Military spouses speak up: A qualitative study of military and Veteran spouses’ perspectives

ABSTRACT

The purpose of this qualitative study was to examine military family life through the lens of military and Veteran spouses. Twenty-two female, active-duty military and Veteran spouses provided extensive written responses to essay questions as part of an online survey that were analyzed with qualitative data analysis methods. Findings revealed seven main themes: how military life has influenced health care access, spouses’ identities as caregivers, marital relationships, health outcomes, social support, spouses’ educational and career opportunities, as well as their personal growth. In summary, their experiences indicate that military service affects all aspects of their lives. Spouses gave numerous suggestions as to how service providers can address their unique experiences to improve the supports they offer military families, including ensuring the spouse is involved in health care, and providing support programs that focus on the entire family.     

Traumatic Stress and Affect Management in Military Families

The war-time deployment of a service member creates significant stress for the family system that supports that person’s transition into combat, combat duty, and readjustment into civilian and family life upon return. The stressors associated with the deployment cycle are significant and can lead to depression, anxiety, and behavioral concerns for all family members including the children and partners. A family’s adaptation to these stressors can also impact the functioning of the service member during the phases of mobilization, deployment, sustainment, and reintegration. Social work interventions that offer support to the military family can reduce levels of distress within and between the members and improve overall family functioning. A case vignette will be presented that highlights some of the salient interpersonal challenges that can develop in a military family when a veteran returns home with posttraumatic stress that is left untreated. Recommendations for interventions will be considered through the application of psychoeducational approaches for managing traumatic stress in families.     

Prevention of family maltreatment in the U.S. Air Force: A systematic review of research on active-duty military personnel

ABSTRACT

Systematic review procedures are used to empirically evaluate the “implicit” logic model that guides the Air Force Family Advocacy Program’s secondary prevention efforts of family maltreatment among active-duty Air Force members. Searches of seven electronic databases and manual searches of 10 journals yielded 586 peer-reviewed articles published in 2000 or later. This review synthesizes the findings of 23 quantitative studies meeting inclusion criteria, including the prediction of some form of family maltreatment among U.S. active-duty military members. Based on review results, we identify critical success variables that function as family protective factors to decrease the likelihood of family maltreatment. These modifiable variables include formal supports, such as ecosystem supports from installation and unit leaders; informal supports, such as the social support of fellow service members and their families; and safe, stable, and nurturing family processes. The results generally align with the implicit logic model but suggest the model should be extended to include intrapersonal vulnerabilities and assets as well as contextual risks and assets. In addition to informing secondary prevention efforts in the Air Force, this novel use of systematic review procedures offers a strategy for evaluating logic models in other areas of prevention research, practice, or policy.     

The Resiliency Model of Role Performance for Service Members,Veterans, and their Families: A Focus on Social Connections and Individual Assets

The Road of Life, a life course metaphor, is used as the backdrop for a theoretically anchored model, The Resiliency Model of Role Performance, which has been developed to account for variation in the ability of service members and their families to meet their role responsibilities in the context of military life and duties. This model incorporates a focus on both individual assets and the social context in which individuals and families are embedded. The model provides a conceptual anchor for the Support and Resiliency Inventory—an online assessment tool for service members and the civilian spouses of service members. Implications for testing the model and its further development are discussed.     

A Test of the Family Stress Model Using a Remarriage Sample

ABSTRACT

The family stress model delineates the connections between economic hardship, economic pressure, marital interactions, marital quality, and, finally, marital instability. This study evaluated the family stress model in a sample of 661 remarried couples using structural equation modeling. The model was evaluated both within and between spouses. Consistent with the family stress model, marital instability and quality were influenced by economic hardship and pressure through decreased spousal warmth and increased spousal hostility. Implications for remarriage education and counseling are discussed.     

Comparison of two approaches to prevention of mental health problems in college students: Enhancing coping and executive function skills

Objective: College students face a significant number of stressors, increasing risk for internalizing and externalizing psychopathology. The current study examines two promising avenues of intervention aimed to reduce stress and prevent psychopathology in this population: a coping skills group and a cognitive training program. Participants: 62 undergraduate students from two universities were recruited from 2013 to 2015. Methods: Students were randomized to a 6-week coping skills group or cognitive training program and completed measures of stress, coping, executive function, and symptoms of anxiety, depression and Attention-Deficit Hyperactivity Disorder (ADHD) at pre- and post-intervention. Results: Participants in both conditions reported significant decreases in social stress, executive function difficulties, and anxiety symptoms post-intervention. Students in the cognitive program improved significantly more on measures of behavior regulation and ADHD symptoms compared to the coping group at post-intervention. Conclusions: Brief stress management interventions targeting coping and executive function may benefit college students at risk for psychopathology.     

Military Deployment of an Adult Child: Ambiguous Loss and Boundary Ambiguity Reflected in the Experiences of Parents of Service Members

ABSTRACT

This study explored the experiences of parents of service members, military family members who are often overlooked even though they are likely a vital source of support for their military adult-children. Reflections on deployment of military adult-children were gathered from 21 parents in semistructured group interviews. A framework of ambiguous loss, boundary ambiguity, and ambivalence was used to analyze comments reflecting pre-deployment, deployment, and post-deployment experiences. Pre-deployment anticipation of leave-taking was associated with boundary ambiguity and ambivalence for parents, tempered by safety concerns. During deployment ambiguity in parental role expectations and parameters complicated parents’ attempts to manage physical absence and maintain psychological presence. Post-deployment challenged parents with ambiguous psychological presence and disruption of family boundaries, complicated by changes associated with the effects of war.     

Coming out in camouflage: A queer theory perspective on the strength,resilience, and resistance of lesbian,gay, bisexual,and transgender service members and veterans

ABSTRACT

Lesbian, gay, bisexual, and transgender (LGBT) service members have made profound contributions to the U.S. military despite serving under anti-LGBT military policies. Little is known about their everyday acts of strength and resistance, which is vital information for developing strengths-based services. This article utilizes a queer theory framework to (a) discuss LGBT military contributions and anti-LGBT military policies, (b) explore three LGBT-specific military minority stressors, and (c) identify four strategies of strength and resistance used to manage an anti-LGBT military environment. Clinical suggestions are proposed for integrating military and LGBT identities and designing interventions that blend military and LGBT cultures.     

Childhood Autism and Proactive Family Coping: Intergenerational Perspectives

This article considers the value of intergenerational and specifically, grandparental support, in the management of adaptive tasks posed by raising a young child with autism. The tasks addressed range from accessing early intervention to enhancing family social functioning. We note unique social, financial, and health-related stressors faced by families of children with autism. We outline an innovative, stress theory-based framework, the Autism Proactive Intergenerational Adaptation (APIA) Model, which delineates the role of grandparents in contributing to family adaptation to the stresses of raising a child with autism. We focus on proactive family coping strategies in building resilience and ameliorating the adverse impact of stressors on quality of life (QOL) for individual family members and for the family unit. We discuss barriers and facilitators of intergenerational alliances involving grandparental participation and support.     

“Backstage Autonomy”: Religious-Zionist State Widows in Second Marriages Manage Competing Expectations

ABSTRACT

The article examines the coping mechanisms of state widows belonging to Israel’s Religious-Zionist sector, whose husbands died at an early age either during military service or in terrorist attacks. While the national bereaved community’s collective unconscious expects the widows to dedicate their lives to institutionalized commemoration of their dead husband, Jewish tradition expects them to remarry to rehabilitate their family and children. The widows who were studied seemed to manage the competing expectations successfully: they remarried and maintained a happy family life while entrusting commemoration to the bereaved parents, who are still part of their extended family. The findings point to successful manipulation of the patriarchy of both communities to which they belong, achieving individualization that offers freedom in the private sphere—what we call “Backstage Autonomy”—while perpetuating hegemony on the public level on the Front Stage.     

Predictors of Substance Use and Mental Health of Children of Divorce

Abstract

This short-term longitudinal study examined psycho-social influences on substance use and mental health among children of divorced parents. The sample consisted of ethnically diverse fifth and sixth grade students, and compared children of divorced parents (CODPs; N = 176), who were an average of four years post-divorce, with children of married parents (COMPs; N = 213) who had never divorced. CODPs reported more life stress, less problem-focused coping, and more substance-using friends and family members than COMPs. Further, these variables were significantly related to CODPs' greater reported substance use, aggressive behavior, and depression than COMPs cross-sectionally, and longitudinally, four months later. The results suggest the importance of including both substance use and mental health outcomes in preventive interventions for CODPs.     

Meeting Life Challenges

SUMMARY

Mental health and social service providers need to understand the contextual experience of diverse aging populations and the types of life challenges they have encountered. This research examined the life challenges specified by a purposive sample of 75 urban community-dwelling low-income older adults from four high-rise housing facilities. Thirty-four study participants were Jewish American and 41 were African American. Results indicate that many participants of both groups identified personal events such as bereavement and health as stressors, but only the Jewish Americans identified societal events such as World War II. Both groups found social resources moderately valuable in meeting life challenges, but religious resources were frequently identified by African American older adults and personal resources were highly endorsed by Jewish Americans, resulting in a hierarchy of coping styles for each group. Results suggest that mental health and social service providers can create interventions to reinforce and strengthen natural client resources that may vary according to ethnic and racial differences     

Gambling and the family: From the stress‐coping‐support Perspective 1

Abstract

Aims: To apply the stress‐coping‐support perspective to the study of the effects of problem gambling in the family. Specifically, to examine the ways in which family members cope and the nature and sources of support they receive. To compare coping strategies of family members of gamblers with those of individuals living with other addictive behaviour in the family. Design: Cross‐sectional interview and questionnaire study of close relatives of problem gamblers. Participants: Sixteen close family members of gamblers from separate families, mainly parents and partners. Data: Semi‐structured interview; adapted version of the Coping Questionnaire (CQ). Findings: Data from the CQ and qualitative analysis of interview data suggested considerable use of ‘engaged’ (specifically controlling) ways of attempting to cope with such problems, comparable to the use of such strategies by relatives of people with alcohol or drug problems, but little use of ‘tolerant‐accepting’ and ‘withdrawal’ ways. Interview data on the support received (or not) by family members confirmed previous research showing that relatives of people with addiction problems often feel unsupported, but particularly appreciate positive emotional and practical support for themselves and their problem gambling relatives. Conclusions: The stress‐coping‐support perspective, previously applied to families with alcohol and drug problems, also offers an appropriate framework for understanding problem gambling and the family.     

The role of military culture in military organizations' responses to woman abuse in military families1

This paper reports on a study of the Canadian Forces' (CF's) response to woman abuse in military families which was conducted using institutional ethnography feminist methodology. A 20‐person multidisciplinary team conducted 126 semi‐structured interviews in four Canadian provinces with: (1) present and former civilian female partners of CF members, who were survivors of abuse [64]; (2) regional civilian and CF social service providers, and CF supervisory personnel [52]; and (3) National Defence Headquarters program administrators and generals in Ottawa [10]. Analyzing these interviews enabled us to identify and elaborate on some of the military social relations in which the experiences of military spouses who are woman abuse survivors are embedded. This paper discusses the difficulties created for military spouses by geographical transfers and military housing neighbourhoods, and establishes the crucial role played by the chain of command in military organizations' responses to spouses who have been abused. The paper then shows how military leaders, especially those who supervise combat units, respond to woman abuse in ways that reflect their participation in the hypervigilance and unit cohesion features of military culture. The paper concludes by reflecting on Western militaries' responses to woman abuse in military families in light of their responses to the events of September 11, 2001.     

“This will help your children”: Service providers’ experiences with military families during cycles of deployment

ABSTRACT

Military families face not only the same challenges as other families, but also unique issues due to their military involvement. Parenting programs for civilian families can be helpful, but they do not generally cover the specific issues faced by military families. The purpose of this qualitative study was to gather information from a focus group of eight service providers about the types of issues that affect military families, such that content and delivery of workshops at a social service agency could be formed to specifically cater to military families. This study utilized a phenomenological approach, and analyses revealed areas for social service involvement around the cycle of deployment. Specifically, social services could be helpful by using psychoeducational and normalization techniques around the five major themes that resulted from this study: (1) the issues of servicemembers psychologically withdrawing before deployment, (2) family cohesion and connectedness during and after deployment, (3) family stability during reintegration of the service member, (4) military families experience many of the same challenges that nonmilitary families do (such as domestic violence and financial issues), and (5) utilizing a military culture framework for all military family programs.     

Associations Between Prior Deployments and Marital Satisfaction Among Army Couples

Although the experience of deployments has been described as devastating to married life, evidence linking deployments directly to poorer marital functioning has been sparse. The analyses described in this article compare associations between prior deployments and current marital satisfaction across four different ways of measuring prior deployment within a large and representative sample of married Army service members and their spouses. Results indicate that the experience of prior deployments is associated with significantly lower current marital satisfaction among military couples. The association is disproportionately strong for first deployments and first cumulative months of deployment and weakens over subsequent deployment experiences. Most of these associations, but not all, can be accounted for by the fact that service members who have been deployed are more likely to have experienced traumatic events and to experience posttraumatic stress disorder symptoms, both of which are independently associated with lower levels of marital satisfaction.     

Predictors of well-being in the lives of student service members and veterans

Objective: The current study examined predictors of well-being, including quality of life and academic engagement, in a sample of student service members and veteran college students. Methods: Eighty-seven student service members/veterans (SSM/V) completed an online survey containing questions about post-deployment social support, emotion regulation skills, psychological distress, academic engagement, quality of life, and demographics. Participants were recruited from September 2012 through May 2014. Results: Results provided partial support for the proposed bi-directional mediational relations between post-deployment social support and emotion regulation predicting to quality of life and academic engagement. Path models indicated that both post-deployment social support and emotion regulation skills partially mediated the relation with quality of life while accounting for the effect of psychological distress, and that emotion regulation skills fully mediated the relation between social support and academic engagement. Conclusions: These findings suggest that both social support and emotion regulation skills may be useful targets for health promotion and intervention efforts for this population. Limitations and clinical implications for the development of on-campus SSM/V focused health promotion services are discussed.     

Work-Life Balance – Lebensgestaltung von Frauen in un- und angelernten Tätigkeiten

In this article the work-life balance of women in low-skilled jobs is explored in a qualitative study (N?=?16). Theoretical backgrounds are the concept of forms of life organization on the basis of goals and the work psychological stress and resource management model. The interviewed women pursued a traditional gender role attitude and saw their biographical important goals in the family life sphere, but they differed in their behavior and their realized organization of life. Five different forms of life organization could be identified depending on experienced stressors, resources and coping strategies. There were forms of integration and balance, segmentation and mixed forms of life organization.     

Diversity Within Diversity

Summary

Asian American elderly form a heterogeneous group with respect to immigration history, ethnic/cultural background, socioeconomic position, and health and mental health status. This paper provides an overview of the internal heterogeneity within the Asian American elderly population and identifies those who experience multiple stressors affecting their quality of life. Then it discusses barriers to formal service utilization as well as strengths and deficits of informal support systems. To better serve Asian American elders with their multiple needs for health, mental health, and social services, increased funding is recommended for research on this group, diversification of social service programs in coethnic communities, and increased cultural competence in non-Asian social service agencies.