Original ArticlesHealth-Promoting Leadership During an Infectious Disease Outbreak A Cross-Sectional Study of US Soldiers Deployed to LiberiaBooth, Laurel C. BS; Schwalb, Molly E. BS, MPH; Kim, Paul Y. BA, MA; Adler, Amy B. AB, MA, PhDAuthor Information Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Maryland. Send reprint requests to Amy B. Adler, AB, MA, PhD, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, 503 Robert Grant Avenue, Silver Spring, MD 20910. E-mail: [email protected]. The Journal of Nervous and Mental Disease: May 2021 - Volume 209 - Issue 5 - p 362-369 doi: 10.1097/NMD.0000000000001305 Buy Metrics Abstract Infectious disease outbreaks are uniquely stressful for essential employees. One way to support workers is for supervisors to engage in behaviors promoting employees' well-being and attitudes toward preventive medicine practices. We examined whether health-promoting leadership contributes to these outcomes in a population of active-duty soldiers (N = 173) deployed to provide nonmedical support in Liberia during the 2014 Ebola epidemic using data reported in Sipos, Kim, Thomas, and Adler (Mil Med 183[3–4]:e171–e178, 2018). Soldiers completed surveys assessing posttraumatic stress disorder (PTSD), depression, anxiety, sleep problems, burnout, morale, and attitudes and rated their leaders on health-promoting behaviors. Using mixed-effects logistic regression, health-promoting leadership focused on psychological health was associated with decreased odds of PTSD, depression, anxiety, and burnout, and increased odds of high morale and avoiding unnecessary risk. Health-promoting leadership focused on preventive medicine was associated with decreased odds of depression and anxiety, and increased odds of high morale, positive attitudes, and avoiding unnecessary risk. Findings suggest health-promoting leadership could be valuable for workers responding to epidemics. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.