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TABLE 2  Demographic Information by Physical Domain (PD) Participation
                                                                   Group, %*
              Variable                     Total         Control/No PD     PD <4×/week      PD ≥4×/week    p-value
              Time in SOF, years,           4.1              4.1               5.1              2.9         .00 †
              mean 95% CI (range)       (3.6–4.7) (0–19)  (3.0–5.1) (0–15)  (4.1–6.2)  (0–19)  (2.1–3.8)  (0–14)
                                                                                                 †
                                                                                †
              Age, y, mean                  31.1             31.5             31.4             30.8         .61
              95% CI (range)          (30.6–31.7) (21–47)  (30.5–32.5) (23–41)  (30.4–32.4) (21–47)  (29.8–31.8) (24–43)
              Rank, %
              MAJ (Major)                   0.9              1.6               0.0              1.6        >.05
              CPT (Captain)                 10.5             11.5              8.0             13.1        >.05
              SGM (Sergeant Major)          0.5              1.6               0.0              0.0        >.05
              MSG (Master Sergeant)         7.3              3.3              10.2              8.2        >.05
              SFC (Sergeant First Class)    21.9             26.2             25.0             13.1        >.05
              SSG (Staff Sergeant)          47.0             45.9             44.3             55.7        >.05
              SGT (Sergeant)                8.7              6.6               8.0              6.6        >.05
              WOI (Warrant Officer 1)       1.4              1.6               2.3              0.0        >.05
              CW1 (Chief Warrant Officer 1)  0.5             0.0               0.0              1.6        >.05
              CW2 (Chief Warrant Officer 2)  0.9             1.6               1.1              0.0        >.05
              CW3 (Chief Warrant Officer 3)  0.5             1.6               1.1              0.0        >.05
              Marital status
              Single                        19.8             21.3             20.4             16.7        >.05
              Married                       67.8             63.9             63.4             77.3        >.05
              Committed Partnership         6.6              8.2               7.5              4.5        >.05
              Separated                     1.3              3.3               1.1              0.0        >.05
              Divorced                      4.0              3.3               6.5              1.5        >.05
              Other (engaged)               0.4              0.0               1.1              0.0        >.05
              Have children (Yes)           53.9             54.8             55.9             51.5        >.05
              Highest degree
              High school/GED               37.3             43.5             36.6             33.3        >.05
              Associate’s                   21.5             16.1             25.8             18.2        >.05
              Bachelor’s                    35.1             33.9             31.2             42.4        >.05
              Master’s                      3.9              3.2               4.3              4.5        >.05
              Other                         2.2              3.2               2.2              1.5        >.05
              Days since deployment
              0–90                          30.1             41.4 †           21.4 †           29.5         .03 †
              91–120                        2.9              8.6 †            1.2 †             0.0         .03 †
              121–270                       19.1             13.8             25.0             16.4        >.05
              271–365                       10.0             10.3             11.9              8.2        >.05
              >365                          37.8             25.9             40.5             45.9        >.05
              *Unless otherwise specified.
              † Represents columns significantly different from each other.
              GED = General Education Diploma; SOF = Special Operations Forces.


              you would like to share?” Three themes emerged from the 60   participation were strength and power, with little difference in
              responses and are listed in order of their prevalence along with   agility, endurance, sleep, injury, and pain. Greater strength and
              specific responses (Appendix C). Overwhelmingly, these com-  power were mainly observed for PD ≥4.
              ments point to the positive effects and importance of the PD
              to Operators.                                      The psychological metrics most associated with PD participa-
                                                                 tion were lower anxiety, lower stress, lower depression, and
                                                                 higher positive affect. However, these results should be inter-
              Discussion
                                                                 preted cautiously, as the differences between groups were min-
              This investigation evaluated the effectiveness of the PD in   imal. Overall levels of stress, anxiety, and depression were low
              improving performance in all POTFF domains (PD, psycho-  for all groups. The median stress level was between 7.0 and
              logical, social/family, and spiritual) among SF Operators. Of   9.5 on a 40-point scale (with scores of 0–13 considered low
              the four POTFF domains, the physical and psychological do-  stress); the median level of anxiety was between 1.0 and 2.0
              main metrics were most associated with participation in the   on a 21-point scale (with a score of 5 being the cut-point for
              PD. This finding is consistent with the goals of the PD, which   mild anxiety); and the median depression score was between
              are to increase physical and mental capabilities and decrease   1.0 and 3.0 on a 24-point scale (with a score of 10 being the
                              1
              injury recovery  time. The metrics  most associated  with PD   cut-point for depression). 7,8,29
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