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Working with Combat-Injured Families Through the Recovery Trajectory

  • Stephen J. Cozza
  • Jennifer M. Guimond
Chapter

Abstract

Combat injury can profoundly affect the children and families of service members. The range of experiences for these families varies depending the specific injury type, severity, and recovery trajectory; composition of the family; developmental age of the children; preexisting parent, child, or family characteristics; as well as the longer-term functional impact on the injured parent. Following the injury children and adolescents may display distress, emotional or behavioral problems, risk-taking behaviors, increased helpfulness within the family, or motivation to participate in community service. The impact on children is influenced by the capacity of both the injured and noninjured parents to cope effectively, maintain effective parenting, and help the child adjust to changes in family relationships and circumstances. Interventions with combat-injured families should focus on reducing distress, supporting healthy child and parent functioning, and encouraging constructive communication within families and with service providers about the injury.

Keywords

Traumatic Brain Injury Service Member Behavioral Parent Training Military Family Injured Parent 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213–232.CrossRefPubMedGoogle Scholar
  2. Anthony, E. J. (1970). The mutative impact of serious mental and physical illness of a parent on family life. In J. Anthony & C. Koupemik (Eds.), The Child in his family (pp. 131–163). New York: Wiley-Interscience.Google Scholar
  3. Armistead, L., Klein, K., & Forehand, R. (1995). Parental physical illness and child functioning. Clinical Psychology Review, 15, 409–422.CrossRefGoogle Scholar
  4. Beardslee, W. R. (1984). Familial influences in childhood depression. Pediatric Annals, 13, 32–36.PubMedGoogle Scholar
  5. Beardslee, W. R., & Wheelock, I. (1994). Children of parents with affective disorders: Empirical findings and clinical implications. In W. R. Reynolds & H. F. Johnston (Eds.), Handbook of depression in children. New York: Plenum.Google Scholar
  6. Breton, J. J., Valla, J. P., & Lambert, J. (1993). Industrial disaster and mental health of children and their parents. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 438–445.CrossRefPubMedGoogle Scholar
  7. Butera-Prinzi, F., & Perlesz, A. (2004). Through children’s eyes: Children’s experience of living with a parent with an acquired brain injury. Brain Injury, 18, 83–101.CrossRefPubMedGoogle Scholar
  8. Charles, N., Butera-Prinzi, F., & Perlesz, A. (2007). Families living with acquired brain injury: A multiple family group experience. NeuroRehabilitation, 22, 61–76.PubMedGoogle Scholar
  9. Chesnut, R. M., Carney, N., Maynard, H., Patterson, P., Mann, N. C., & Helfand, M. (1999). Rehabilitation for traumatic brain injury. Rockville: Agency for Health Care Policy and Research.Google Scholar
  10. Cohen, J. A., Mannarino, A. P., Gibson, L. E., Cozza, S. J., Brymer, M. J., & Murray, L. (2006). Interventions for children and adolescents following disasters. In E. C. Ritchie, P. J. Watson, & M. J. Friedman (Eds.), Interventions following mass violence and disasters (pp. 227–256). New York: Guilford.Google Scholar
  11. Coyne, J. C., & Downey, G. (1991). Social factors and psychopathology: Stress, social support, and coping processes. Annual Review of Psychology, 42, 401–425.CrossRefPubMedGoogle Scholar
  12. Cozza, S. J. (Ed.). (2009). Proceedings: Workgroup on Intervention with Combat Injured Families. Bethesda: Center for the Study of Traumatic Stress.Google Scholar
  13. Cozza, S. J., Chun, R. S., & Miller, C. (in press). The children and families of combat injured service members. In E. C. Richie (Ed.), War psychiatry. Washington: Borden Institute.Google Scholar
  14. Cozza, S. J., Chun, R. S., & Polo, J. A. (2005). Military families and children during operation Iraqi freedom. Psychiatric Quarterly, 76, 371–378.CrossRefPubMedGoogle Scholar
  15. Cozza, S. J., Guimond, J. M., McKibben, J., Chun, R. S., Arata-Maiers, T. L., Schneider, B., et al. (2010). Combat injured service members and their families: The effect of deployment and combat injury on child distress. Journal of Traumatic Stress, 23, 112–115.PubMedGoogle Scholar
  16. Cozza, S. J., Schmidt J.A., Guimond J. M., & Feerick M. M. (2009). Discussions with combat injured families. Manuscript in preparation.Google Scholar
  17. Dausch, B. M., & Saliman, S. (2009). Use of family focused therapy in rehabilitation for veterans with traumatic brain injury. Rehabilitation Psychology, 54, 279–287.CrossRefPubMedGoogle Scholar
  18. De Judicibus, M. A., & McCabe, M. P. (2004). The impact of parental multiple sclerosis on the adjustment of children and adolescents. Adolescence, 39, 551–569.PubMedGoogle Scholar
  19. Diareme, S., Tsiantis, J., Kolaitis, G., Ferentinos, S., Tsalamanios, E., Paliokosta, E., et al. (2006). Emotional and behavioural difficulties in children of parents with multiple sclerosis: a controlled study in Greece. European Child and Adolescent Psychiatry, 15, 309–318.CrossRefPubMedGoogle Scholar
  20. Dohrenwend, B. S., & Dohrenwend, B. P. (1981). Stressful life events and their contents. Reseda: Watson.Google Scholar
  21. Ducharme, J. M., Spencer, T., Davidson, A., & Rushford, N. (2002). Errorless compliance training: Building a cooperative relationship between parents with brain injury and their oppositional children. American Journal of Orthopsychiatry, 72, 585–595.CrossRefPubMedGoogle Scholar
  22. Finney, J. W., & Miller, K. M. (1998). Children of parents with medical illness. In W. K. Silverman & T. H. Ollendick (Eds.), Developmental issues in the clinical treatment of children (pp. 433–442). Needham Heights: Allyn and Bacon.Google Scholar
  23. Grieger, T. A., Cozza, S. J., Ursano, R. J., Hoge, C., Martinez, P. E., Engel, C. C., et al. (2006). Posttraumatic stress disorder and depression in battle-injured soldiers. American Journal of Psychiatry, 163, 1777–1783. quiz 1860.CrossRefPubMedGoogle Scholar
  24. Halcomb, E., & Davidson, P. (2005). Using the illness trajectory framework to describe recovery from traumatic injury. Contemporary Nurse, 19, 232–241.PubMedGoogle Scholar
  25. Hobfoll, S. E., Watson, P., Bell, C. C., Bryant, R. A., Brymer, M. J., Friedman, M. J., et al. (2007). Five essential elements of immediate and mid-term mass trauma intervention: empirical evidence. Psychiatry, 70, 283–315. discussion 316–269.PubMedGoogle Scholar
  26. Kelley, S. D., & Sikka, A. (1997). A review of research on parental disability: Implications for Research and counseling practice. Rehabilitation Counseling Bulletin, 41, 105–121.Google Scholar
  27. Kinzie, J. D., Sack, W. H., Angell, R. H., Manson, S., & Rath, B. (1986). The Psychiatric Effects of Massive Trauma on Cambodian Children: I. The Children. Journal of the American Academy of Child and Adolescent Psychiatry, 25, 370–376.CrossRefGoogle Scholar
  28. Koren, D., Norman, D., Cohen, A., Berman, J., & Klein, E. M. (2005). Increased PTSD risk with combat-related injury: A matched comparison study of injured and uninjured soldiers experiencing the same combat events. American Journal of Psychiatry, 162, 276–282.CrossRefPubMedGoogle Scholar
  29. Korneluk, Y. G., & Lee, C. M. (1998). Children’s adjustment to parental physical illness. Clinical Child and Family Psychology Review, 1, 179–193.CrossRefPubMedGoogle Scholar
  30. Kotchick, B. A., Summers, P., Forehand, R., & Steele, R. G. (1997). The role of parental and extrafamilial social support in the psychosocial adjustment of children with a chronically ill father. Behavior Modification, 21, 409–432.CrossRefPubMedGoogle Scholar
  31. Kreutzer, J. S., Rapport, L. J., Marwitz, J. H., Harrison-Felix, C., Hart, T., Glenn, M., et al. (2009). Caregivers’ well-being after traumatic brain injury: A multicenter prospective investigation. Archives of Physical Medicine and Rehabilitation, 90, 939–946.CrossRefPubMedGoogle Scholar
  32. Laor, N., Wolmer, L., Mayes, L. C., Golomb, A., Silverberg, D. S., Weizman, R., et al. (1996). Israeli preschoolers under Scud missile attacks. A developmental perspective on risk-modifying factors. Archives of General Psychiatry, 53, 416–423.PubMedGoogle Scholar
  33. LeClere, F. B., & Kowalewski, B. M. (1994). Disability in the family: The effects on children’s well-being. Journal of Marriage and Family, 56, 457–468.CrossRefGoogle Scholar
  34. Lester, P., Stein, J. A., & Bursch, B. (2003). Developmental predictors of somatic symptoms in adolescents of parents with HIV: a 12-month follow-up. Journal of Developmental and Behavioral Pediatrics, 24, 242–250.PubMedGoogle Scholar
  35. MacGregor, A. J., Corson, K. S., Larson, G. E., Shaffer, R. A., Dougherty, A. L., Galarneau, M. R., et al. (2009). Injury-specific predictors of posttraumatic stress disorder. Injury, 40, 1004–1010.CrossRefPubMedGoogle Scholar
  36. Martire, L. M., Lustig, A. P., Schulz, R., Miller, G. E., & Helgeson, V. S. (2004). Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychology, 23, 599–611.CrossRefPubMedGoogle Scholar
  37. McFarlane, A. C. (1987). Posttraumatic phenomena in a longitudinal study of children following a natural disaster. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 764–769.CrossRefPubMedGoogle Scholar
  38. McLaughlin, A. M. (1992). Addressing the psychological needs of children with brain injured relatives: An activity group model. The Journal of Cognitive Rehabilitation, 10, 12–18.Google Scholar
  39. Meiser-Stedman, R., Smith, P., Glucksman, E., Yule, W., & Dalgleish, T. (2007). Parent and child agreement for acute stress disorder, post-traumatic stress disorder and other psychopathology in a prospective study of children and adolescents exposed to single-event trauma. Journal of Abnormal Child Psychology, 35, 191–201.CrossRefPubMedGoogle Scholar
  40. Owens, B. D., Kragh, J. F., Jr., Wenke, J. C., Macaitis, J., Wade, C. E., & Holcomb, J. B. (2008). Combat wounds in operation Iraqi Freedom and operation Enduring Freedom. Journal of Trauma, 64, 295–299.CrossRefPubMedGoogle Scholar
  41. Pakenham, K. I., & Bursnall, S. (2006). Relations between social support, appraisal and coping and both positive and negative outcomes for children of a parent with multiple sclerosis and comparisons with children of healthy parents. Clinical Rehabilitation, 20, 709–723.CrossRefPubMedGoogle Scholar
  42. Pessar, L. F., Coad, M. L., Linn, R. T., & Willer, B. S. (1993). The effects of parental traumatic brain injury on the behaviour of parents and children. Brain Injury, 7, 231–240.CrossRefPubMedGoogle Scholar
  43. Peters, L. C., & Esses, L. M. (1985). Family environment as perceived by children with a chronically ill parent. Journal of Chronic Diseases, 38, 301–308.CrossRefPubMedGoogle Scholar
  44. Pfefferbaum, B. (1997). Posttraumatic stress disorder in children: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1503–1511.CrossRefPubMedGoogle Scholar
  45. Ponsford, J., Olver, J., Ponsford, M., & Nelms, R. (2003). Long-term adjustment of families following traumatic brain injury where comprehensive rehabilitation has been provided. Brain Injury, 17, 453–468.CrossRefPubMedGoogle Scholar
  46. Power, P. W. (1979). The chronically ill husband and father: His role in the family. Family Coordinator, 28, 616–621.CrossRefGoogle Scholar
  47. Pynoos, R. S., & Nader, K. (1989). Children’s memory and proximity to violence. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 236–241.CrossRefPubMedGoogle Scholar
  48. Rutter, M. (1966). Children of sick parents: An environmental and psychiatric study. London: Oxford University Press.Google Scholar
  49. Rutter, M., & Quinton, D. (1984). Parental psychiatric disorder: Effects on children. Psychological Medicine, 14, 853–880.CrossRefPubMedGoogle Scholar
  50. Sack, W. H., Clarke, G. N., & Seeley, J. (1995). Posttraumatic stress disorder across two generations of Cambodian refugees. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1160–1166.CrossRefPubMedGoogle Scholar
  51. Saltzman, W., Lester, P., Pynoos, R., Mogil, C., Green, S., Layne, C., et al. (2009). FOCUS for military families individual family resiliency training manual (2nd ed.). Los Angeles: UCLA Semel Institute for Neuroscience and Human Behavior.Google Scholar
  52. U.S. Department of Defense. (2010). Military casualty information. Retrieved February 1, 2010, from http://siadapp.dmdc.osd.mil/personnel/CASUALTY/castop.htm
  53. U.S. Department of Defense. (2007). Demographics 2007: Profile of the Military Community. Retrieved August 20, 2009, from http://www.militaryonesource.com/MOS/ServiceProviders/2007DemographicsProfileoftheMilitaryCommuni.aspx.
  54. Urbach, J. R. (1989). The impact of parental head trauma on families with children. Psychiatric Medicine, 7, 17–36.PubMedGoogle Scholar
  55. Urbach, J. R., & Culbert, J. P. (1991). Head-injured parents and their children. Psychosocial consequences of a traumatic syndrome. Psychosomatics, 32, 24–33.PubMedGoogle Scholar
  56. Uysal, S., Hibbard, M. R., Robillard, D., Pappadopulos, E., & Jaffe, M. (1998). The effect of parental traumatic brain injury on parenting and child behavior. Journal of Head Trauma Rehabilitation, 13, 57–71.CrossRefPubMedGoogle Scholar
  57. Verhaeghe, S., Defloor, T., & Grypdonck, M. (2005). Stress and coping among families of patients with traumatic brain injury: A review of the literature. Journal of Clinical Nursing, 14, 1004–1012.CrossRefPubMedGoogle Scholar
  58. Visser-Meily, A., Post, M., Meijer, A. M., Maas, C., Ketelaar, M., & Lindeman, E. (2005). Children’s adjustment to a parent’s stroke: Determinants of health status and psychological problems, and the role of support from the rehabilitation team. Journal of Rehabilitation Medicine, 37, 236–241.CrossRefPubMedGoogle Scholar
  59. Visser-Meily, A., Post, M., Meijer, A. M., van de Port, I., Maas, C., & Lindeman, E. (2005). When a parent has a stroke: Clinical course and prediction of mood, behavior problems, and health status of their young children. Stroke, 36, 2436–2440.CrossRefPubMedGoogle Scholar
  60. Warden, D. (2006). Military TBI during the Iraq and Afghanistan wars. Journal of Head Trauma Rehabilitation, 21, 398–402.CrossRefPubMedGoogle Scholar
  61. Zatzick, D. F., Rivara, F. P., Nathens, A. B., Jurkovich, G. J., Wang, J., Fan, M. Y., et al. (2007). A nationwide US study of post-traumatic stress after hospitalization for physical injury. Psychological Medicine, 37, 1469–1480.CrossRefPubMedGoogle Scholar
  62. Zatzick, D. F., Roy-Byrne, P., Russo, J. E., Rivara, F. P., Koike, A., Jurkovich, G. J., et al. (2001). Collaborative interventions for physically injured trauma survivors: A pilot randomized effectiveness trial. General Hospital Psychiatry, 23, 114–123.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Center for the Study of Traumatic Stress, Department of Psychiatry Uniformed ServicesUniversity of the Health SciencesBethesdaUSA

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