Combat Operational Stress


Combat Operational Stress – the sum of the physical and emotional stressors experienced due to combat or extended operations

Combat/Operational Stress Reaction (COSR) – broad group of physical, mental and emotional signs that result from combat/operation stress

Combat/Operational Stress Reaction Casualty –Soldier who is combat ineffective due to COSR

Battle Fatigue – Broad group of physical, mental and emotional signs that result from COS.

Types of Stress in Combat

  • Physical/psychological strain
  • Fear/anxiety (of pain, mutilation, death)
  • Fear of failure, disgrace, shame
  • Grief, rage
  • Ethical dilemmas and limitations
  • Moral injuries
  • Excessive self-blame and guilt
  • Internal conflicts
  • Boredom, restriction, loss of privacy
  • Home front worries, concerns and disappointments


Combat Stress Signs and Symptoms

Combating Combat Stress Article

Disaster, Distress, and Distress: Resources to Promote Psychological Health and Resilience in Military and Civilian Communities
A Compilation of Fact Sheets for Healthcare Providers and Families from the Center for the Study of Traumatic Stress Uniformed Services University
Edited by: James E. McCarroll, PhD, MPH, Nancy T. Vineburgh, MA, and Robert J Ursano, MD

After the Battle: Violence and the Warrior
by Bret A. Moore, C. Alan Hopewell, and Dave Grossman

7 Tools That Reinforce Warrior Resilience
This mini-brochure provides tips and resources for active-duty service members to use for coping with psychological health concerns. Free and confidential tools highlighted in the brochure include the DCoE Outreach Center and Live Chat feature, as well as the inTransition program where warriors can connect with a personal coach during periods of transition.

Finding Some Peace After the War