Reintegration Stress and Family Mental Health: Implications for Therapists Working with Reintegrating Military Families
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Military families respond and adjust differently to reintegration stressors with some families coping well with these changes while other families do not. It is important to understand factors that contribute to reintegration stress since reintegration stress can affect their own and their family’s emotional health and well-being for months if not years into the future. This study addresses the factors that contribute to more positive outcomes and reduced reintegration stress, for reintegrating military families. Service members and partners who report the presence of PTSD related symptoms and report their own and their partner’s mental health as low, are more likely to experience more reintegration stress. The results indicate that this model is able to significantly predict variance (32 and 37 %, respectively) in reintegration stress levels. It is important for mental health providers to understand the variation in reintegrating families’ stress levels and coping skills. Employing a systemic approach uniquely positions therapists to more effectively address these issues to help military families develop healthy cohesive family systems.
KeywordsMilitary families Reintegration Stress and coping Resiliency Deployment cycle
This research was funded through a partnership between the United States Army Child, Youth, and School Services and the United States Department of Agriculture under Grant: USDA-2008-48661-04748.
- Adler, A. B., Zamorski, M., & Britt, T. W. (2011). The psychology of transition: Adapting to home after deployment. In A. B. Adler, P. D. Bliese, & C. A. Castro (Eds.), Deployment psychology. Washington, DC: American Psychological Association.Google Scholar
- Allen, E. S., Rhoades, G. K., Stanley, S. M., & Markman, H. J. (2011). On the home front: Stress for recently deployed army couples. Family Process, 50, 235–247. doi: 10.1111/j.1545-5300.2011.01357.x.
- Anderson, J., Johnson, M., Goff, B., Cline, L., & Gurss, S. (2011). Factors that differentiate distressed and nondistressed marriages in army soldiers. Marriage & Family Review, 47, 459–473. doi: 10.1080/01494929.2011.619301.
- Baptist, J. A., Amanor-Boadu, Y., Garrett, K., Goff, B. S., Collum, J., Gamble, P., et al. (2011). Military marriages: The aftermath of Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) deployments. Contemporary Family Therapy, 33, 199–214. doi: 10.1007/s10591-011-9162-6.CrossRefGoogle Scholar
- Blaisure, K. R., Saathoff-Wells, T., Pereira, A., MacDermid Wadsworth, S., & Dombro, A. L. (2012). Serving military families in the 21st century. New York, NY: Routledge Academic.Google Scholar
- Card, N. A., Bosch, L., Casper, D. M., Wiggs, C. B., Hawkins, S. A., Schlomer, G. L., et al. (2011). A meta-analytic review of internalizing, externalizing, and academic adjustment among children of deployed military service members. Journal of Family Psychology, 2, 508–520. doi: 10.1037/a0024395.CrossRefGoogle Scholar
- Castaneda, L. W. & Harrell, M. C. (2008). Military spouse employment: A grounded theory approach to experiences and perceptions. Armed Forces & Society, 34(3), 389–412. doi: 10.1177/0095327X07307194.
- Chandra, A., Lara-Cinisomo, S., Jaycox, L. H., Tanielian, T., Han, B., Burns, R. M., et al. (2011). Views from the homefront: The experiences of youth and spouses from military families. Santa Monica, CA: RAND Corporation.Google Scholar
- Gewirtz, A. H., Polusny, M. A., DeGarmo, D. S., Khaylis, A., & Erbes, C. R. (2010). Posttraumatic stress symptoms among national guard soldiers deployed to Iraq: Associations with parenting behaviors and couple adjustment. Journal of Consulting and Clinical Psychology, 78, 599–610. doi: 10.1037/a0020571.PubMedCentralPubMedCrossRefGoogle Scholar
- Keith, T. Z. (2006). Multiple regression and beyond. Boston, MA: Pearson.Google Scholar
- Kelly, M., Dunstan, F., Lloyd, K., & Fone, D. (2008). Evaluating cutpoints for the MHI-5 and MCS using the GHQ-12: A comparison of five different methods. BMC Psychiatry, 8. doi: 10.1186/1471-244X-8-10
- Koenen, K. C., Stellman, J. M., Stellman, S. D., & Sommer, J. F. J. (2003). Risk factors for course of posttraumatic stress disorder among Vietnam veterans: A 14-year follow-up of American legionnaires. Journal of Consulting and Clinical Psychology, 71, 980–986. doi: 10.1037/0022-006X.71.6.980.PubMedCrossRefGoogle Scholar
- Lambert, J. E., Engh, R., Hasbun, A., & Holzer, J. (2012). Impact of posttraumatic stress disorder on the relationship quality and psychological distress of intimate partners: A meta-analytic review. Journal of Family Psychology, 26(5), 729–737. doi: 10.1037/a0029341.
- Minuchin, S. (1974). Families and family therapy. Cambridge, MA: Harvard University Press.Google Scholar
- Office of the Deputy Under Secretary of Defense. (2010). Profile of the military community: DoD 2010 demographics. Retrieved from http://www.militaryhomefront.dod.mil
- Office of the Deputy Under Secretary of Defense for Military Community and Family Policy. (2009). Final report from the national leadership summit on military families. Retrieved from http://prhome.defense.gov/RFM/MCFP/Reports.aspx
- Pfeiffer, P. N., Blow, A. J., Miller, E., Forman, J., Dalack, G. W., & Valenstein, M. (2012). Peers and peer-based interventions in supporting reintegration and mental health among National Guard soldiers: A qualitative study. Military Medicine, 177, 1471–1476. doi: 10.7205/MILMED-D-12-00115.PubMedCrossRefGoogle Scholar
- Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009). Psychological resilience and postdeployment social support protect against traumatic stress and depressive symptoms in soldiers returning from operations enduring freedom and Iraqi freedom. Depression and Anxiety, 26, 745–751. doi: 10.1002/da.20558.PubMedCrossRefGoogle Scholar
- IBM Corp Released (2012). IBM SPSS statistics for windows, version 21.0. Armonk, NY: IBM Corp.Google Scholar
- Saltzman, W. R., Lester, P., Beardslee, W. R., Layne, C. M., Woodward, K., & Nash, W. P. (2011). Mechanisms of risk and resilience in military families: Theoretical and empirical basis of a family-focused resilience enhancement program. Clinical Child and Family Psychology Review, 14, 213–230. doi: 10.1007/s10567-011-0096-1.PubMedCentralPubMedCrossRefGoogle Scholar
- Seal, K. H., Metzler, T. J., Gima, K. S., Bertenthal, D., Maguen, S., & Marmar, C. R. (2009). Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using department of veterans affairs health care, 2002–2008. American Journal of Public Health, 99, 1651–1658. doi: 10.2105/AJPH.2008.150284.
- Taft, C. T., Schumm, J. A., Panuzio, J., Proctor, S. P. (2008). An examination of family adjustment among Operation Desert Storm veterans. Journal of Consulting and Clinical Psychology, 76(4), 648–656. doi: 10.1037/a0012576.
- Wiens, T. W., & Boss, P. (2006). Maintaining family resiliency before, during, and after military separation. In T. W. Britt, A. B. Adler, & C. A. Castro (Eds.), Military life: The psychology of serving in peace and combat (Vol. 3, pp. 13–38)., The military family Westport, CT: Praeger Security International.Google Scholar