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Child Psychiatry & Human Development

, Volume 47, Issue 6, pp 938–949 | Cite as

The Impact of Deployment on Parental, Family and Child Adjustment in Military Families

  • Patricia LesterEmail author
  • Hilary Aralis
  • Maegan Sinclair
  • Cara Kiff
  • Kyung-Hee Lee
  • Sarah Mustillo
  • Shelley MacDermid Wadsworth
Original Article

Abstract

Since 9/11, military service in the United States has been characterized by wartime deployments and reintegration challenges that contribute to a context of stress for military families. Research indicates the negative impact of wartime deployment on the well being of service members, military spouses, and children. Yet, few studies have considered how parental deployments may affect adjustment in young children and their families. Using deployment records and parent-reported measures from primary caregiving (N = 680) and military (n = 310) parents, we examined the influence of deployment on adjustment in military families with children ages 0–10 years. Greater deployment exposure was related to impaired family functioning and marital instability. Parental depressive and posttraumatic stress symptoms were associated with impairments in social emotional adjustment in young children, increased anxiety in early childhood, and adjustment problems in school-age children. Conversely, parental sensitivity was associated with improved social and emotional outcomes across childhood. These findings provide guidance to developing preventive approaches for military families with young children.

Keywords

Military deployments Parenting Family adjustment Child social emotional adjustment Parental sensitivity Military parent behavioral health 

Notes

Acknowledgments

This research was supported by contract W91WAW-10-C-0062 issued by the Department of Defense to Shelley MacDermid Wadsworth and Sarah Mustillo.

References

  1. 1.
    Tanielian T, Karney BR, Chandra A, Meadows SO (2014) The Deployment Life Study: methodological overview and baseline sample description. RAND Corporation, Santa MonicaGoogle Scholar
  2. 2.
    Office of the Deputy Under Secretary of Defense for Military Community and Family Policy (2012) Profile of the military community: DoD 2012 demographics. ICF International, AlexandriaGoogle Scholar
  3. 3.
    Tanielian T, Jaycox L, Schell T, Marshall GN, Burnam M, Eibner C et al (2008) Invisible wounds of war: summary and recommendations for addressing psychological and cognitive injuries. RAND Corporation, Santa MonicaGoogle Scholar
  4. 4.
    McFarlane AC (2009) Military deployment: the impact on children and family adjustment and the need for care. Curr Opin Psychiatry 22:369–373CrossRefPubMedGoogle Scholar
  5. 5.
    Paley B, Lester P, Mogil C (2013) Family systems and ecological perspectives on the impact of deployment on military families. Clin Child Fam Psychol Rev 16:245–265CrossRefPubMedGoogle Scholar
  6. 6.
    Maholmes V (2012) Adjustment of children and youth in military families: toward developmental understandings. Child Dev Perspect 6:430–435Google Scholar
  7. 7.
    Eaton KM, Hoge CW, Messer SC, Whitt AA, Cabrera OA, McGurk D et al (2008) Prevalence of mental health problems, treatment need, and barriers to care among primary care-seeking spouses of military service members involved in Iraq and Afghanistan deployments. Mil Med 173:1051–1056CrossRefPubMedGoogle Scholar
  8. 8.
    Mansfield AJ, Kaufman JS, Marshall SW, Gaynes BN, Morrissey JP, Engel CC (2010) Deployment and the use of mental health services among U.S. Army wives. N Engl J Med 362:101–109CrossRefPubMedGoogle Scholar
  9. 9.
    Card NA, Bosch L, Casper DM, Wiggs CB, Hawkins SA, Schlomer GL et al (2011) A meta-analytic review of internalizing, externalizing, and academic adjustment among children of deployed military service members. J of Fam Psychol 25:508–520CrossRefGoogle Scholar
  10. 10.
    Chandra A, Lara-Cinisomo S, Jaycox LH, Tanielian T, Burns RM, Ruder T et al (2010) Children on the homefront: the experience of children from military families. Pediatrics 125:13–22CrossRefGoogle Scholar
  11. 11.
    Gorman GH, Eide M, Hisle-Gorman E (2010) Wartime military deployment and increased pediatric mental and behavioral health complaints. Pediatrics 126:1058–1066CrossRefPubMedGoogle Scholar
  12. 12.
    Lester P, Peterson K, Reeves J, Knauss L, Glover D, Mogil C et al (2010) The long war and parental combat deployment: effects on military children and at-home spouses. J Am Acad Child Adolesc Psychiatry 49:310–320PubMedPubMedCentralGoogle Scholar
  13. 13.
    Rosen LN, Teitelbaum JM, Westhuis DJ (1993) Children’s reactions to the Desert Storm deployment: initial findings from a survey of Army families. Mil Med 158:465–469PubMedGoogle Scholar
  14. 14.
    Flake EM, Davis BE, Johnson PL, Middleton LS (2009) The psychosocial effects of deployment on military children. J Dev Behav Pediatr 30:271–278CrossRefPubMedGoogle Scholar
  15. 15.
    Cederbaum JA, Gilreath TD, Benbenishty R, Astor RA, Pineda D, DePedro KT et al (2014) Well-being and suicidal ideation of secondary school students from military families. J Adolesc Health 54:672–677CrossRefPubMedGoogle Scholar
  16. 16.
    Sullivan K, Capp G, Gilreath TD, Benbenishty R, Roziner I, Astor RA (2015) Substance abuse and other adverse outcomes for military-connected youth in California: results from a large-scale normative population survey. JAMA Pediatr. doi: 10.1001/jamapediatrics.2015.1413 Google Scholar
  17. 17.
    Chartrand MM, Frank DA, White LF, Shope TR (2008) Effect of parents’ wartime deployment on the behavior of young children in military families. Arch Pediatr Adolesc Med 162:1009–1014CrossRefPubMedGoogle Scholar
  18. 18.
    Berry KD (2009) Developmental issues impacting military families with young children during single and multiple deployments. Mil Med 174:1033–1040CrossRefPubMedGoogle Scholar
  19. 19.
    Bronfenbrenner U, Morris PA (1998) The ecology of developmental processes. In: Damon W, Lerner RM (eds) Handbook of child psychology. Theoretical models of human development, vol 1, 5th edn. Wiley, New York, pp 993–1023Google Scholar
  20. 20.
    Paris R, DeVoe ER, Ross AM, Acker ML (2010) When a parent goes to war: effects of parental deployment on very young children and implications for intervention. Am J Orthopsychiatry 80:610–618CrossRefPubMedGoogle Scholar
  21. 21.
    American Psychological Association (2007) The psychological needs of U.S. military service members and their families: a preliminary report. Produced by Presidential Task Force on Military Deployment Services for Youth, Families and Service MembersGoogle Scholar
  22. 22.
    Lester P, Saltzman WR, Woodward K, Glover D, Leskin GA, Bursch B et al (2012) Evaluation of a family-centered prevention intervention for military children and families facing wartime deployments. Am J Public Health 102:S48–S54CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Lieberman AF, Van Horn P (2013) Infants and young children in military families: a conceptual model for intervention. Clin Child Fam Psychol Rev 16:282–293CrossRefPubMedGoogle Scholar
  24. 24.
    Mogil C, Paley B, Doud B, Havens L, Moore-Tyson J, Beardslee WR et al (2010) Families OverComing Under Stress (FOCUS) for early childhood: building resilience for young children in high stress families. Zero to Three (J) 31:10–16Google Scholar
  25. 25.
    Murray JS (2002) Helping children cope with separation during war. J Spec Pediatr Nurs 7:127–130CrossRefPubMedGoogle Scholar
  26. 26.
    Hodges W, Bloom B (1984) Parent’s report of children’s adjustment to marital separation: a longitudinal study. J Divorce 8:33–50CrossRefGoogle Scholar
  27. 27.
    Cook JM, Riggs DS, Thompson R, Coyne JC, Sheikh J (2004) Post-traumatic stress disorder and current relationship functioning of WWII ex-prisoners of war. J Fam Psychol 18:36–45CrossRefPubMedGoogle Scholar
  28. 28.
    Erbes CR, Meis LA, Polusny MA, Compton JS (2011) Couple adjustment and posttraumatic stress disorder symptoms in National Guard veterans of the Iraq war. J Fam Psychol 25:479–487CrossRefPubMedGoogle Scholar
  29. 29.
    Nelson Goff BS, Crow JR, Reisbig AMJ, Hamilton S (2007) The impact of individual trauma symptoms of deployed soldiers on relationship satisfaction. J Fam Psychol 21:344–353CrossRefGoogle Scholar
  30. 30.
    Taft CT, Watkins LE, Stafford J, Street AE, Monson CM (2011) Posttraumatic stress disorder and intimate relationship problems: a meta-analysis. J Consult Clin Psychol 79:22–33CrossRefPubMedGoogle Scholar
  31. 31.
    Ahnert L, Gunnar MR, Lamb ME, Barthel M (2004) Transition to child care: associations with infant-mother attachment, infant negative emotion, and cortisol elevations. Child Dev 75:639–650CrossRefPubMedGoogle Scholar
  32. 32.
    Belsky J, Fearon RMP (2002) Early attachment security, subsequent maternal sensitivity, and later child development: does continuity in development depend upon continuity of caregiving? Attach Hum Dev 4:361–387CrossRefPubMedGoogle Scholar
  33. 33.
    Nachmias M, Gunnar M, Mangelsdorf S, Parritz RH, Buss K (1996) Behavioral inhibition and stress reactivity: the moderating role of attachment security. Child Dev 67:508–522CrossRefPubMedGoogle Scholar
  34. 34.
    Sroufe LA (2005) Attachment and development: a prospective longitudinal study from birth Stress Index-Short Form (PSI-SF) in a head start population. J Clin Child Adolesc Psychol 31:384–392Google Scholar
  35. 35.
    Maccoby EE (2000) Parenting and its effects on children: on reading and misreading behavior genetics. Annu Rev Psychol 51:1–27CrossRefPubMedGoogle Scholar
  36. 36.
    Leerkes EM, Blankson AN, O’Brien M (2009) Differential effects of maternal sensitivity to infant distress and nondistress on social-emotional functioning. Child Dev 80:762–775CrossRefPubMedPubMedCentralGoogle Scholar
  37. 37.
    Gottman J (1997) The heart of parenting: how to raise an emotionally intelligent child. Simon & Schuster, New YorkGoogle Scholar
  38. 38.
    Fox NA, Henderson HA, Marshall PJ, Nichols KE, Ghera MM (2005) Behavioral inhibition: linking biology and behavior within a developmental framework. Annu Rev Psychol 56:235–262CrossRefPubMedGoogle Scholar
  39. 39.
    Kochanska G, Askan N, Carlson JJ (2005) Temperament, relationships, and young children’s receptive cooperation with their parents. Dev Psychol 41:648–660CrossRefPubMedGoogle Scholar
  40. 40.
    NICHD Early Child Care Research Network (1998) Relations between family predictors and child outcomes: are they weaker for children in child care? Dev Psychol 34:1119–1128CrossRefGoogle Scholar
  41. 41.
    Posada G, Kaloustian G, Richmond MK, Moreno AJ (2007) Maternal secure base support and preschoolers’ secure base behavior in natural environments. Attach Hum Dev 9:393–411CrossRefPubMedGoogle Scholar
  42. 42.
    Mustillo S, MacDermid Wadsworth S, Lester P (2015) Parental deployment and well-being in children: results from a new study of military families. J Emot Behav Disord. doi: 10.1177/1063426615598766 Google Scholar
  43. 43.
    Squires J, Bricker D, Heo K, Twombly E (2001) Identification of social-emotional problems in young children using a parent-completed screening measure. Early Child Res Q 16:405–419CrossRefGoogle Scholar
  44. 44.
    Squires J, Bricker D, Twombly E (2003) The ASQ: SE user’s Guide for the Ages & Stages Questionnaires, social-emotional: a parent completed, child-monitoring system for social-emotional behaviors. Paul H. Brookes Publishing, BaltimoreGoogle Scholar
  45. 45.
    Spence SH, Rapee R, McDonald C, Ingram M (2001) The structure of anxiety symptoms among preschoolers. Behav Res Ther 39:1293–1316CrossRefPubMedGoogle Scholar
  46. 46.
    Goodman R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 38:581–586CrossRefPubMedGoogle Scholar
  47. 47.
    Bourdon KH, Goodman R, Rae DS, Simpson G, Koretz DS (2005) The Strengths and Difficulties Questionnaire: U.S. normative data and psychometric properties. J Am Acad Child Adolesc Psychiatry 44:557–564CrossRefPubMedGoogle Scholar
  48. 48.
    Spitzer RL, Williams JBS, Kroenke K, Linzer M, deGruy FV, Hahn SR et al (1994) Utility of a new procedure for diagnosing mental disorders in primary care: the prime-md 1000 study. J Am Med Assoc 272:1749–1756CrossRefGoogle Scholar
  49. 49.
    Kroenke K, Spitzer RL (2002) The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann 32:509–515CrossRefGoogle Scholar
  50. 50.
    Kroenke K, Spitzer RL, Williams JBW (2001) The PHQ-9. J Gen Intern Med 16:606–613CrossRefPubMedPubMedCentralGoogle Scholar
  51. 51.
    Kroenke K, Strine TW, Spitzer RL, Williams JB, Berry JT, Mokdad AH (2009) The PHQ-8 as a measure of current depression in the general population. J Affect Disord 114:163–173CrossRefPubMedGoogle Scholar
  52. 52.
    Weathers FW, Huska JA, Keane TM (1991) The PTSD checklist military version (PCL-M) for DSM-IV. National Center for PTSD, BostonGoogle Scholar
  53. 53.
    Weathers FW, Litz BT, Herman D, Huska J, Keane T (1994) The PTSD checklist-civilian version (PCL-C). National Center for PTSD, BostonGoogle Scholar
  54. 54.
    Walker EA, Newman E, Dobie DJ, Ciechanowski P, Katon W (2002) Validation of the PTSD checklist in an HMO sample of women. Gen Hosp Psychiatry 24:375–380CrossRefPubMedGoogle Scholar
  55. 55.
    Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA (1998) The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol use disorders identification test. Arch Intern Med 158:1789–1795CrossRefPubMedGoogle Scholar
  56. 56.
    Bradley KA, DeBenedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR (2007) AUDIT-C as a brief screen for alcohol misuse in primary care. Alcohol Clin Exp Res 31:1208–1217CrossRefPubMedGoogle Scholar
  57. 57.
    Epstein NB, Baldwin LM, Bishop DS (1983) The McMaster family assessment device. J Marital Fam Ther 9:171–180CrossRefGoogle Scholar
  58. 58.
    Booth A, Johnson D, Edwards JN (1983) Measuring marital instability. J Marriage Fam 45:387–394CrossRefGoogle Scholar
  59. 59.
    Hoge CQ, Castro CA, Messer SC, McGurk D, Cotting DL, Koffman RL (2004) Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. N Engl J Med 351:13–22CrossRefPubMedGoogle Scholar
  60. 60.
    Mansfield AJ, Kaufman JS, Engel CC, Gaynes BN (2011) Deployment and mental health diagnoses among children of US Army personnel. Arch Pediatr Adolesc Med 165:999–1005CrossRefPubMedGoogle Scholar
  61. 61.
    Green S, Nurius P, Milburn N, Lester P (2013) Refocusing the military trauma lens: primary trauma experiences of military spouses. Presented at the 141st APHA Annual Meeting and Expo, Boston, MAGoogle Scholar
  62. 62.
    Rosenheck R, Nathan P (1985) Secondary traumatization of Vietnam Veterans. Hosp Community Psychiatry 36:538–542PubMedGoogle Scholar
  63. 63.
    Galovski T, Lyons JA (2004) Psychological sequelae of combat violence: a review of the impact of PTSD on the veteran’s family and possible interventions. Aggress Violent Behav 9:477–501CrossRefGoogle Scholar
  64. 64.
    MacDermid Wadsworth S (2013) Understanding and supporting the resilience of a new generation of combat-exposed military families and their children. Clin Child Fam Psychol Rev 16:415–420CrossRefGoogle Scholar
  65. 65.
    Walsh F (2003) Family resilience: a framework for clinical practice. Fam Process 42:1–18CrossRefPubMedGoogle Scholar
  66. 66.
    Saltzman WR, Lester P, Beardslee WR, Layne CM, Woodward K, Nash WP (2011) Mechanisms of risk and resilience in military families: theoretical and empirical basis of a family-focused resilience enhancement program. Clin Child Fam Psychol Rev 14:213–230CrossRefPubMedPubMedCentralGoogle Scholar
  67. 67.
    Beardslee WR, Gladstone TRG, Wright EJ, Cooper AB (2003) A family-based approach to the prevention of depressive symptoms in children at risk: evidence of parental and child change. Pediatrics 112:e119–e131CrossRefPubMedGoogle Scholar
  68. 68.
    Rutter M (1990) Psychiatric disorder in parents as a risk factor for children. In: Shaffer D (ed) Prevention of mental disorders, alcohol, and other drug use in children and adolescents. Office for Substance Abuse Prevention, Rockville, pp 157–189Google Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Patricia Lester
    • 1
    Email author
  • Hilary Aralis
    • 1
  • Maegan Sinclair
    • 1
  • Cara Kiff
    • 1
  • Kyung-Hee Lee
    • 2
  • Sarah Mustillo
    • 3
  • Shelley MacDermid Wadsworth
    • 2
  1. 1.Nathanson Family Resilience Center, Semel Institute for Neuroscience and Human BehaviorUCLALos AngelesUSA
  2. 2.Military Family Research InstitutePurdue UniversityWest LafayetteUSA
  3. 3.Department of SociologyNotre Dame UniversityNotre DameUSA

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