Many returning service members deployed in the wars of Iraq and Afghanistan (Operations Enduring Freedom, Iraqi Freedom and New Dawn) face numerous challenges within post-deployment community reintegration (PDCR), including mild traumatic brain injury, chronic pain, and psychological disorders such as PTSD– a constellation of symptoms referred to as polytrauma. Within a transdiagnostic acceptance and commitment therapy (ACT) framework, optimal PDCR is hindered by excesses in maladaptive avoidance-based coping and deficits in resilience-based coping. The present cross-sectional study examined the relationship between vulnerability (psychological distress, PTSD symptomology, and experiential avoidance) and resilience (values-based living; VBL) factors with PDCR in a sample of 298 Veterans with polytrauma-related concerns (N_male = 244, M_age = 40.6). Results indicated: 1) higher psychological distress, PTSD symptomology, and experiential avoidance, respectively, and low VBL were significantly associated with greater PDCR difficulty; and 2) Veterans high in VBL (versus low) demonstrated a strengthened association between psychological distress and PTSD symptomology, respectively, with PDCR difficulty. These slope differences revealed a lack of differentiation in PDCR at high levels of distress/PTSD: PDCR difficulty was high for all levels of VBL. Conversely, at low-to-moderate levels of distress/PTSD, differences in PDCR difficulty were observed across VBL levels: PDCR difficulty was lower for Veterans high in VBL (versus low), suggesting VBL as a potential catalyst for facilitating optimal PDCR, but only for a limited range of symptom severity. Findings support the use of transdiagnostic ACT to improve outcomes for Veterans with polytrauma-related concerns.

许多部署在伊拉克和阿富汗战争（持久自由行动、伊拉克自由行动和新黎明行动）中的回国军人在部署后重返社区 (PDCR) 过程中面临着众多挑战，包括轻度创伤性脑损伤、慢性疼痛和心理障碍，例如创伤后应激障碍（PTSD）——称为多发性创伤的一系列症状。在跨诊断接受和承诺治疗（ACT）框架内，最佳的 PDCR 受到过度的基于适应不良的回避应对和基于复原力的应对缺陷的阻碍。本横断面研究以 298 名患有多发伤相关问题的退伍军人为样本，考察了脆弱性（心理困扰、PTSD 症状和体验性回避）和复原力（基于价值观的生活；VBL）因素与 PDCR 之间的关系（N_男 =244， M_年龄 = 40.6）。结果表明：1）较高的心理困扰、PTSD 症状和经验性回避以及较低的 VBL 与较高的 PDCR 难度显着相关；2) VBL 水平较高（相对于较低）的退伍军人表现出心理困扰和 PTSD 症状与 PDCR 困难之间的关联性增强。这些斜率差异揭示了在高水平的痛苦/PTSD 下 PDCR 缺乏分化：对于所有级别的 VBL，PDCR 难度都很高。相反，在低至中度的痛苦/PTSD 水平下，不同 VBL 水平的 PDCR 难度存在差异：VBL 高的退伍军人的 PDCR 难度较低（相对于低），表明 VBL 是促进最佳 PDCR 的潜在催化剂，但仅适用于有限范围的症状严重程度。