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Research ArticleOriginal Research

Veterans and Nonveterans Coping With Stress During 4 Months of COVID-19

Jorie M. Butler, Xuechen Wang, Marian Riddoch, Alistair Thorpe, Vanessa Stevens, Laura D. Scherer, Frank A. Drews, Holly Shoemaker and Angela Fagerlin
The Annals of Family Medicine November 2023, 21 (6) 508-516; DOI: https://doi.org/10.1370/afm.3046
Jorie M. Butler
1Department of Biomedical Informatics, Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, Utah
2Informatics, Decision-Enhancement, and Analytic Sciences (IDEAS) Center of Innovation, VA Salt Lake City Health Care System, Salt Lake City, Utah
3Geriatrics Research, Education, and Clinical Center (GRECC), VA Salt Lake City Health Care System, Salt Lake City, Utah
PhD
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  • For correspondence: jorie.butler@hsc.utah.edu
Xuechen Wang
4Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, Utah
PhD
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Marian Riddoch
4Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, Utah
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Alistair Thorpe
4Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, Utah
PhD
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Vanessa Stevens
2Informatics, Decision-Enhancement, and Analytic Sciences (IDEAS) Center of Innovation, VA Salt Lake City Health Care System, Salt Lake City, Utah
4Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, Utah
PhD
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Laura D. Scherer
5University of Colorado School of Medicine, Aurora, Colorado
6VA Denver Center for Innovation, Denver, Colorado
PhD
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Frank A. Drews
2Informatics, Decision-Enhancement, and Analytic Sciences (IDEAS) Center of Innovation, VA Salt Lake City Health Care System, Salt Lake City, Utah
7University of Utah College of Social and Behavioral Science, Salt Lake City, Utah
PhD
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Holly Shoemaker
2Informatics, Decision-Enhancement, and Analytic Sciences (IDEAS) Center of Innovation, VA Salt Lake City Health Care System, Salt Lake City, Utah
4Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, Utah
MPH
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Angela Fagerlin
2Informatics, Decision-Enhancement, and Analytic Sciences (IDEAS) Center of Innovation, VA Salt Lake City Health Care System, Salt Lake City, Utah
4Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, Utah
PhD
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  • RE: Veterans and Nonveterans Coping With Stress During 4 Months of COVID-19
    Mary Gassman, Alana Kramer and Ella Silvis
    Published on: 27 February 2024
  • Published on: (27 February 2024)
    Page navigation anchor for RE: Veterans and Nonveterans Coping With Stress During 4 Months of COVID-19
    RE: Veterans and Nonveterans Coping With Stress During 4 Months of COVID-19
    • Mary Gassman, Medical Student, The Ohio State University
    • Other Contributors:
      • Alana Kramer, Medical Student
      • Ella Silvis, Medical Student

    As three aspiring healthcare professionals, we read this article with great interest. We recognize the importance of exploring how the COVID-19 pandemic affected coping mechanisms in both veteran and non-veteran populations. After reviewing study results, we have a few thoughts and questions to ask. We found it interesting that the veterans’ main choice of a coping mechanism was either an adaptive or disengaged style, while the non-veterans coping mechanism style was distressed. We were not surprised by these findings even though they seemed to contradict one another. Some veterans implement adaptive and flexible techniques learned in the military as they transition to other stages of their lives. They use it to structure their daily lives, so they can be alert and work to solve the problems around them. However, other veterans lean more towards the distressed style of coping mechanisms because what they learned within their military career does not blend well within their everyday life. This causes stress and creates an inability to adapt to different factors that are not planned to change, such as the pandemic which none of us were prepared for.

    Interestingly, results from the first and second surveys were characterized by the disengaged style (>50% of the sample). But, by the time of the third survey, the adaptive mechanism was most common. Comparing these dates next to the events following COVID-19 pandemic, it appears as though it took many people a while to...

    Show More

    As three aspiring healthcare professionals, we read this article with great interest. We recognize the importance of exploring how the COVID-19 pandemic affected coping mechanisms in both veteran and non-veteran populations. After reviewing study results, we have a few thoughts and questions to ask. We found it interesting that the veterans’ main choice of a coping mechanism was either an adaptive or disengaged style, while the non-veterans coping mechanism style was distressed. We were not surprised by these findings even though they seemed to contradict one another. Some veterans implement adaptive and flexible techniques learned in the military as they transition to other stages of their lives. They use it to structure their daily lives, so they can be alert and work to solve the problems around them. However, other veterans lean more towards the distressed style of coping mechanisms because what they learned within their military career does not blend well within their everyday life. This causes stress and creates an inability to adapt to different factors that are not planned to change, such as the pandemic which none of us were prepared for.

    Interestingly, results from the first and second surveys were characterized by the disengaged style (>50% of the sample). But, by the time of the third survey, the adaptive mechanism was most common. Comparing these dates next to the events following COVID-19 pandemic, it appears as though it took many people a while to adjust to our new way of life.

    Considering these findings, we were wondering if another group of people would also find themselves switching mechanisms longitudinally? Furthermore, of those switching coping mechanisms, would those with mental health issues be at greatest risk of experiencing distress? Those who changed their coping mechanisms over the course of the study often had higher rates of depression compared to those who did not have known mental health issues. The links between mental health and anxiety should continue to be explored within the context of shifting coping mechanisms over time.

    Show Less
    Competing Interests: None declared.
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The Annals of Family Medicine: 21 (6)
The Annals of Family Medicine: 21 (6)
Vol. 21, Issue 6
November/December 2023
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Veterans and Nonveterans Coping With Stress During 4 Months of COVID-19
Jorie M. Butler, Xuechen Wang, Marian Riddoch, Alistair Thorpe, Vanessa Stevens, Laura D. Scherer, Frank A. Drews, Holly Shoemaker, Angela Fagerlin
The Annals of Family Medicine Nov 2023, 21 (6) 508-516; DOI: 10.1370/afm.3046

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Veterans and Nonveterans Coping With Stress During 4 Months of COVID-19
Jorie M. Butler, Xuechen Wang, Marian Riddoch, Alistair Thorpe, Vanessa Stevens, Laura D. Scherer, Frank A. Drews, Holly Shoemaker, Angela Fagerlin
The Annals of Family Medicine Nov 2023, 21 (6) 508-516; DOI: 10.1370/afm.3046
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