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Gender and Marital Status in the Military: Implications for Understanding Intimate Partner Violence and Mental Health Symptoms

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War and Family Life

Abstract

Marital status and gender are two demographic characteristics with relevance for understanding risk for social and psychological difficulties such as mental health problems and intimate partner violence. This is particularly true in military populations where resources and social support may vary among the subgroups of single male servicemembers, single female servicemembers, married male servicemembers, and single female servicemembers. Identifying differences in risk for mental health symptoms and intimate partner violence can in turn, inform development of programs targeting these different subgroups based on their specific needs. In this chapter, we review the literature on marital status and gender with respect to mental health problems and intimate partner violence and present new findings on relative risk for these groups in active duty military samples. Specific findings and their implications for interventions are discussed.

Material has been reviewed by the Walter Reed Army Institute of Research. The views expressed in this presentation are those of the authors and do not necessarily represent the official policy or position of the US Army Medical Command or the Department of Defense.

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, Fifth Edition (DSM-V). Arlington, VA: American Psychiatric Publishing.

    Book  Google Scholar 

  • Army Regulation 600-20. (2008). Army command policy. Retrieved from http://www.preventsexualassault.army.mil/sh.cfm

  • Babcock, J. C., Green, C. E., & Robie, C. (2004). Does batterers’ treatment work? A meta-analytic review of domestic violence treatment. Clinical Psychology Review, 23, 1023–1053.

    Article  Google Scholar 

  • Bean-Mayberry, B., Yano, E. M., Washington, D. L., Goldzweig, C., Batuman, F., Huang, C., … Shekelle, P. G. (2011). Systematic review of women veterans’ health: Update on successes and gaps. Women’s Health Issues, 21(4S), S84–S97.

    Google Scholar 

  • Black, M. C., Basile, K. C., Breiding, M. J., Smith, S. G., Walters, M. L., Merrick, M. T., … Stevens, M. R. (2011). The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 Summary report. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

    Google Scholar 

  • Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996). Psychometric properties of the PTSD checklist (PCL). Behaviour Research and Therapy, 34, 669–673. doi:10.1016/0005-7967(96)00033-2.

    Article  Google Scholar 

  • Boyd, M. A., Bradshaw, W., & Robinson, M. (2013). Mental health issues of women deployed to Iraq and Afghanistan. Archives of Psychiatric Nursing, 27, 10–22.

    Article  Google Scholar 

  • Bromet, E., Andrade, L. H., Hwang, I., Sampson, N. A., Alonso, J., de Girolamo, G., … Kessler, R. C. (2011). Cross-national epidemiology of DSM-IV major depressive episode. BMC Medicine, 9, 90–106.

    Google Scholar 

  • Card, N. A., Bosch, L., Casper, D. M., Wiggs, C. B., Hawkins, S. A, Schlomer, G. L., & Borden, L. M. (2011). A meta-analytic review of internalizing, externalizing, and academic adjustment among children of deployed military service members. Journal of Family Psychology, 25(4), 459–460.

    Google Scholar 

  • Department of Defense and Defense Department Advisory Committee on Women in the Services (DACOWITS). (2005). Female Members of the Armed Services of the United States: FY 2002-2004, 2005, 30–67; and Government Accountability Office (GAO), Military personnel: Active duty benefits reflect changing demographics, but opportunities exist to improve, GA0-02-935, Washington, DC, 2002, 10.

    Google Scholar 

  • Dutra, L., Gubbs, K., Greene, C., Trego, L. L., McCartin, T. L., Kloezeman, K., & Morland, L. (2012). Women at war: Implications for mental health. Journal of Trauma & Dissociation, 12, 25–37.

    Google Scholar 

  • Fincham, F. D., & Beach, S. R. H. (2010). Marriage in the new millennium: A decade in review. Journal of Marriage and Family, 72, 630–649.

    Article  Google Scholar 

  • Fischer, H. (2013). U.S. military casualty statistics: Operation New Dawn, Operation Iraqi Freedom, and Operation Enduring Freedom. Congressional Research Service. Retrieved from http://www.fas.org/sgp/crs/natsec/RS22452.pdf

  • Foran, H. M., & O’Leary, K. D. (2008). Alcohol and intimate partner violence: A meta-analytic review. Clinical Psychology Review, 28, 1222–1234.

    Article  Google Scholar 

  • Foran, H. M., Slep, A. M. S., & Heyman, R. E. (2011). Hazardous alcohol use among active duty Air Force personnel: Identifying unique risk and promotive factors. Psychology of Addictive Behaviors, 25, 28–40. doi: 10.1037/a0020748

    Google Scholar 

  • Foran, H. M., Slep, A. M. S., Heyman, R. E., & US Air Force Family Advocacy Research Program. (2011). Prevalences of intimate partner violence in a representative U.S. Air Force sample. Journal of Consulting and Clinical Psychology, 79, 391–397.

    Google Scholar 

  • Foran, H. M., Heyman, R. E., Slep, A. M. S., & U.S. Air Force Family Advocacy Program. (2014). Emotional intimate partner violence and its unique ecological correlates. Psychology of Violence, 4, 128–142.

    Google Scholar 

  • Fowers, B. J. (1991). His and her marriage: A mulitvariate study of gender and marital satisfaction. Sex Roles, 24, 209–221.

    Article  Google Scholar 

  • Hassija, C. M., Jakupcak, M., Maguen, S., & Shipherd, J. C. (2012). The influence of combat and interpersonal trauma on PTSD, depression, and alcohol misuse in U.S. Gulf War and OEF/OIF women veterans. Journal of Traumatic Stress, 25, 216–219.

    Article  Google Scholar 

  • Hayes, P., & Krauthamer, M. (2009). Changing the face of health care for women veterans. Federal Practitioner, 26, 8–10.

    Google Scholar 

  • Heyman, R. E., & Neidig, P. H. (1999). A comparison of spousal aggression prevalence rates in U.S. Army and civilian representative samples. Journal of Clinical and Consulting Psychology, 67, 239–242. doi:10.1037/0022-006X.67.2.239.

    Article  Google Scholar 

  • Heyman, R. E., Slep, A. M. S., Eckhardt, A., & Foran, H. M. (2013). Intimate partner maltreatment: Definitions, prevalence, and implications for diagnosis. In H. M. Foran, S. R. H. Beach, A. M. S. Slep, R. E. Heyman, M. Z. Wamboldt, N. Kaslow, & D. Reiss (Eds.), Family violence and family problems: Reliable assessment and the ICD-11. New York, NY: Springer Publishing.

    Google Scholar 

  • Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. The New England Journal of Medicine, 351, 13–22. doi:10.1056/NEJMoa040603.

    Article  Google Scholar 

  • Joint Economic Committee. (2007). Helping military moms balance family and longer deployments. Retrieved August 20, 2013, from http://www.jec.senate.gov/archive/Documents/Reports/MilitaryMoms05.11.07Final.pdf

  • Joint Mental Health Advisory Team 7 (J-MHAT 7). (2011). Operation Enduring Freedom 2010 Afghanistan. Office of the Surgeon General United States Army Medical Command, Office of the Command Surgeon HQ, USCENTCOM, and Office of the Command Surgeon US Forces Afghanistan.

    Google Scholar 

  • Karney, B. R., & Crown, J. S. (2007). Families under stress: An assessment of data, theory, and research on marriage and divorce in the military. Santa Monica, CA: RAND National Defense Research Institute. Retrieved from www.rand.org.

    Google Scholar 

  • Kimerling, R., Gima, K., Smith, M. W., Street, A., & Frayne, S. (2007). The Veterans Health Administration and military sexual trauma. American Journal of Public Health, 97, 2160–2166.

    Article  Google Scholar 

  • Kposowa, A. J. (2000). Marital status and suicide in the National Longitudinal Mortality Study. Journal of Epidemiology and Community Health, 54, 254–261.

    Article  Google Scholar 

  • Lande, R. G., Marin, B. A., Chang, A. S., & Lande, G. R. (2007). Gender differences and alcohol use in the U.S. Army. Special communication. Journal of the American Osteopathic Association, 107(9), 401–407.

    Google Scholar 

  • Littlefield, A. K., Sher, K. J., & Wood, P. K. (2009). Is “maturing out” of problematic alcohol involvement related to personality change? Journal of Abnormal Psychology, 118, 360–374. doi:10.1037/a0015125.

    Article  Google Scholar 

  • Luxton, D. D., Skopp, N. A., & Maguen, S. (2010). Gender differences in depression and PTSD symptoms following combat exposure. Depression and Anxiety, 27, 1027–1033.

    Article  Google Scholar 

  • Maguen, D., Cohen, B., Ren, L., Bosch, J., Kimerling, R., & Seal, K. (2012). Gender differences in military sexual trauma and mental health diagnoses among Iraq and Afghanistan veterans with posttraumatic stress disorder. Women’s Health Issues, 22(1), e61–e66. doi:10.1016/j.whi.2011.07.010.

    Article  Google Scholar 

  • Maguen, S., Luxton, D. D., Skopp, N. A., & Madden, E. (2012). Gender differences in traumatic experiences and mental health in active duty soldiers redeployed from Iraq and Afghanistan. Journal of Psychiatric Research, 46, 311–316.

    Article  Google Scholar 

  • Mota, N. P., Medved, M., Wang, J., Asmundson, G. J. G., Whitney, D., & Sareen, J. (2012). Stress and mental disorders in female military personnel: Comparisons between the sexes in a male dominated profession. Journal of Psychiatric Research, 46, 159–167.

    Article  Google Scholar 

  • National Center for Veterans Analysis and Statistics. (2011). America’s women veterans: Military service history and VA benefit utilization statistics. Washington, DC: Analysis and Statistics, Department of Veterans Affairs.

    Google Scholar 

  • National Institute of Mental Health. (2011). Science update: Army STARRS preliminary data reveal some potential predictive factors for suicide. Retrieved from http://www.nimh.nih.gov/news/science-news/2011/army-starrs-preliminary-data-reveal-some-potential-predictive-factors-for-suicide.shtml

  • Patten, E., & Parker, K. (2011). Women in the U.S. Military: Growing share, distinctive profile. Retrieved from www.pewsocialtrends.org/files/2011/12/22/women-inthe-u-s-military-growing-share-distinctive-profile/

  • Riviere, L. A., Kendall-Robbins, A., McGurk, D., Castro, C. A., & Hoge, C. W. (2011). Coming home may hurt: Risk factors for mental health in U.S. reservists after deployment in Iraq. The British Journal of Psychiatry, 198, 136–142.

    Article  Google Scholar 

  • Seal, K. H., Bertenthal, D., Miner, C. R., Sen, S., & Marmar, C. (2007). Bring the war back home. Mental health disorders among 103788 US veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities. Archives of Internal Medicine, 167, 476–482.

    Article  Google Scholar 

  • Seelig, A. D., Jacobson, I. G., Smith, B., Hooper, T. I., Gackstetter, G. D., Ryan, M. A. K., … & Smith, T. C. (2012). Prospective evaluation of mental health and deployment experience among women in the U.S. military. American Journal of Epidemiology, 176, 135–145.

    Google Scholar 

  • Skopp, N. A., Reger, M. A., Reger, G. M., Mishkind, M. C., Raskind, M., & Gahm, G. A. (2011). The role of intimate relationships, appraisals of military service, and gender on the development of posttraumatic stress symptoms following Iraq deployment. Journal of Traumatic Stress, 24, 277–286.

    Article  Google Scholar 

  • Slep, A. M. S., Foran, H. M., Heyman, R. E., Snarr, J. D., & U.S. Air Force Family Advocacy Program. (2011). Risk factors for clinically significant intimate partner violence among active duty members. Journal of Marriage and Family, 73, 486–501.

    Article  Google Scholar 

  • Slep, A. M. S., Foran, H. M., Heyman, R. E., & Snarr, J. D. (2010). Risk and protective factors for partner aggression in a large scale survey of the US Air force. Journal of Community Health, 35, 375–383. doi:10.1007/s10900-010-9264-3.

    Article  Google Scholar 

  • Smith, T. C., Jacobson, I. G., Hooper, T, LeardMann, C. A., Boyko, E. J., Smith, B., … Ryan, M. A., the Millennium Cohort Study Team. (2011). Health impact of US military service in a large population-based military cohort: Findings of the Millennium Cohort Study, 2001–2008. BMC Public Health, 11, 69, doi: 10.1186/1471-2458-11-69

  • Smith, T. C., Ryan, M. A. K., Wingard, D. L., Slymen, D. J., Sallis, J., & Kritz-Silverstein, D., for the Millennium Cohort Study Team. (2008). New onset and persistent symptoms of posttraumatic stress disorder self reported after deployment and combat exposures: Prospective population based US military cohort study. British Medical Journal, 336, 366–371, doi: 10.1136/bmj.39430.638241.AE.

    Google Scholar 

  • Southwick, S. M., Vythilingam, M., & Charney, D. S. (2005). The psychobiology of depression and resilience to stress: Implications for prevention and treatment. Annual Reviews of Clinical Psychology, 1, 255–291.

    Article  Google Scholar 

  • Tan, M. (2012). Women in combat: Army to open 14K jobs, 6 MOSs. Marine Corps Times, Retrieved from http://www.marinecorpstimes.com/news/2012/05/army-to-open-14000-jobs-6-mos-women-in-combat-050212/

  • Tolin, D. F., & Foa, E. B. (2006). Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research. Psychological Bulletin, 132, 959–992.

    Article  Google Scholar 

  • US Department of Defense, Office of Deputy Under Secretary of Defense Military Community and Family Policy. (2012). 2011 Demographics Profile of the Military Community. Table 2.55. Retrieved from http://www.militaryonesource.mil/12038/MOS/Reports/2011_Demographics_Report.pdf

  • Vogt, D., Vaughn, R., Glickman, M. E., Schultz, M., Drainoni, M., Elwy, R., & Eisen, S. (2011). Gender differences in combat-related stressors and their association with postdeployment mental health in a nationally representative sample of U.S. OEF/OIF veterans. Journal of Abnormal Psychology, 120, 797–806.

    Google Scholar 

  • Wells, T. S., LeardMann, E. A., Fortuna, S. O., Smith, B., Smith, T., Ryan, M. A., & Millennium Cohort Study Team. (2010). A prospective study of depression following combat deployment in support of the wars in Iraq and Afghanistan. American Journal of Public Health, 100, 90–99.

    Google Scholar 

  • Wilk, J. E., Bliese, P. D., Kim, P. Y., Thomas, J. L., McGurk, D., & Hoge, C. W. (2010). Relationship of combat experiences to alcohol misuse among U.S. soldiers returning from the Iraq war. Drug and Alcohol Dependence, 108, 115–121.

    Article  Google Scholar 

  • Woodhead, C., Wessely, S., Jones, N., Fear, N. T., & Hatch, S. L. (2012). Impact of exposure to combat during deployment to Iraq and Afghanistan on mental health by gender. Psychological Medicine, 42, 1985. doi:10.1017/S003329171100290X.

    Article  Google Scholar 

  • World Health Organization. (2013). Global and regional estimates of violence against women: Prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: World Health Organization.

    Google Scholar 

  • Wright, K. M., Foran, H. M., Wood, M. D., Eckford, R. K., & McGurk, D. (2012). Alcohol problems, aggression, and other externalizing behaviors after return from deployment: Understanding the impact of combat exposure, internalizing symptoms, and social environment. Journal of Clinical Psychology, 68, 782. doi:10.1002/jclp.21864.

    Article  Google Scholar 

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Correspondence to Heather M. Foran Ph.D. .

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Foran, H.M., Wright, K.M., Thomas, J.L. (2016). Gender and Marital Status in the Military: Implications for Understanding Intimate Partner Violence and Mental Health Symptoms. In: MacDermid Wadsworth, S., Riggs, D. (eds) War and Family Life. Risk and Resilience in Military and Veteran Families. Springer, Cham. https://doi.org/10.1007/978-3-319-21488-7_11

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