Special Operations Forces Research Articles

Warfighter Resilience.

Our aim in this study was to psychometrically test resilience assessments (Ego Resiliency Scale [ER89], Connor-Davidson Resilience Scale [CD-RISC 25], Responses to Stressful Experiences Scale [RSES short-form]) and describe resilience levels in a Special Operations Forces (SOF) combat sample. Fifty-eight SOF combat Servicemembers either entering SOF (career start; n = 38) or having served multiple years with their SOF organization (mid-career; n = 20) self-reported resilience, mild traumatic brain injury (mTBI) history, and total military service. All resilience metrics demonstrated acceptable internal consistency, but ceiling effects were found for CD-RISC and RSES scores. ER89 scores were moderate on average. ER89 scores were higher in SOF career start than mid-career Servicemembers (ηρ2 = 0.07) when accounting for the interaction between SOF career stage and total military service (ηρ2 = 0.07). SOF mid-career Servicemembers had similar ER89 resilience scores with more total military service. The SOF career start combat Servicemembers had higher ER89 measured resilience with less total military service only, potentially showing a protective effect of greater service before entering SOF. The ER89 may be a more optimal military resilience metric than the other metrics studied; longitudinal research on SOF combat Servicemember resilience is warranted.

Active Warfighter Mental Health Lower in Mid-Career.

The present study investigated Special Operations Forces (SOF) combat Servicemember mental health at different SOF career stages in association with resilience. Fifty-eight SOF combat Service Members either entering SOF (career start; n=38) or multiple years with their SOF organization (mid-career; n=20) self-reported mild traumatic brain injury (TBI) history, resilience, subjective well-being, depression, anxiety, and posttraumatic stress. Poisson regression analyses were employed to test SOF career stage differences in each mental health symptom using resilience, while accounting for other pertinent military factors. There were significant interaction effects of SOF career stage and resilience on mental health symptoms. SOF career start combat Servicemembers endorsed lower depression and posttraumatic stress and higher subjective well-being with higher resilience, but these associations between resilience and mental health symptoms were not seen in SOF mid-career Servicemembers. Although preliminary, the adaptive association between resilience and mental health seemed to be blunted in combat Servicemembers having served multiple years in SOF. This information informs research to provide evaluation tools to support prophylactic performance and long-term health preservation in military populations.

Physiological and Psychological Stressors Affecting Performance, Health, and Recovery in Special Forces Operators: Challenges and Solutions. A Scoping Review.

Special Operations Forces (SOF) Operators (SOs) are exposed to high levels of physiological and cognitive stressors early in their career, starting with the rigors of training, combined with years of recurring deployments. Over time, these stressors may degrade SOs' performance, health, and recovery. (1) To evaluate sources identifying and describing physiological and psychological stressors affecting performance, health, and recovery in SOs, and (2) to explore interventions and phenomena of interest, such as the biological mechanisms of overtraining syndrome (OTS). This review followed the recommendations and methodology of the Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A database search from December 1993 to December 2021 was performed in PubMed, the Cochrane Library, and the Defense Technical Information Center (DTIC). Potential articles were identified using search terms from their titles, abstracts, and full texts. Articles effectively addressing the review questions and objectives were eligible. After 19 articles were excluded for not meeting established inclusion criteria, a total of 92 full-text articles were assessed for eligibility. After the final analysis, 72 articles were included. Allostatic imbalance may occur when supra-maximal demands are prolonged and repeated. Without adequate recovery, health and performance may decline, leading to nonfunctional overreaching (NFO) and OTS, resulting in harmful psychological and hormonal disruptions. The recurring demands placed on SOs may result in a chronically high burden of physical and mental stress known as allostatic overload. Future investigation, especially in the purview of longitudinal implementation, health, and recovery monitoring, is necessary for the health and readiness of the SOF population.

A Comprehensive Method of Assessing Body Composition Using Kinanthropometry in Human Performance Training.

Nutrition is an essential component of Human Performance Optimization in Special Operations Forces (SOF) to enhance physical and mental performance, unit readiness, and mission success. Body composition is frequently used to monitor individual nutrition progress; however, using body fat percentage is limited both by the accuracy of the assessment method and its association with SOF relevant performance outcomes. Lower body fat and/or body mass index have generally, but not universally, been correlated with higher levels of physical performance, yet they poorly predict performance in military relevant tasks. As a complement to body fat, many performance dietitians in the SOF Human Performance Programs utilize the International Society for Advanced Kinanthropometry (ISAK) profile to assess body composition, proportionality, ratio of muscle to bone, and somatotype in combat Operators. Kinanthropometry is the study of human size, shape, proportion, composition, maturation, and gross function, and it is a helpful tool for monitoring nutrition and training progress in athletes and active individuals. The ISAK profile has been well established as an international method for talent identification, distinguishing characteristics between athletes across and within elite sports, and identifying predictors of sport performance that can be applied in the military setting. While some SOF dietitians are utilizing the ISAK profile, the challenge lies in translating sport data to military relevant outcomes. We present a series of four case studies demonstrating the utility of this method as a portable comprehensive assessment for cross-sectional and longitudinal body composition tracking in a military setting.

Omega-3 Fatty Acids: Benefits for Performance and Recovery.

Full-spectrum human performance optimization (HPO) is essential for Special Operations Forces (SOF). Nutrition is one part of HPO and is important for all aspects of performance. One area of increased interest in this regard is omega-3 polyunsaturated fatty acids (omega-3). Research has indicated that Servicemembers (SM), including SOF, do not eat the recommended 2 to 3 servings per week of fatty fish and have low omega-3 levels. Therefore, alternative approaches are warranted. The purpose of this article is to highlight the potential mental and physical health and performance benefits of omega-3. Consuming omega-3 on a regular basis would not only be beneficial for the health of SOF but also for their training and overall performance.

Український рух опору на окупованих територіях

One ideological thesis the Russian Federation used to justify its invasion of Ukraine was the alleged readiness of the residents of the East and South of Ukraine to cooperate with the occupiers. Almost a year of war has shown the lack of mass Ukrainian support for the occupying forces and their "administrations". What we saw was a well-organized resistance to the Russian occupation.This article explores two forms of the Ukrainian resistance movement – civil and military. Our goal is to launch a discussion studying the dynamics, scope, and varieties of Ukrainian resistance in the occupied territories. We rely on data from the American Institute for the Study of War, separate expert studies, and journalistic investigations available in the public domain. Drawing on the example of the temporarily occupied regions of Kherson, Zaporizhzhia, and Luhansk and the annexed Crimea, we demonstrate that the change in the forms of civil resistance – from open, peaceful protests to "quiet disobedience", sabotage or boycott of "referendums" – was caused by the repressive reaction of the occupying authorities. The latter is most visible in the actions of the "Yellow Ribbon" movement. Military or armed resistance is coordinated by special operations forces and implemented by partisan units.Unlike in 2014, as of 2022, the military resistance has a sufficient normative foundation, a well-organized structure, and an extensive network of partisan groups demonstrating its effectiveness. Our analysis shows that both forms of resistance have an organized but decentralized nature and are carried out mainly by relatively small groups. The influence of various actions of the movement significantly affects the logistical capabilities of the occupying army, its morale, and the desire of individual collaborators to continue cooperation with the occupiers. As such, the movement significantly undermines the Russian Federation’s ability to establish administrative control over the captured territories and their absorption into the Russian Federation.

Linear Regression as a Method to Prioritize Humanitarian Efforts in Stability Operations.

With a mandate to work by, with, and through host nation partners, Special Operations Forces (SOF) often face the challenge of pursuing humanitarian endeavors in the hopes of securing access to a specific population and mapping the human terrain. Likewise, should limitations in the rules of engagement (ROE) shift incentives from lethal to non-lethal effects, commanders must find unique ways to exert influence on the operational environment. However, with inevitable resource constraints such as money and time, it can be exceedingly difficult to determine which humanitarian project to undertake, especially in a population whose needs are multifaceted. Linear regression, a statistical tool available within the standard Microsoft Excel package on government computers, permits the modeling of predictive outcomes between a number of independent variables against a dependent variable. This allows the determination of significance and effect for each independent variable, which can facilitate a thoughtful recommendation to commanders for project selection. Using Iraq as an example, publicly available information (PAI) provides a wealth of records to make data-driven assessments for mutually beneficial shaping efforts in a stability operations framework. Additionally, this paper will highlight how data can be analyzed without a reliance on statistical software that is unlikely to be present in the tactical environment.

КОНЦЕПЦІЯ ОПЕРАТИВНИХ СИЛ ТА СПРОМОЖНОСТЕЙ НАТО ЯК ІНСТРУМЕНТ РЕФОРМУВАННЯ ТА ЗБІЛЬШЕННЯ БОЙОВИХ СПРОМОЖНОСТЕЙ ПІДРОЗДІЛІВ СПЕЦІАЛЬНОГО ПРИЗНАЧЕННЯ (СИЛ СПЕЦІАЛЬНИХ ОПЕРАЦІЙ)

Combat capabilitie sofunits of the Special Operations Forces of the Armed Forces of Ukraine during the involvementin the OOS and capacity building (acquisition of newones) during the preparation for dutyinthe NATO Response Force wereanalyzed. There sults of the basictraining course for the spy of the National Guard of Ukraine are given. Special units of the Armed Forces play an important role in the implementation of the Joint Forces operation in eastern Ukraine. During the performance of specific tasks, special forces units not only conducted reconnaissance (special measures) at important enemy targets, but also provided for the deployment of units of the Armed Forces to fire. The experience of recent armed conflicts shows that the most effective fire defeat of the enemy is possible with the maximum integration of means and forces of detection (intelligence). The tool for such integration, as well as for increasing the combat capabilities of special forces (Special Operations Forces), is the involvement in the NATO Operational Force and Capabilities Concept (hereinafter referred to as the Concept). The concept of NATOꞌs operational forces and capabilities is, in essence, a clear set of requirements for the unit involved in the assessment and sets a clear goal for the unit's command. With each assessment, the unit is faced with more and more requirements, for which the unit must be qualitatively transformed in accordance with NATO guidelines and act in accordance with their protocols. Protocols are a unified procedure and are the same for all types of troops. Since the last assessment, the unit has achieved its main goal ‒ full interoperability with NATO units and the ability to perform tasks in any operational area as efficiently as possible.

Generating Competent Special Operations Clinicians From Military Graduate Medical Education.

Units within the Special Operations Forces (SOF) community require medically competent and operationally proficient medical providers (physicians, physician assistants, and nurse practitioners, among others) to support complex mission sets. The expectations placed on providers who successfully assess for and are selected into these units are high. These providers are not only expected to be experts in their respective subspecialities, but also to serve as staff officers, provide medical direction for SOF medics, serve as medical advisors to the command team, and provide direct medical support for kinetic operations. They are expected to perform these functions with little oversight and guidance and when geographically separated from higher units. Graduates from military Graduate Medical Education (GME) programs are extremely well-educated and can provide high quality medical care. However, they often find themselves ill-prepared for the extra demands placed upon them by the Special Operations community due to a lack of operational exposure. The authors of this paper recognized this gap and propose that the Joint Emergency Medicine Exercise (JEMX) model can help augment the body of knowledge required to perform well as a provider in a Special Operations unit.

A Novel Digital Research Methodology for Continuous Health Assessment of the Special Operations Warfighter: The Digital cORA Study.

The role of US Special Operations Forces (SOF) globally has expanded greatly in the past 20 years, leaving SOF serving multiple deployments with little time or ability to recover in between. Currently, assessments of the health and human performance capabilities of these individuals are episodic, precluding an accurate assessment of physical and mental load over time, and leading to high rates of acute and chronic injury to the mind and body. The collection of personal health-related continuous datasets has recently been made feasible with the advancement of digital technologies. These comprehensive data allow for improved assessment, and consequently better results, partly due to the warfighters' real-time access to their data. Such information allows Soldiers to engage in their own health optimization. This article describes a research platform that allows for collection of data via a custom-made secure mobile application that extends the type, scope, and frequency of data collection beyond what is feasible during an in-person encounter. By digitizing existing assessments and by incorporating additional physical, neurocognitive, psychological, and lifestyle assessments, the platform provides individuals with the ability to better understand their mental and physical load, as well as reserve. The results of this interactive exchange may help to preserve the health of users as well as the stability and readiness of units.

Does Mental and Visual Skills Training Improve High-Value Target Identification and Marksmanship Among Elite Soldiers?

The purpose of this preliminary investigation was to determine the impact of a mental and visual skills training (MVST) program on a high-value target identification and marksmanship (HVTM) task among Special Operations Forces (SOF) Soldiers. Deidentified archival data for 52 male SOF Operators (age: 31.06 ± 4.10 years) were assessed to determine if differences in performance existed between MVST program users (n = 15) and nonusers (n = 37) on a HVTM task performed immediately after a Special Forces Advanced Urban Combat (SFAUC) stress shoot. Independent-samples t-tests were utilized to determine if significant mean score differences existed between groups on specific shooting elements within the HVTM task. Effect size calculations were also performed to assess the magnitude of differences between groups in each measure of performance. Statistically significant differences in performance were not discovered between MVST users and nonusers on overall score (Score) or any individual elements of the HVTM task. However, small to medium effect sizes (d = 0.305-0.493) were observed between groups in Score, Positive Identification Accuracy, Shot Accuracy, and Kill Shot Score. While inconclusive, these findings suggest the use of a MVST program administered by a trained cognitive performance specialist may have the potential to positively influence HVTM performance. More research using larger sample sizes is required to confirm this supposition.

Workload of Swedish Special Forces Operators Experienced During Stressful Simulation Training: A Pilot Study.

Stress week was included during training of Special Forces (SF) Operators in Sweden to test their ability and limits for handling stress in different unknown situations and environments at a military training facility in Sweden. The aim of the study was to examine the effects of stress and workload experienced in various tasks during firefighting and military medicine simulation training. This pilot study was performed during the second day of stress week. The National Aeronautics and Space Administration Task Load Index (NASA-TLX) is a validated, subjective, and multidimensional assessment tool for rating perceived workload with six subscales: mental demand, physical demand, temporal demand, performance, effort, and frustration. These subscales were used as an indicator of stress experienced. The different tasks were assessed by the SF Operators by rating the NASA-TLX subscales for each task, which were then analyzed and compared using ANOVA. There was a significant difference between the two simulation exercises assessed by the participants and instructors, and both groups considered firefighting to be more demanding than medical. The participants perceived the mental and physical demands as more demanding in the firefighting exercises, as well as for the level of frustration and effort. However, no differences regarding performance or temporal demands between the simulation exercises were found. The principle "train as you fight" implies difficult and demanding situations. When exposing Swedish SF Operators to challenging situations, assessment of perceived stress and performance are possible.

Management of Acute Lung Injuries and Acute Respiratory Distress Syndrome in the Tactical and Prolonged Field Care Setting.

The authors examine two acute lung injuries (ALI) that can occur in the tactical setting - positive pressure pulmonary edema and inhalation injury - as well as acute respiratory distress syndrome (ARDS), all of which can quickly progress in a prolonged field care (PFC) environment. These conditions present complex problems to emergency department (ED) and intensive care unit (ICU) teams worldwide, requiring intimate knowledge of their distinct disease pathophysiology and advanced critical care equipment. These challenges are compounded in the world of the Special Operations Forces (SOF) medic who often operates as the sole provider in environments with both limited resources and prolonged evacuation times. It is the hope of the authors that by breaking down these complex critical care topics and providing concrete guidance and treatment recommendations that we can ultimately improve the care SOF medics provide overseas in an austere operational environment.

Development and Evolution of a Comprehensive Mild Traumatic Brain Injury Inpatient Rehabilitation Program: A Nursing Perspective.

The James A. Haley Veterans' Hospital in Tampa, Florida has developed an innovative approach to the unique rehabilitation needs of active duty Special Operations Forces (SOF) and veterans with chronic conditions related to their military service. Tampa's program, the Post-Deployment Rehabilitation and Evaluation Program (PREP), was established in 2008. The interdisciplinary team includes one nurse practitioner and eight staff registered nurses. The Veterans Health Administration (VHA) is using Tampa's established and successful PREP as a model to actively expand the program to other Veterans Administration (VA) Polytrauma Rehabilitation Centers over the next several years. There are several important nursing and rehabilitation team considerations for the successful development of these mild traumatic brain injury (mTBI) inpatient rehabilitation programs.

Supplemental Material for Personality Traits of Special Forces Operators: Comparing Commandos, Candidates, and Controls

Supplemental Material for Personality Traits of Special Forces Operators: Comparing Commandos, Candidates, and Controls

ESSENTIAL FEATURES AND FUNCTIONAL COMPONENTS OF MODERN UNCONVENTIONAL (HYBRID) CONFLICT

In the article the authors argue that the strategy and arsenal of hybrid (asymmetrical, unconventional) warfare in the contemporary world are fundamentally based on the qualitative changes that took place at the turn of the XXI century as a result of radical changes in the balance of power in the international arena, chaos in international relations, the development of new types of lethal and non-lethal weapons, new technologies of constructing and dismantling social communities with predetermined characteristics. These changes involved the conceptual framework, structure, strategy and tactics, forms and methods of the military and political confrontation between modern states and their blocks, as well as between states and non-governmental organisations.
 The authors identify the essential features and functional components of hybrid warfare, such as its latency phases; the remote undermining of national defense capabilities by non-military and non-contact means; breaching the international law of war; the integrated use of military methods as well as specific means of non-military, diplomatic, financial and economic, humanitarian pressure on a victim state. They also include the extensive use of anti-government groups and movements; illegal armed groups, separatists, irredentists, radical ethnic and religious groups, extremist organizations, and artificially constructed destructive groups; the privileged role of intelligence services, special operations forces and their use for engineering a powerful anti-government infrastructure designed to destabilize the legitimate state system; the priority role of targeted influence on public opinion through the extensive use of methods of information and psychological warfare and cyberwarfare.

APPROACH TO THE FORMALIZATION OF THE PROCESS OF CONDUCTING SPECIAL ACTIONS BY A SPECIAL FORCES UNIT USING THE ANALYTICAL-STOCHASTIC MODEL.

The current realities of the military-political situation in the world comprise the emergence of a significant number of new contradictions of various natures between states and entire regions, and in some countries acute territorial, religious and ethnic confrontations that have led to a number of armed conflicts. In addition, international terrorism, drug smuggling, illegal arms trade and organized crime pose serious threats today. The emergence of these threats brings the necessity of drastic changes in approaches to resolving them. A significant share in the settlement of these conflicts belongs to the Special Operations Forces, which is the youngest and most advanced component of the Armed Forces of Ukraine. The authors identify one of the main problems that is the lack of a unified approach to the formalization of the process of conducting special actions.
 The purpose of this article is to form a mathematical model of the process of conducting special actions by the unit of Special Operations Forces during the planning and conducting of special operation. The authors propose an approach to the formalization of the process of conducting special actions by a special forces unit, using an analytical- stochastic model.

Comparisons and Intercorrelations of Physical Performance Variables of Operational Preparedness in Special Operations Forces.

Marine Forces Special Operations Command (MARSOC) deploys teams of operators (OP) and enablers (EN) to accomplish special operations missions. OP and EN are required to train and deploy together to accomplish these missions; however, they have different training and selection pipelines. Advanced strength and conditioning training strategies are applied to both OP and EN to enhance physical preparedness; however, it is unclear how the selection pipeline of these two personnel types affects overall physical preparedness and the relationships between performance variables. The purpose of this study is to gain a greater understanding of the relationships of a wide array of physical preparedness variables in OP and EN in an effort to streamline testing and training strategies. For this study, 155 male (82 OP, 73 EN) MARSOC personnel (age: 29.5 ± 4.9 years, mass: 87.9 ± 11.1 kg, height: 1.79 ± 0.07 m) completed a physical preparedness assessment that included a DEXA assessment of body composition (BF%), 27.4 m sprint (30 yd), countermovement jump (VJ), 5-10-5 pro-agility (Agility), medicine ball toss (UBP), isometric mid-thigh pull (IMTP), and a 30 second (AnC) and 5 minute (AC) non-motorized treadmill run. Independent samples t tests, Mann-Whitney U tests, and Spearman's Rank correlations were used to compare variables between OP and EN. OP demonstrated greater VJ, UBP, IMTP, AnC, and AC (P < 0.05); and significantly lower BF% and agility time (P < 0.05). Measurements of mass, height, body mass index, and 30 yd were not significantly different (P > 0.05). Weak to moderate correlations were seen between anthropometric and performance variables. OP and EN demonstrated similar correlations for most performance and anthropometric variables. These results suggest that MARSOC OP demonstrate better physical preparedness over EN, while similar trends are observed between performance variables. Tests with moderate to high correlations may be removed from the protocol to account for testing time constraints. Height, weight, and BF% variables are poorly correlated with performance, particularly in OP, questioning their value in physical performance assessments in this population.

Musculoskeletal sports medicine injuries in special operations forces soldiers

Musculoskeletal injuries (MSI) normally related to sports occur to a large degree during physical activity in soldiers from special operations forces (SOF) and are the leading course for disability in military personnel. Efforts to prevent these injuries have been initiated through human performance optimization programs in several SOF´s. However, to provide the best conditions for the development of such strategies initially a comprehensive description of the injury epidemiology in this very unique population is required. Overall, studies indicate that more than half of SOF Operators—who have training amounts similar to elite athletes—experience one sports-related injury per year, and the most common sites of injury are the shoulder, lumbar spine, and knee. Around half the injuries are acute, and the other 50% are chronic injuries. Although the type of injury is mapped, there is a lack of data regarding causes, mechanisms, and severity of injuries.

Health Conditions Among Special Operations Forces Versus Conventional Military Service Members: A VA TBI Model Systems Study.

To examine traumatic brain injury (TBI) characteristics and comorbid medical profiles of Special Operations Forces (SOF) Active Duty Service Member/Veterans (ADSM/Vs) and contrast them with conventional military personnel. The 5 Veterans Affairs (VA) Polytrauma Rehabilitation Centers. A subset of participants in the VA TBI Model Systems multicenter longitudinal study with known SOF status. These included 157 participants who identified as SOF personnel (average age = 41.8 years; 96% male, 81% active duty), and 365 who identified as Conventional Forces personnel (average age = 37.4 years; 92% male, 30% active duty). Retrospective analysis of prospective cohort, cross-sectional. The Health Comorbidities Interview. SOF personnel were more likely to have deployed to a combat zone, had more years of active duty service, and were more likely active duty at time of TBI. SOF personnel were more likely to have had mild TBI (vs moderate/severe) and their TBI caused by violent mechanism. SOF personnel had a higher number of comorbidities, with more diagnoses of chronic pain, osteoarthritis, hyperlipidemia, hip fractures, and obstructive sleep apnea. SOF personnel are at a higher risk for multimorbidity after TBI. Current rehabilitation practices should incorporate early screening and treatment of common conditions in this population, while future practices may benefit from a focus on prevention.