US soldiers and the role of leadership: COVID-19, mental health, and adherence to public health guidelines.

BACKGROUND: Previous studies have documented the impact of domain-specific leadership behaviors on targeted health outcomes in employees. The goal of the present study was to determine the association between specific leadership behaviors addressing COVID-19 and US soldiers' mental health and adherence to COVID-19 public health guidelines. METHODS: An electronic, anonymous survey was administered to US Army soldiers across three major commands (N = 7,829) from December 2020 to January 2021. The primary predictor of interest was soldiers' ratings of their immediate supervisors' behaviors related to COVID-19. The outcomes were soldiers' mental health (i.e., depression and generalized anxiety) and adherence to COVID-19 public health guidelines. Covariates were rank, gender, ratings of immediate supervisors' general leadership, level of COVID-19 concerns, and COVID-19 status (e.g., tested positive, became seriously ill). Logistic regressions were used to model the unique association of COVID-19 leadership behaviors with outcomes after adjusting for covariates. RESULTS: High levels of COVID-19 leadership behaviors were associated with lesser likelihood of soldiers' screening positive for depression (AOR = 0.46; 95% CI [0.39, 0.54]) and anxiety (AOR = 0.54; 95% CI [0.45, 0.64]), and greater likelihood of frequent adherence to preventive health guidelines (AORs = 1.58; 95% CI [1.39, 1.80] to 2.50; 95% CI [2.01, 3.11]). CONCLUSION: Higher levels of COVID-19 leadership behaviors may support soldiers' mental health and encourage their adherence to COVID-19 public health guidelines. Given the link between these leader behaviors and soldier adaptation to the pandemic over and above general leadership, training for supervisors should focus on targeting specific health-promoting behaviors. Results can inform leader training for the military and other high-risk occupations.

Long-Term Assessment of the Effects of COVID-19 and Isolation Care on Survivor Disability and Anxiety.

We conducted an assessment of disability, anxiety, and other life impacts of COVID-19 and isolation care in a unique cohort of individuals. These included both community admissions to a university hospital as well as some of the earliest international aeromedical evacuees. Among an initial 16 COVID-19 survivors that were interviewed 6-12 months following their admission into isolation care, perception of their isolation care experience was related to their reporting of long-term consequences. However, anxiety and disability assessed with standard scores had no relationship with each other. Both capture of the isolation care experience and caution relying on single scoring systems for assessing long-term consequences in survivors are important considerations for on-going and future COVID-19 and other pandemic survivor research.

Minimizing psychological distress and promoting resilience during quarantine: Piloting the town hall model

Quarantine and isolation are important public health strategies for containing highly hazardous communicable disease outbreaks, particularly when vaccines and effective treatments are unavailable. Despite their effectiveness in disease containment, both quarantine and isolation, whether home- or facility-based, can lead to negative psychological outcomes in the short and long term. This article describes a novel, evidence-informed pilot intervention to prevent psychological deterioration during facility-based quarantine and isolation. Designed for the National Quarantine Unit during the repatriation of 15 American passengers exposed to COVID-19 on a cruise ship, the model incorporates findings from several areas of research, including factors that increase stress during quarantine and isolation, resources and competencies thought to contribute to individual resilience, and the role of social support in buffering stress. The high participation rate, in connection with positive feedback from guests, suggests that the pilot intervention holds promise for mitigating the potentially damaging psychological effects of facility-based quarantine and isolation. (PsycInfo Database Record (c) 2021 APA, all rights reserved) Impact Statement Public Significance Statement -This case study describes a novel, pilot intervention to prevent psychological deterioration in a group undergoing facility-based quarantine after exposure to COVID-19. The intervention addressed participants' basic needs and comfort, provided them with timely information about the disease, and introduced strategies believed to enhance resilience. Qualitative feedback suggests the model holds promise for mitigating the potentially negative psychological consequences of quarantine, though controlled research is necessary to test this hypothesis. (PsycInfo Database Record (c) 2021 APA, all rights reserved)