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Post-Deployment Indicators of Single Soldiers’ Well-Being

  • Lyndon A. Riviere
  • Julie C. Merrill
Chapter

Abstract

The civilian literature indicates that married individuals generally have better health than others; but little is known as to whether this also applies to soldiers. Using a sample of 4,346 soldiers surveyed 3–4 months after Iraq deployments, we examined three perspectives that explain the advantage of the married (social causation and social selection hypotheses, and crisis theory). We divided single soldiers into two groups – never married and previously married – and compared their well-being to married soldiers using logistic regression (adjusting for age, gender, rank, parental status, education, and combat exposure).

Findings show that previously married soldiers are more likely than married soldiers to report poor well-being. Never married soldiers are generally comparable to married soldiers, but report more risky behaviors. Tentative evidence was found to support both the social causation and social selection hypotheses; however, longitudinal data is needed to fully assess crisis theory and for more definitive conclusions across perspectives.

Keywords

Alcohol Misuse Marital Quality Married Individual Combat Exposure Operation Iraqi Freedom 
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.

Notes

Acknowledgments

The authors would like to acknowledge Jennifer Auchterlonie for her kind provision of PDHRA data and Richard Herrell for his assistance with the data analysis plan.

The opinions or assertions contained herein are the private views of the authors, and are not be construed as official, or as reflecting true views of the Department of the Army or the Department of Defense.

References

  1. Akhtar-Danesh, N., & Landeen, J. (2007). Relation between depression and sociodemographic factors. International Journal of Mental Health Systems, 1, 1–9.CrossRefGoogle Scholar
  2. Anthony, J. C. (1991). The epidemiology of drug addiction. In N. S. Miller (Ed.), Comprehensive handbook of drug and alcohol addiction (pp. 55–86). New York, NY: Informa Healthcare.Google Scholar
  3. Armed Forces Health Surveillance Center. (2008). Post-deployment health reassessment data. Silver Spring, MD: AFHSC.Google Scholar
  4. Bailis, D. S., Segall, A., & Chipperfield, J. G. (2003). Two views of self-rated general health status. Social Science & Medicine, 56, 203–217.CrossRefGoogle Scholar
  5. Booth, A., & Amato, P. (1991). Divorce and psychological stress. Journal of Health and Social Behavior, 32, 396–407.CrossRefPubMedGoogle Scholar
  6. Bramsen, I., Dirkzwager, A. J. E., & van der Ploeg, H. M. (2000). Predeployment personality traits and exposure to trauma as predictors of posttraumatic stress symptoms: A prospective study of former peacekeepers. The American Journal of Psychiatry, 157, 1115–1119.CrossRefPubMedGoogle Scholar
  7. Bray, R. M., Pemberton, M. R., Hourani, L. L., Witt, M., Olmsted, K. L. R., Brown, J. M., et al.(2009). 2008 Department of Defense survey of health related behaviors among active duty military personnel: A component of the Defense Lifestyle Assessment Program (DLAP). Research Triangle Park, NC: RTI International.Google Scholar
  8. Brown, R. L., Leonard, T., Saunders, L. A., & Papasoulitis, O. (1997). A two-item screening tool for alcohol and other drug problems. The Journal of Family Practice, 44, 151–160.PubMedGoogle Scholar
  9. Cabrera, O. A., Hoge, C. W., Bliese, P. D., Castro, C. A., & Messer, S. C. (2007). Childhood adversity and combat as predictors of depression and post-traumatic stress in deployed troops. American Journal of Preventive Medicine, 33, 77–82.CrossRefPubMedGoogle Scholar
  10. U.S. Census Bureau (2009). As baby boomers age, fewer families have children under 18 at home. U.S. Census Bureau News, Department of Commerce, Washington DC. Retrieved July 30, 2009 from http://www.census.gov/Press-Release/www/releases/archives/families_households/ 013378.html.
  11. Chen, C. M., Yi, H., Falk, D. E., Stinson, F. S., Dawson, D. A., & Grant, B. F. (2006). Alcohol use and alcohol use disorders in the United States: Main findings from the 2001–2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). In U.S. Alcohol Epidemiologic Data Reference Manual (Vol. 8, pp. 1–247). Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.Google Scholar
  12. DeSalvo, K. B., Bloser, N., Reynolds, K., He, J., & Muntner, P. (2006). Mortality prediction with a single general self-rated health question. A meta-analysis. Journal of General Internal Medicine, 21, 267–275.CrossRefPubMedGoogle Scholar
  13. Fiedler, N., Gozde, O., Hallman, W., Wartenberg, D., Brewer, N. T., Barrett, D. H., et al. (2006). Military deployment to the Gulf War as a risk factor for psychiatric illness among US troops. The British Journal of Psychiatry, 188, 453–459.CrossRefPubMedGoogle Scholar
  14. Gove, W. R., Hughes, M., & Style, C. B. (1983). Does marriage have positive effects on the psychological well-being of the individual? Journal of Health and Social Behavior, 24, 122–131.CrossRefPubMedGoogle Scholar
  15. Hoffmann, J. P., Brittingham, A., & Larison, C. (1996). Drug use among U.S. workers: Prevalence and trends by occupation and industry categories (Report No. DHHS Publication No. SMA 96-3089). Rockville, MD: Substance Abuse and Mental Health Services Administration.Google Scholar
  16. Hoge, C., Auchterlonie, J. L., & Milliken, C. S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. Journal of the American Medical Association, 295, 1023–1032.CrossRefPubMedGoogle Scholar
  17. 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.CrossRefPubMedGoogle Scholar
  18. Holt-Lunstad, J., Birmingham, W., & Jones, B. Q. (2008). Is there something unique about marriage? The relative impact of marital status, relationship quality and network social support on ambulatory blood pressure and mental health. Annals of Behavioral Medicine, 35, 239–244.CrossRefPubMedGoogle Scholar
  19. Horwitz, A. V., & White, H. R. (1991). Becoming married, depression and alcohol problems among young adults. Journal of Health and Social Behavior, 32, 221–237.CrossRefPubMedGoogle Scholar
  20. Iversen, A. C., Fear, N. T., Ehlers, A., Hacker Hughes, J., Hull, L., Earnshaw, M., et al. (2008). Risk factors for post-traumatic stress disorder among UK Armed Forces personnel. Psychological Medicine, 38, 511–522.CrossRefPubMedGoogle Scholar
  21. Johnson, D. R., & Wu, J. (2002). An empirical test of crisis, social selection, and role explanations of the relationship between marital disruption and psychological distress: A pooled time-series analysis of four-wave panel data. Journal of Marriage and Family, 64, 211–224.CrossRefGoogle Scholar
  22. Kamp Dush, C. M., & Amato, P. R. (2005). Consequences of relationship status and quality for subjective well-being. Journal of Social and Personal Relationships, 22, 607–627.CrossRefGoogle Scholar
  23. 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 Corporation.Google Scholar
  24. Kessler, R. C., Berglund, P., Demler, O., Jin, R., & Merikangas, K. R. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity survey replication. Archives of Psychiatry, 62, 593–602.CrossRefGoogle Scholar
  25. Kim, H. K., & McKenry, P. C. (2002). The relationship between marriage and psychological well-being. A longitudinal analysis. Journal of Family Issues, 23, 885–911.CrossRefGoogle Scholar
  26. Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: A new depression diagnostic and severity measure. Psychiatric Annals, 32, 1–7.Google Scholar
  27. Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64, 258–266.PubMedGoogle Scholar
  28. Lapierre, C. B., Schwegler, A. F., & LaBauve, B. J. (2007). Posttraumatic stress and depression symptoms in soldiers returning from combat operations in Iraq and Afghanistan. Journal of Traumatic Stress, 20, 933–943.CrossRefPubMedGoogle Scholar
  29. Lemmon, M., Whyman, M., & Teachman, J. (2009). Active-duty military service in the United States: Cohabiting unions and the transition to marriage. Demographic Research, 20, 195–208.CrossRefGoogle Scholar
  30. Liu, H., & Umberson, D. J. (2008). The times they are a changin’: Marital status and health differentials from 1972 to 2003. Journal of Health and Social Behavior, 49, 239–253.CrossRefPubMedGoogle Scholar
  31. Manzoli, L., Villari, P., Pirone, G. M., & Boccia, A. (2007). Marital status and mortality in the elderly: A systematic review and meta-analysis. Social Science & Medicine, 64, 77–94.CrossRefGoogle Scholar
  32. Milliken, C. S., Auchterlonie, J. L., & Hoge, C. W. (2007). Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. Journal of the American Medical Association, 298, 2141–2148.CrossRefPubMedGoogle Scholar
  33. Molloy, G. J., Stamatakis, E., Randall, G., & Hamer, M. (2009). Marital status, gender and cardiovascular mortality: Behavioural, psychological distress and metabolic explanations. Social Science & Medicine, 69, 223–228.CrossRefGoogle Scholar
  34. Mookherjee, H. N. (1997). Marital status, gender and perception of well-being. The Journal of Social Psychology, 137, 95–105.CrossRefPubMedGoogle Scholar
  35. Musick, K., & Bumpass, L. (2010). Re-Examining the Case for Marriage: Variation and Change in Well-Being and Relationships. California Center for Population Research On-Line Working Paper Series CCPR-003-06. At http://www.ccpr.ucla.edu/ccprwpseries/ccpr_003_06.pdf.Google Scholar
  36. Office of Army Demographics. (2009). Army demographics: FY08 Army profile. Arlington, VA: Headquarters, Department of the Army, Deputy Chief of Staff of Personnel, G-1.Google Scholar
  37. Pearlin, L. I., Schieman, S., Fazio, E. M., & Meersman, S. C. (2005). Stress, health, and the life course: Some conceptual perspectives. Journal of Health and Social Behavior, 46, 205–219.CrossRefPubMedGoogle Scholar
  38. Rona, R. J., Hooper, R., Jones, M., Iversen, A. C., Hull, L., Murphy, D., et al. (2009). The contribution of prior psychological symptoms and combat exposure to post Iraq deployment mental health in the UK military. Journal of Traumatic Stress, 22, 11–19.CrossRefPubMedGoogle Scholar
  39. Schoenborn, C. A. (2004). Marital status and health: United States, 1999–2002. Advance Data, 351, 1–32.PubMedGoogle Scholar
  40. Seal, K. H., Bertenthal, D., Miner, C. R., Saunak, S., & Marmar, C. (2007). Bringing the war back home. Archives of Internal Medicine, 167, 476–482.CrossRefPubMedGoogle Scholar
  41. Simon, R. W. (2002). Revisiting the relationships among gender, marital status and mental health. The American Journal of Sociology, 107, 1065–1096.CrossRefGoogle Scholar
  42. Simon, R. W., & Marcussen, K. (1999). Marital transitions, marital beliefs, and mental health. Journal of Health and Social Behavior, 40, 112–125.CrossRefGoogle Scholar
  43. Smith, T. C., Ryan, J. A. K., Wingard, D. L., Slymen, D. J., Sallis, J. F., & Kritz-Silverstein, D. (2008). New onset and persistent symptoms of post-traumatic stress disorder self reported after deployment and combat exposures: Prospective population based US military cohort study. British Medical Journal, 336, 366–371.CrossRefPubMedGoogle Scholar
  44. Spitzer, R. L., Kroenke, K., & Williams, J. B. W. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ Primary Care Study. Journal of the American Medical Association, 282, 1737–1744.CrossRefPubMedGoogle Scholar
  45. Stutzer, A., & Frey, B. S. (2006). Does marriage make people happy, or do happy people get married. The Journal of Socio-Economics, 35, 326–347.CrossRefGoogle Scholar
  46. Substance Abuse and Mental Health Services Administration, Office of Applied Studies. (2004). The NSDUH Report: Gender differences in substance dependence and abuse. Rockville, MD: SAMHSA.Google Scholar
  47. Substance Abuse and Mental Health Services Administration, Office of Applied Studies. (2007). The DASIS Report: Marital status and substance abuse treatment admissions: 2005. Rockville, MD: SAMHSA.Google Scholar
  48. Turner, R. J. (2003). The pursuit of socially modifiable contingencies in mental health. Journal of Health and Social Behavior, 44, 1–17.CrossRefPubMedGoogle Scholar
  49. Turner, R. J., Wheaton, B., & Lloyd, D. A. (1995). The epidemiology of social stress. American Sociological Review, 60, 104–125.CrossRefGoogle Scholar
  50. Wade, T. J., & Pevalin, D. J. (2004). Marital transitions and mental health. Journal of Health and Social Behavior, 45, 155–170.CrossRefPubMedGoogle Scholar
  51. Waldron, I., Hughes, M. E., & Brooks, T. L. (1996). Marriage protection and marriage selection: Prospective evidence for reciprocal effects of marital status and health. Social Science & Medicine, 43, 113–123.CrossRefGoogle Scholar
  52. Ware, J. E., Kosinski, M., Dewey, J. E., & Gandek, B. (2001). How to score and interpret single-item health status measures: A manual for users of the SF-8 health survey. Lincoln, RI: QualityMetric.Google Scholar
  53. Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (1993). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. San Antonio, TX: Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies.Google Scholar
  54. Wells, S., & Graham, K. (2003). Aggression involving alcohol: Relationship to drinking patterns and social context. Addiction, 98, 33–42.CrossRefPubMedGoogle Scholar
  55. Wells, S., Graham, K., & West, P. (2000). Alcohol-related aggression in the general population. Journal of Studies on Alcohol, 61, 626–632.PubMedGoogle Scholar
  56. Williams, K. (2003). Has the future of marriage arrived? A contemporary examination of gender, marriage, and psychological well-being. Journal of Health and Social Behavior, 44, 470–487.CrossRefPubMedGoogle Scholar
  57. Williams, K., Sassler, S., & Nicholson, L. M. (2008). For better or for worse? The consequences of marriage and cohabitation for single mothers. Social Forces, 86, 11481–1511.Google Scholar
  58. Williams, K., & Umberson, D. (2004). Marital status, marital transitions, and health: A gendered life course perspective. Journal of Health and Social Behavior, 45, 81–98.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Center for Military Psychiatry and Neuroscience, Military PsychiatryWalter Reed Army Institute of Research BranchSilver SpringUSA

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