997; 16:185–197.

21. Beck AT, Steer RA, Carbin MG. Psychometric properties of the beck depression inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988; 8:77–100.

22. Cloninger CR, Przybeck TR, Svrakic DM, Wetzel RD. The temperament and character inventory (TCI): a guide to its development and use. St. Louis: Washington University Center for Psychobiology of Personality;1994.

23. MacDonald DA, Holland D. Examination of the psychometric properties of the temperament and character inventory self-transcendence dimension. Pers Individ Dif. 2002; 32:1013–1027.

24. Ghazinour M, Richter J, Eisemann M. Personality related to coping and social support among Iranian refugees in Sweden. J Nerv Ment Dis. 2003; 191:595–603.

25. Gutiérrez F, Navinés R, Navarro P, García-Esteve L, Subirá S, Torrens M, et al. What do all personality disorders have in common? Ineffectiveness and uncooperativeness. Compr Psychiatry. 2008; 49:570–578.

26. Ha JH, Kim EJ, Abbey SE, Kim TS. Relationship between personality disorder symptoms and temperament in the young male general population of South Korea. Psychiatry Clin Neurosci. 2007; 61:59–66.

27. Coyne JC, Gotlib IH. The role of cognition in depression: a critical appraisal. Psychol Bull. 1983; 94:472–505.

28. Farmer A, Mahmood A, Redman K, Harris T, Sadler S, McGuffin P. A sib-pair study of the Temperament and Character Inventory scales in major depression. Arch Gen Psychiatry. 2003; 60:490–496.

29. Samochowiec J, Rybakowski F, Czerski P, Zakrzewska M, Stepień G, Pełka-Wysiecka J, et al. Polymorphisms in the dopamine, serotonin, and norepinephrine transporter genes and their relationship to temperamental dimensions measured by the Temperament and Character Inventory in healthy volunteers. Neuropsychobiology. 2001; 43:248–253.

30. Wu G, Feder A, Cohen H, Kim JJ, Calderon S, Charney DS, et al. Understanding resilience. Front Behav Neurosci. 2013; 7:10.