Army Special Operations Forces Research Articles

Enhancing operational rations for Special Operations Forces: A qualitative analysis and roadmap for product improvement

AbstractNinety‐eight (n = 98) military personnel from the Brazilian Army Special Operations Forces (SOF) participated in 10 Focus Groups to discuss the suitability of Combat Operational Rations with the service doctrine. The operational rations provided partially meet the operational and doctrinal demands of the SOF. Although the military personnel felt secure with the rations provided, the need to customize kits with locally sourced food items before the start of the mission and complaints about the excessive packaging volume were the categories that showed the highest level of engagement. The insights obtained for improving the rations indicated the need for adjustments in palatability, menu variety, modularization, practicality, and an increase in the nutritional content of macro and micronutrients. Further studies should be conducted in partnership with military technical sectors and strategic defense companies to assess the feasibility of developing rations better aligned with the SOF doctrine.Practical ApplicationsAddressing the challenges identified in the Rations used by the Brazilian Army Special Operations Forces (SOF) is crucial for improving the readiness and performance of elite military units and offers valuable insights for academic research. This benefits the academic community by demonstrating the real‐world relevance of nutrition science, food technology, and logistics in military settings. Furthermore, the collaboration between military technical sectors and strategic defense companies presents an opportunity for industrial innovation. Companies involved in producing and supplying rations can use these findings to develop more suitable, efficient, and cost‐effective products tailored to the unique demands of SOF units.

Telesurgery's potential role in improving surgical access in Africa

An estimated five billion people worldwide lack access to surgical care, while LMICs including African nations require an additional 143 million life-saving surgical procedures each year.African hospitals are under-resourced and understaffed, causing global attention to be focused on improving surgical access in the continent. The African continent saw its first telesurgery application when the United States Army Special Operations Forces in Somalia used augmented reality to stabilize lifethreatening injuries.Various studies have been conducted since the first telesurgery implementation in 2001 to further optimize its application.In context of a relative shortage of healthcare resources and personnel telesurgery can considerably improve quality and access to surgical services in Africa.telesurgery can provide remote African regions with access to knowledge and tools that were previously unavailable, driving innovative research and professional growth of surgeons in the region.At the same time, telesurgery allows less trained surgeons in remote areas with lower social determinants of health, such as access, to achieve better health outcomes. However, lack of stable internet access, expensive equipment costs combined with low expenditure on healthcare limits expansive utilization of telesurgery in Africa. Regional and international policies aimed at overcoming these obstacles can improve access, optimize surgical care and thereby reduce disease burden associated with surgical conditions in Africa.

The Role of Emotional Awareness in Special Warfare

ABSTRACT Whether the mission is Unconventional Warfare, Foreign Internal Defense, or Counterinsurgency, success is often dependent on an individual’s and/or unit’s ability to both understand the vulnerabilities of their foreign counterparts on psychological, cultural, and operational levels, and to influence those counterparts in a manner consistent with US military and political objectives. While many of the criteria for assessment and selection, training, and employment of Special Operations Forces (SOF) supporting Special Warfare are skill-based, the conduct of Special Warfare is often relationship-based. In fact, ARSOF Next lists not only empathy as a characteristic of an Army Special Operations Forces (ARSOF) unit but also love as a desired trait of an ARSOF soldier. These psychological constructs are applicable both internally (toward one’s in-group) and externally (toward one’s out-group) and are measurable, albeit not easily, and therefore capable of being evaluated in assessment and selection and cultivated during training. However, the spectrum of today’s assessment and selection arguably misses the most valuable psychological characteristic, emotional intelligence. For the past 2 years, the Paul Ekman Group (PEG) has provided a specialized version of the Evaluating Truthfulness and Credibility (ETaC) seminar to Special Forces soldiers. These facial micro-expressions, or “micros,” are proven to be both cross-cultural and involuntary, and are thus an ideal fundamental skill for ARSOF soldiers. ETaC focuses on understanding the five channels of communication (face, body language, voice, verbal style, and verbal content) and their behavioral manifestations to better assess the credibility of another. The seminars were not only well received by the participants but also, despite a relatively high baseline competency, demonstrated statistically significant performance improvement in a matter of hours. Not only do such results begin to validate the emotional intelligence of this specifically chosen audience, but it helps to demonstrate the capacity of these unique soldiers to develop their cognitive processes to effectively influence their environment. While the sample size is small, the results are promising and are worthy of additional research. This paper presents the background and summary of these seminars, as well as some recommendations for incorporating more emotional components of Special Warfare.

ЦЕНТР МАЙСТЕРНОСТІ СПЕЦІАЛЬНИХ ОПЕРАЦІЙ АРМІЇ США: ІСТОРИЧНИЙ ДОСВІД У ФОРМУВАННІ КАДРОВОГО ПОТЕНЦІАЛУ СПЕЦПІДРОЗДІЛІВ

The article briefly describes the history of creation, development and operation of the U.S. Army's Special Operations Center of Excellence (SOCoE).Important scientific and practical experience, theoretical foundations of the organization of the educational process SOCoE require comprehensive study, analysis and implementation in the domestic system of training specialists of special units, which is especially relevant in the conditions of war unleashed by the Russian Federation in the East of Ukraine. Theoretical and practical interest is the very functioning of such structures in the armies of foreign countries, their features, differences and common features with the Ukrainian system of training.The study analyzed the concept of formation of personnel potential of special units and the structure of the Center. It is noted that the educational institution is not only a school of training experienced specialists of special units, but also a modern analytical center, a dynamic innovative structure, developing and improving in accordance with the challenges of the military and political situation today. The role of SOCoE as a mechanism that allows creating prerequisites for the successful resolution of common tasks entrusted to the units of the Special Operations Forces of the United States federal agencies and security agencies of foreign countries and Ukraine has been highlighted.Professional training of special units at the level of training of fighters of the U.S. Army Special Operations Forces will improve the capacity of troops and the quality of performance of tasks for their intended purpose in the area of operation of the joint forces in the East of Ukraine, and in the future – to become a reliable highly qualified partner of NATO and be involved in joint operations of the North Atlantic Alliance.

Performance Enhancement Assessment and Coaching in US Army Special Operations: Rapidly Enhancing Performance Through Targeted, Tailored Feedback.

Performance enhancement coaching poses significant benefits to individuals and organizations, such as improved job satisfaction and goal achievement. Given their training and experience in assessment and feedback, operational psychologists assigned to Special Operations units are uniquely positioned to provide performance enhancement coaching tailored to Operators and enablers. A preliminary program evaluation was conducted of the Performance Enhancement Assessment and Coaching (PEAC) Program. A sample of 32 Operators and enablers assigned to a US Army Special Operations Forces (ARSOF) unit voluntarily participated in the PEAC Program and completed one 90-minute coaching session. Following their coaching session, Soldiers provided qualitative and quantitative feedback on their coaching experience. Soldiers overwhelmingly agreed that the PEAC Program was worth their time and helpful towards achieving their goals. Results indicate the PEAC Program enhanced Soldiers' perceived self-awareness, self-efficacy, and job performance. Results also suggest performance enhancement coaching may improve pass rates on interpersonally demanding Special Operations courses. Performance enhancement coaching delivers considerable value for Special Operations personnel and their organizations in relatively minimal time. Operational psychologist coaches (OPCs) assigned to Special Operations units can leverage their assessment skills to provide targeted, tailored performance enhancement coaching and increase value to their organizations.

Parameters – Full Issue – Winter 2017

FEATURES: Exploring War’s Character & Nature. "Clausewitz’s Theory of War and Victory in Contemporary Conflict" by Emile Simpson. "Will War’s Nature Change in the Seventh Military Revolution?" by F. G. Hoffman. Learning from Military Transformations. "Lessons Unlearned: Army Transformation and Low-Intensity Conflict" by Pat Proctor. "Navigating the Third Offset Strategy" by Damon V. Coletta. Regional Challenges. "Deterrence & Security Assistance: The South China Sea" by Tommy Ross. "The Belarus Factor in European Security" by Alexander Lanoszka. "Making Peace: Next Steps in Colombia" by Seth Cantey and Ricardo Correa. Army Expansibility. "Expansibility and Army Intelligence" by Rose P. Keravuori. "Expansibility and Army Special Operations Forces" by Eric P. Shwedo.

Conceptual organizational and functional models of the army special operations forces in the leading NATO countries

Conceptual organizational and functional models of the army special operations forces in the leading NATO countries

Resistance Dynamics and Social Movement Theory: Conditions, Mechanisms, and Effects

Understanding Current ConflictsContemporary conflicts have become more transnational, protracted, irregular, and resistancecentric.1 They can be best described as protracted internal conflicts with multiple state actors and nonstate actors intervening much like the multidimensional hybrid operational environment discussed in Army Special Operations Forces (ARSOF) 2022.2This article aims to explain how to harness the emerging strategic utility of nonstate actors by utilizing well-established bodies of knowledge on resistance dynamics. This objective is based upon the observation that an increasing number of external state actors overtly or covertly intervene in intrastate conflicts by exploiting the environment's resistance potential in order to increase their respective strategic influence.3 Similarly, both internal and external nonstate actors take advantage of interstate conflicts or political instability stemming from failing states. The current conflicts in Iraq and Syria certainly meet this characterization; as do those in Ukraine, Yemen, Afghanistan, Somalia, Mali, and Libya. More state actors are supporting or sponsoring political movements in intrastate conflict, making the termination of fighting very difficult. For instance, the resilience of the Islamic State of Iraq and the Levant (ISIL) is largely attributed to the protracted Syrian civil war in which regional powers such as Iran, Saudi Arabia, and Turkey all sponsor local movements. In addition, external nonstate actors such as ISIL, al-Nusrah, and Hezbollah are also deeply involved in the conflict. In other words, these current conflicts represent a sample of a larger shift in warfare. As of this writing, Uppsala University's world conflict data program compiles 40 conflicts in the world for 2014. All but one of them are intrastate conflicts and 13 of them are internationalized.4 In short, state actors are actively leveraging and taking advantage of the resistance potential of groups engaged in civil conflicts.The United States must adapt to this operational environment in order to achieve national policy objectives. Key to this goal is a shared problem identification that will lead to mitigation and reduction of the fog and friction inherent in a hybrid operational environment. Problem identification begins with understanding how external groups are leveraging and harnessing the resistance potential of organic movements toward their respective strategic interests. By understanding how resistance potential is shaped toward strategic objectives, we can also better determine how to replicate the best practices of supporting and sponsoring robust organic movements.In order to fight successfully in this complex hybrid environment, a deep understanding of resistance dynamics is critical. Without understanding resistance dynamics, it becomes next to impossible to identify who is working with adversarial state actors and how their nonstate surrogates gain political support against our own strategic interests. Our recent unsuccessful attempt at building a surrogate force in Syria is a good reminder of why it matters to harness the utility of organic resistance. Instead of building a sustainable movement with an armed wing, we thought a program designed to train and equip a few dozen commandos would suffice.5 This article intends to delineate the strategic dynamics of resistance and discuss the utility of resistance as a strategic tool.I will begin with a discussion of how resistance is conceptualized in doctrinal and academic terms to distill the essential characteristics of the concept. Then I will highlight three aspects of resistance: antecedent conditions, mechanisms, and effects. I will identify what antecedent conditions facilitate resistance, followed by a variety of mechanisms employed by movements to exploit the conditions. The discussion of mechanisms accompanies a description of the effects that can be expected when movements take advantage of these conditions. …

Expansibility and Army Special Operations Forces

This article examines how Army Special Operations might prepare to expand in the event of a major war by resolving impediments to growth, improving recall procedures, and developing plans to expand training capacities.

Effects of deployment on diet quality and nutritional status markers of elite U.S. Army special operations forces soldiers

BackgroundSpecial Operations Forces (SOF) Soldiers deploy frequently and require high levels of physical and cognitive performance. Nutritional status is linked to cognitive and physical performance. Studies evaluating dietary intake and nutritional status in deployed environments are lacking. Therefore, this study assessed the effects of combat deployment on diet quality and serum concentrations of nutritional status markers, including iron, vitamin D, parathyroid hormone (PTH), glucose, and lipids, among elite United States (U.S.) Army SOF Soldiers.MethodsChanges from baseline to post-deployment were determined with a repeated measure within-subjects design for Healthy Eating Index-2010 (HEI-2010) scores, intake of foods, food groups, key nutrients, and serum nutritional status markers. Dietary intake was assessed with a Block Food Frequency Questionnaire. The association between post-deployment serum 25-hydroxy vitamin D (25-OH vitamin D) and PTH was determined. Analyses of serum markers were completed on 50 participants and analyses of dietary intake were completed on 33 participants.ResultsIn response to deployment, HEI-2010 scores decreased for total HEI-2010 (70.3 ± 9.1 vs. 62.9 ± 11.1), total fruit (4.4 ± 1.1 vs. 3.7 ± 1.5), whole fruit (4.6 ± 1.0 vs. 4.2 ± 1.4), dairy (6.2 ± 2.7 vs. 4.8 ± 2.4), and empty calories (14.3 ± 3.2 vs. 11.1 ± 4.5) (P ≤ 0.05). Average daily intakes of foods and food groups that decreased included total dairy (P < 0.01), milk (P < 0.01), and non-juice fruit (P = 0.03). Dietary intake of calcium (P = 0.05) and vitamin D (P = 0.03) decreased. PTH increased from baseline (3.4 ± 1.6 vs. 3.8 ± 1.4 pmol/L, P = 0.04), while there was no change in 25-OH vitamin D. Ferritin decreased (385 ± 173 vs. 354 ± 161 pmol/L, P = 0.03) and soluble transferrin receptor increased (16.3 ± 3.7 vs. 17.1 ± 3.5 nmol/L, P = 0.01). There were no changes in glucose or lipids. Post-deployment, serum 25-OH vitamin D was inversely associated with PTH (r = −0.43, P < 0.01).ConclusionsHEI-2010 scores and dietary intake of milk, calcium, and vitamin D decreased following deployment. Serum PTH increased and iron stores were degraded. No Soldiers were iron deficient. Personnel that deploy frequently should maintain a high diet quality in the U.S. and while deployed by avoiding empty calories and consuming fruits, vegetables, and adequate sources of calcium, vitamin D, and iron. Improving availability and quality of perishable food during deployment may improve diet quality.

Small-unit water purifiers for remote military outposts: A new application of multicriteria decision analysis

During the U.S. military's first 145 years, waterborne and other infectious diseases caused more casualties than battlefield injuries, underscoring the importance of clean drinking water to military success. Ensuring drinking water safety poses special challenges to the U.S. Army Special Operations Forces, because treatment equipment used in the conventional Army is too heavy and operationally complex to deploy to remote outposts. Due to the lack of purpose-built water purifiers, Special Forces often rely on commercial-off-the-shelf systems, but guidelines on selecting optimal systems for specific deployment contexts are lacking. To fill this gap, this research examines whether multicriteria decision analysis (MCDA) can provide an operational framework for selecting water purifiers for Special Forces. Our objectives are to apply MCDA to help an officer preparing for village stability operations in Afghanistan select a water purifier and to assess whether other Army stakeholders agree with the officer's choice. In addition, because previous research has suggested that alternative MCDA methods can yield different rankings of decision alternatives, we test whether the MCDA method used is as important as who conducts the ranking. Toward these objectives, we use 4 MCDA approaches for eliciting preferences among 4 water purifiers from the deploying officer and 6 other Army stakeholders. The results show that regardless of method, the officer and 5 of the 6 stakeholders identified the same preferred alternative, although rankings for the less preferred water purifiers varied by method (intermethod rank-order correlation = .57). In responses to survey questions, stakeholders indicated that they would support using the results to support decisions about water purifier acquisition (average support = 5.3 on a 0–6 Likert scale with 6 indicating strongest support).

Effects of Combat Deployment on Anthropometrics and Physiological Status of U.S. Army Special Operations Forces Soldiers.

U.S. Army Special Operations Forces (SOF) soldiers deploy frequently and conduct military operations through special warfare and surgical strike capabilities. Tasks required to execute these capabilities may induce physical and mental stress and have the potential to degrade soldier physiological status. No investigations have longitudinally characterized whether combat deployment alters anthropometrics or biochemical markers of physiological status in a SOF population of frequent deployers. Effects of modern combat deployment on longitudinal changes in anthropometrics and physiological status of elite U.S. Army SOF soldiers (n = 50) were assessed. Changes in measures of body composition, grip strength, physiological status, and health behaviors from baseline to postdeployment were determined with paired t test and McNemar's statistic. Baseline measures were obtained between 4 and 8 weeks before deployment. Deployment length was a uniform duration of time between 3 and 6 months (all soldiers completed the same length of deployment). Post hoc analyses determined change in body mass within quartiles of baseline body mass with paired t test and associations between change in sex hormone-binding globulin (SHBG) and change in body mass with correlation coefficient. The study was approved by the Human Use Review Committee at the U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts. In response to deployment, increases in lean mass (77.1 ± 7.6 to 77.8 ± 7.5 kg), maximum grip strength (57.9 ± 7.2 to 61.6 ± 8.8 kg), and conduct of aerobic (156 ± 106 to 250 ± 182 minutes/week) and strength training (190 ± 101 to 336 ± 251 minutes/week) exercise were observed (p < 0.05). Increases in serum SHBG (35.42 ± 10.68 to 38.77 ± 12.26 nmol/L) and decreases in serum cortisol (443.2 ± 79.3 to 381.9 ± 111.6 nmol/L) were also observed (p < 0.05). Body mass changes were dependent on baseline body mass. Soldiers in the lowest quartile of baseline body mass increased body mass (75.6 ± 2.6 vs. 76.6 ± 2.8 kg, p = 0.03), as did those in the second quartile (81.6 ± 2.0 vs. 83.7 ± 3.5 kg, p = 0.02). Those in the third quartile also tended to increase body mass (89.2 ± 2.6 vs. 90.9 ± 3.3 kg, p = 0.05), while those in the upper quartile tended to decrease body mass (98.5 ± 3.6 vs. 96.7 kg, p = 0.06). Change in SHBG was inversely correlated with change in body mass (r = -0.33, p = 0.02). There were no changes in fat mass, body fat percentage, waist circumference, neck circumference, total testosterone, calculated bioavailable or free testosterone, high-sensitivity C-reactive protein, tumor necrosis factor-α, interleukin-1β, or interleukin-6. Inflammatory markers were skewed toward lower values. Overall, physiological status of elite SOF soldiers characterized by multiple prior deployments was minimally impacted by combat deployment, in the absence of major unit casualties. The majority experienced some adaptive changes, including increased lean mass, grip strength, time spent engaged in exercise, and decreased levels of the stress hormone cortisol. Mechanisms contributing to inverse correlations between change in SHBG and change in body mass may be further clarified. Future investigations may also more fully characterize the degradation and optimization of health and physiological status of SOF training and deployment cycles with in-theater data collection and repeated measures.

The SOF Truths for Army Special Operations Forces Surgical Teams.

The US Army Special Operations Command and Army Medical Command are at a critical junction in Army medical training. Army Special Operations Forces (ARSOF) will receive Forward Resuscitative Surgical Teams (FRSTs) in the near future and must establish a training model to enable successful support for ARSOF operations. The military has been directed by Congress through the 2017 National Defense Authorization Act to embed trauma combat casualty care teams in civilian trauma centers. ARSOF FRSTs should be embedded in the nation's leading civilian trauma centers to build and sustain true expertise in delivering trauma care on the battlefield. The SOF Truths provide valuable insights into the required conditions for success of this new training paradigm.

This isn’t your usual obstacle course: Critical pedagogy with Special Operations Forces

In an effort to practice what we teach, this paper moves beyond a simple academic-military binary and summarizes the efforts of four faculty members to teach critical thinking to US Army Special Operations Forces (SOF) officers. All four of us teach graduate level courses in a non-thesis, interdisciplinary Master’s degree program intended to satisfy military interest in civilian education. We view our work as an effort to think both with security and as an intervention into security. We position this work as an endeavor of public geographies and critical pedagogy. The paper begins by considering public geographies and the supposed academic/military binary and explores subtle and not so subtle interactions between academics and the U.S. national security apparatus. Each of the four co-authors—a geographer, a sociologist, and two political scientists—describes a particular approach to teaching critical thinking and comments on how the SOF students have responded. We conclude the paper by reflecting on the value of this work within the broader context of our shared mission as scholars and teachers.

Unconventional Classroom: Critical Work with Special Operations Forces Officers

As part of a discussion on geography and militarism, this article describes my work with midlevel officers in the Army Special Operations Forces who enroll in a graduate-level course I teach on environmental geopolitics. The theoretical framework for the course is critical geopolitics, a highly relevant subfield for these students but one to which most of them have never been exposed. Here, I draw from critical security studies and discuss what I teach to these students before providing examples of how they demonstrate what they learn in the class. Throughout the article, I consider how this work in some ways destabilizes an academic–military binary and how, at other times, the dividing line is clear. I suggest that critical scholarship might usefully continue to engage with groups beyond the academy.

Residual Impact of Previous Injury on Musculoskeletal Characteristics in Special Forces Operators.

BackgroundMusculoskeletal injuries are a significant burden to United States Army Special Operations Forces. The advanced tactical skill level and physical training required of Army Special Operators highlights the need to optimize musculoskeletal characteristics to reduce the likelihood of suffering a recurrent injury.PurposeTo identify the residual impact of previous injury on musculoskeletal characteristics.Study DesignCross-sectional study; Level of evidence, 3.MethodsIsokinetic strength of the knee, shoulder, and back and flexibility of the shoulder and hamstrings were assessed as part of a comprehensive human performance protocol, and self-reported musculoskeletal injury history was obtained. Subjects were stratified based on previous history of low back, knee, or shoulder injury, and within-group and between-group comparisons were made for musculoskeletal variables.ResultsKnee injury analysis showed no significant strength or flexibility differences. Shoulder injury analysis found internal rotation strength of the healthy subjects (H) was significantly higher compared with injured (I) and uninjured (U) limbs of the injured group (H, 60.8 ± 11.5 percent body weight [%BW]; I, 54.5 ± 10.5 %BW; U, 55.5 ± 11.3 %BW) (P = .014 [H vs I] and P = .05 [H vs U]). The external rotation/internal rotation strength ratio was significantly lower in the healthy subjects compared with injured and uninjured limbs of the injured group (H, 0.653 ± 0.122; I, 0.724 ± 0.121; U, 0.724 ± 0.124) (P = .026 [H vs I] and P = .018 [H vs U]). Posterior shoulder tightness was significantly different between the injured and uninjured limb of the injured group (I, 111.6° ± 9.4°; U, 114.4° ± 9.3°; P = .008). The back injury analysis found no significant strength differences between the healthy and injured groups.ConclusionFew physical differences existed between operators with prior knee or back injury. However, operators with a previous history of shoulder injury demonstrated significantly less shoulder strength than uninjured operators as well as decreased shoulder flexibility on the injured side. All operators, regardless of prior injury, must perform the same tasks; therefore, a targeted injury rehabilitation/human performance training specifically focused on internal rotation strength and tightness of the posterior capsule may help reduce the risk for recurrence of injury. Operators presenting with musculoskeletal asymmetries and/or insufficient strength ratios may be predisposed to musculoskeletal injury.Clinical RelevanceSpecific fitness programs to compensate for deficiencies in strength and flexibility need to be designed that may reduce the risk of injuries in Special Forces Operators.

Injury epidemiology of U.S. Army Special Operations forces.

Musculoskeletal injuries have long been a problem in general purpose forces, yet anecdotal evidence provided by medical, human performance, and training leadership suggests musculoskeletal injuries are also a readiness impediment to Special Operations Forces (SOF). The purpose of this study was to describe the injury epidemiology of SOF utilizing self-reported injury histories. Data were collected on 106 SOF (age: 31.7 ± 5.3 years, height: 179.0 ± 5.5 cm, mass: 85.9 ± 10.9 kg) for 1 year before the date of laboratory testing and filtered for total injuries and those with the potential to be preventable based on injury type, activity, and mechanism. The frequency of musculoskeletal injuries was 24.5 injuries per 100 subjects per year for total injuries and 18.9 injuries per 100 subjects per year for preventable injuries. The incidence of musculoskeletal injuries was 20.8 injured subjects per 100 subjects per year for total injuries and 16.0 injured subjects per 100 subjects per year for preventable injuries. Preventable musculoskeletal injuries comprised 76.9% of total injuries. Physical training (PT) was the most reported activity for total/preventable injuries (PT Command Organized: 46.2%/60.0%, PT Noncommand Organized: 7.7%/10.0%, PT Unknown: 3.8%/5.0%). Musculoskeletal injuries impede optimal physical readiness/tactical training in the SOF community. The data suggest a significant proportion of injuries are classified as preventable and may be mitigated with human performance programs.

Injury Epidemiology of US Army Special Operations Forces

Injury Epidemiology of US Army Special Operations Forces

Relationship of Combat Experiences and Alcohol Misuse Among U.S. Special Operations Soldiers

This study examined the association between specific combat experiences and postdeployment hazardous drinking patterns on selected military populations that are considered high risk, such as personnel belonging to U.S. Army Special Operations Forces. Data collection were conducted in a 5-year span in which 1,323 Special Operations Forces Soldiers were surveyed anonymously from 3 to 6 months after returning from deployment to Iraq/Afghanistan regarding their combat experiences and mental health. Combat items were independently analyzed and placed into the following categories: (1) Fighting, (2) Killing, (3) Threat to oneself, (4) Death/Injury of others, and (5) Atrocities. Alcohol misuse was measured using the Alcohol Use Disorders Identification Test-Consumption. Of the Soldiers sampled, 15% (N = 201) screened positive for alcohol misuse 3 to 6 months postdeployment. Combat experiences relating to fighting, threat to oneself, and atrocities were significantly related to alcohol misuse when analyzed individually. However, when factors were analyzed simultaneously, combat experiences in the fighting category were significantly associated with a positive screen for alcohol misuse. In conclusion, Soldiers belonging to certain elite combat units are significantly more likely to screen positive for alcohol misuse if they are exposed to specific types of fighting combat experiences versus any other type of combat exposure.

Seroprevalence of Dengue Fever in US Army Special Operations Forces: Initial Results and the Way Ahead.

The endemicity of dengue fever (DF) and, consequently, sequelae of DF are increasing worldwide. The increases are largely a result of widespread international travel and the increased range of the mosquito vectors. US Army Special Operations Command (USASOC) personnel are at an increased risk of exposure to dengue based on their frequent deployments to and presence in dengue endemic areas worldwide. Repeated deployments to different endemic areas can increase the risk for developing the more serious sequelae of dengue: dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS). Information about the seroprevalence rate of dengue in USASOC personnel, in particular, is lacking and is critical to assessing the risk, tailoring preventive medicine countermeasures, leveraging field diagnostics, and maintaining mission capability. In the first part of a two-part project to assess baseline seroprevalence in USASOC units, a random, unit-stratified sample of 500 anonymous serum specimens from personnel assigned to the highest-risk units in USASOC were screened for dengue using a microneutralization assay. Of the 500 specimens screened, 56 (11.2%) of 500 had neutralizing titers (NT) (MN₅₀≥10) against at least one DENV serotype. Subsequent sample titration resulted in 48 (85.7%) of 56 of the samples with NT (MN₅₀≥10) against at least one dengue serotype for an overall dengue exposure rate of 9.6% (48 of 500). The second part of the ongoing project, started in 2012, was a multicenter, serosurveillance project using predeployment and postdeployment sera collected from USASOC personnel deployed to South and Central America, Africa, and Southeast Asia. Preliminary results show a 13.2% (55 of 414) seropositivity rate. The significance of these findings as they relate to personal risk and operational impact is discussed.