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1 Cost removed! Do different factors influence motivation for vasectomy reversal when cost is not an issue?

Cost removed! Do different factors influence motivation for vasectomy reversal when cost is not an issue?

APA Citation:

Maloney, T. J., Swargaloganathan, P., & Hawksworth, D. J. (2024). Cost removed! Do different factors influence motivation for vasectomy reversal when cost is not an issue? Military Medicine, Article usae312. https://doi.org/10.1093/milmed/usae312

DOI:

https://doi.org/10.1093/milmed/usae312

Focus:

Programming
Other

Branch of Service:

Multiple branches

Military Affiliation:

Active Duty

Population:

Adulthood (18 yrs & older)
Thirties (30 - 39 yrs)

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Research

Authors: Maloney, Trevor J.; Swargaloganathan, Piragash; Hawksworth, Dorota J.

Year: 2024

Abstract

Vasectomy is a relatively common procedure performed for the purposes of sterilization; however, up to 6% of men that undergo vasectomy wish for its reversal at some point. Few studies have examined the motivation behind vasectomy reversal (VR), especially within special populations, such as the U.S. Military. The aim of this study was to examine the motivations of U.S. Military service members (SMs) who opted for VR surgery, considering their unique access to free health care.We conducted a retrospective record review of microsurgical VRs performed by a single surgeon (DJH) between January 2020 and May 2023. We evaluated patient’s age at which vasectomy was performed, age at VR, reasons for seeking VR surgical care, number of children fathered before the vasectomy, and the age of the current partner.A total of 106 patients underwent VR during the study period, and 102 of them had their medical records available for review. The average age at the time of vasectomy was 31.3 years, while the average age at VR was 40.2 years. The average spousal age at the time of seeking VR was 34.8 years. Before undergoing vasectomy, the men had fathered an average of 2.7 children. Most men were enlisted members of the military (68) and of all service branches, Army represented the greatest number (50). The vast majority of men (76) cited having a new partner after divorce as the primary motivation for seeking VR. Within this group, 57 were remarried, 15 were in a new relationship, 3 were newly engaged, and 1 desired fertility for future relationships. Additionally, 21 sought VR to have more children with the same spouse. Among them, motivating factors included changes to financial status and improvement in partner’s health condition. A minority of patients (2) desired VR due to post vasectomy pain syndrome or religious beliefs.Our study demonstrates that the primary driver for seeking VR surgical care among SMs was the desire for fertility with a new partner, which correlates with trends in the civilian sector. Approximately 20% of the men cited the wish to have more children with the same partner as their motivation. Non-fertility reasons, such as religious beliefs and post vasectomy pain syndrome, were also observed, albeit less frequently.

2 Effects of family therapy for substance abuse: A systematic review of recent research

Effects of family therapy for substance abuse: A systematic review of recent research

APA Citation:

Esteban, J., Suárez-Relinque, C., & Jiménez, T. I. (2023). Effects of family therapy for substance abuse: A systematic review of recent research. Family Process, 62(1), 49–73. https://doi.org/10.1111/famp.12841

DOI:

https://doi.org/10.1111/famp.12841

Focus:

Mental health
Substance use

Population:

Adolescence (13 - 17 yrs)
Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)

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Research & Summary

Authors: Esteban, Jessica; Suárez-Relinque, Cristian; Jiménez, Teresa I.

Year: 2023

Abstract

One of the most serious psychosocial problems worldwide is substance abuse because of its repercussions not only on the physical and psychological health of the abuser but also on their relational functioning. Among the well-established therapeutic approaches for the treatment of substance abuse is family therapy, which, in addition to influencing personal variables, promotes changes in family dynamics. The main objective of this study is to review the scientific literature published from 2010 to the present on the efficacy and effectiveness shown by family-based treatment approaches for substance use problems both in adolescent and adult samples. In addition, the effect on secondary variables such as family functioning and behavioral problems is evaluated. The empirical evidence accumulated in the last decade and reviewed in the present study indicates that the incorporation of family members in the treatment of substance abuse produces benefits by diminishing consumption and improving family functioning. Limitations of this study and of the research reviewed are discussed and directions for future research are provided.

3 Screening for intimate partner violence experience and use in the Veterans Health Administration

Screening for intimate partner violence experience and use in the Veterans Health Administration

APA Citation:

Portnoy, G. A., Relyea, M. R., Presseau, C., Orazietti, S. A., Bruce, L. E., & Brandt, C. A. (2023). Screening for intimate partner violence experience and use in the Veterans Health Administration. JAMA Network Open, 6(10), Article e2337685. https://doi.org/https://doi.org/10.1001/jamanetworkopen.2023.37685

DOI:

https://doi.org/10.1001/jamanetworkopen.2023.37685

Focus:

Veterans
Trauma
Programming
Mental health

Branch of Service:

Multiple branches

Military Affiliation:

Veteran

Population:

Adulthood (18 yrs & older)
Middle age (40 - 64 yrs)

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Research

Authors: Portnoy, Galina A.; Relyea, Mark R.; Presseau, Candice; Orazietti, Skye A.; Bruce, LeAnn E.; Brandt, Cynthia A.

Year: 2023

Abstract

Importance The practice of screening women for intimate partner violence (IPV) in health care settings has been a critical part of responding to this major public health problem. Yet, IPV prevention would be enhanced with detection efforts that extend beyond screening for IPV experiences to identifying those who use violence in relationships as well. Objective To determine rates of IPV experiences and use (ie, among perpetrators of IPV) and factors associated with disclosures among adult patients seeking mental health services at the Veterans Health Administration. Design, Setting, and Participants This cross-sectional study used electronic medical record data drawn from a quality improvement initiative at 5 Veterans Health Administration medical centers conducted between November 2021 and February 2022 to examine IPV disclosures following concurrent screening for IPV experience and use. Participants included patients engaged in mental health services. Data were analyzed in April and May 2023. Exposure Mental health clinicians were trained to screen for IPV experience and use concurrently and instructed to screen all patients encountered through routine mental health care visits during a 3-month period. Main Outcomes and Measures Outcomes of interest were past-year prevalence of IPV use and experience, sociodemographic characteristics, and clinical diagnoses among screened patients. Results A total of 200 patients were offered IPV screening. Of 155 participants (mean [SD] age, 52.45 [15.65] years; 124 [80.0%] men) with completed screenings, 74 (47.7%) denied past-year IPV experience and use, 76 (49.0%) endorsed past-year IPV experience, and 72 (46.4%) endorsed past-year IPV use, including 67 participants (43.2%) who reported IPV experience and use concurrently; only 9 participants (5.8%) endorsed unidirectional IPV experiences and 5 participants (3.2%) endorsed unidirectional IPV use. Patients who reported past-year IPV experience and use were younger than those who denied IPV (experience: mean difference, −7.34 [95% CI, 2.51-12.17] years; use: mean difference, −7.20 [95% CI, 2.40-12.00] years). Patients with a posttraumatic stress disorder diagnosis were more likely to report IPV use (43 patients [59.7%]) than those without a posttraumatic stress disorder diagnosis (29 patients [40.3%]; odds ratio, 2.14; [95% CI, 1.12-4.06]). No other demographic characteristics or clinical diagnoses were associated with IPV use or experience. Conclusions and Relevance In this cross-sectional study of IPV rates and associated factors, screening for IPV found high rates of both IPV experience and use among patients receiving mental health care. These findings highlight the benefit of screening for IPV experience and use concurrently across gender and age. Additionally, the associations found between PTSD and IPV use underscore the importance of strengthening and developing additional targeted treatment for IPV.

4 Virtual reality and transcranial direct current stimulation for posttraumatic stress disorder: A randomized clinical trial

Virtual reality and transcranial direct current stimulation for posttraumatic stress disorder: A randomized clinical trial

APA Citation:

van ’t Wout-Frank, M., Arulpragasam, A. R., Faucher, C., Aiken, E., Shea, M. T., Jones, R. N., Greenberg, B. D., & Philip, N. S. (2024). Virtual reality and transcranial direct current stimulation for posttraumatic stress disorder: A randomized clinical trial. JAMA Psychiatry, 81(5), 437-446. https://doi.org/10.1001/jamapsychiatry.2023.5661

DOI:

https://doi.org/10.1001/jamapsychiatry.2023.5661

Focus:

Veterans
Programming
Mental health

Branch of Service:

Multiple branches

Military Affiliation:

Veteran

Population:

Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

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Research

Authors: van ’t Wout-Frank, Mascha; Arulpragasam, Amanda R.; Faucher, Christiana; Aiken, Emily; Shea, M. Tracie; Jones, Richard N.; Greenberg, Benjamin D.; Philip, Noah S.

Year: 2024

Abstract

Posttraumatic stress disorder (PTSD) is a common psychiatric disorder that is particularly difficult to treat in military veterans. Noninvasive brain stimulation has significant potential as a novel treatment to reduce PTSD symptoms.To test whether active transcranial direct current stimulation (tDCS) plus virtual reality (VR) is superior to sham tDCS plus VR for warzone-related PTSD.This double-blind randomized clinical trial was conducted among US military veterans enrolled from April 2018 to May 2023 at a secondary care Department of Veterans Affairs hospital and included 1- and 3-month follow-up visits. Participants included US military veterans with chronic PTSD and warzone-related exposure, recruited via referral and advertisement. Patients in psychiatric treatment had to be on a stable regimen for at least 6 weeks to be eligible for enrollment. Data were analyzed from May to September 2023.Participants were randomly assigned to receive 2-mA anodal tDCS or sham tDCS targeted to the ventromedial prefrontal cortex, during six 25-minute sessions of standardized warzone VR exposure, delivered over 2 to 3 weeks.The co–primary outcomes were self-reported PTSD symptoms, measured via the PTSD checklist for DSM-5 (PCL-5), alongside quality of life. Other outcomes included psychophysiological arousal, clinician-assessed PTSD, depression, and social/occupational function.A total of 54 participants (mean [SD] age, 45.7 [10.5] years; 51 [94%] males) were assessed, including 26 in the active tDCS group and 28 in the sham tDCS group. Participants in the active tDCS group reported a superior reduction in self-reported PTSD symptom severity at 1 month (t =

5 Stressful life events and risk of homelessness after active duty: An assessment of risk and resilience among servicemembers

Stressful life events and risk of homelessness after active duty: An assessment of risk and resilience among servicemembers

APA Citation:

Montgomery, A. E., Koh, K. A., King, A. J., O’Brien, R., Sampson, N. A., Petriceks, A… Kessler, R. C. (2023). Stressful life events and risk of homelessness after active duty: An assessment of risk and resilience among servicemembers. Public Health Reports, 138(6), 963-970. https://doi.org/10.1177/00333549221149092

DOI:

https://doi.org/10.1177/00333549221149092

Focus:

Mental health
Trauma
Veterans
Other

Branch of Service:

Army

Military Affiliation:

Veteran
Active Duty
Guard

Population:

Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

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Research & Summary

Authors: Montgomery, Ann Elizabeth; Koh, Katherine A.; King, Andrew J.; O’Brien, Robert; Sampson, Nancy A.; Petriceks, Aldis; Stein, Murray B.; Ursano, Robert J.; Kessler, Ronald C.

Year: 2023

Abstract

Objectives:The transition from military to civilian life may present increased exposure to various stressful life events (SLEs) that can increase the risk of homelessness (eg, loss of employment, dissolution of romantic relationships). We assessed the extent to which exposure to SLEs occurring proximal to US Army soldier transitions out of active duty was associated with risk of homelessness.Methods:A total of 16 589 respondents who were no longer on active duty but participated while on active duty during 2011-2014 baseline surveys completed follow-up surveys during 2016-2018 and 2018-2019. The follow-up surveys assessed SLEs and homelessness occurring in the past 12 months. We used modified Poisson regression models to evaluate how much differential SLE exposure and effects explained the aggregate association of a risk index with homelessness among a sample of 6837 respondents, weighted to represent the full sample.Results:More than half (n = 3510, 52.8%) of respondents reported experiencing any SLEs in the past 12 months. Most (60.5%) of the difference in prevalence of homelessness among respondents defined as being at high risk of homelessness (vs lower risk) was explained by differential exposure to, and/or effects of, these SLEs. Personal betrayal by a loved one and economic problems played the largest roles in adjusted risk differences (0.045 and 0.074, respectively).Conclusions:Homelessness might be reduced by gearing interventions toward soldiers at high risk of homelessness who are transitioning out of active duty to reduce exposure to and effects of modifiable SLEs on experiencing homelessness.

6 Traumatic brain injury and relationship distress during military deployment and reunion

Traumatic brain injury and relationship distress during military deployment and reunion

APA Citation:

Knobloch, L. K., & Abendschein, B. (2024). Traumatic brain injury and relationship distress during military deployment and reunion. Family Relations, 73(1), 424-440. https://doi.org/10.1111/fare.12849

DOI:

https://doi.org/10.1111/fare.12849

Focus:

Trauma
Deployment
Mental health
Couples
Physical health

Branch of Service:

Army

Military Affiliation:

Active Duty

Population:

Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

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Research & Summary

Authors: Knobloch, Leanne K.; Abendschein, Bryan

Year: 2024

Abstract

Objective This study seeks to advance the literature by disentangling the effects of deployment-acquired traumatic brain injury (TBI) from comorbid postconcussive symptoms and PTSD symptoms on relationship distress. Background Because TBI poses challenges to military marriages, understanding the predictors of relationship distress after TBI is important for helping service members cope with the effects of the injury. Method Survey data from the U.S. Army STARRS Pre–Post Deployment Study, collected from 2,585 married service members before and after a combat deployment to Afghanistan, evaluated predictors of relationship distress 9 months after homecoming. Results Deployment-acquired TBI corresponded with more relationship distress controlling for predeployment brain health, but its predictive power was eclipsed by concurrent postconcussive symptoms and concurrent PTSD symptoms. Concurrent PTSD symptoms accounted for twice as much variance in relationship distress than concurrent postconcussive symptoms. Conclusion Targeting and treating comorbid conditions may be essential for supporting military marriages after TBI. Implications: Military command, policymakers, and medical professionals may find value in broadening support services for TBI to include resources addressing postconcussive symptoms, PTSD symptoms, and relationship distress.

7 Risk and protective factors for work-family conflict among female military spouses

Risk and protective factors for work-family conflict among female military spouses

APA Citation:

Park, Y., Shea, M., Sullivan, K., Merrill, J. C., Clarke-Walper, K., & Riviere, L. A. (2023). Risk and protective factors for work-family conflict among female military spouses. Journal of Child and Family Studies, 32, 1078-1087. https://doi.org/10.1007/s10826-023-02535-x

DOI:

https://doi.org/10.1007/s10826-023-02535-x

Focus:

Couples
Deployment
Mental health

Branch of Service:

Multiple branches

Military Affiliation:

Active Duty

Population:

Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

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Research & Summary

Authors: Park, Yangjin; Shea, Molly; Sullivan, Kathrine; Merrill, Julie C.; Clarke-Walper, Kristina; Riviere, Lyndon A.

Year: 2023

Abstract

Work-family conflict (WFC) is a chronic issue among military families. Compared to their civilian counterparts, military families experience additional work demands such as frequent training exercises and deployment, military-specific trauma, and injury in garrison, training or deployed settings. Guided by a risk and protective factors framework, this study examined the direct effects of cumulative military-specific work risks (i.e., number of combat deployments, mental health, injury during combat deployments) and cumulative family risks (i.e., children in the home, spouse adverse childhood experiences, spouse employment) on WFC and the potential buffering effect of social support among female military spouses. This study is a secondary data analysis (n = 334) using Land Combat Study 2 data collected by the Walter Reed Army Institute of Research (WRAIR) in 2012. After controlling for covariates (including soldier rank, ethnicity, and age), cumulative military-specific risk factors were positively associated with WFC while family risks were not. Social support was negatively associated with WFC but did not exhibit interaction effects with either group of risks. Findings suggest military spouses perceive WFC due to service members’ military-specific work factors, and social support was a promotive factor which may alleviate experiences of WFC. Military leadership and behavior health providers should consider strategies to alleviate work-specific risks and promote social support for military spouses to reduce WFC.

8 Couples’ dyadic coping in the context of child-related stressors: A systematic review across three decades

Couples’ dyadic coping in the context of child-related stressors: A systematic review across three decades

APA Citation:

Roth, M., Weitkamp, K., Landolt, S. A., & Bodenmann, G. (2022). Couples’ dyadic coping in the context of child-related stressors: A systematic review across three decades. Couple and Family Psychology: Research and Practice. Advance online publication. https://doi.org/10.1037/cfp0000237

DOI:

https://doi.org/10.1037/cfp0000237

Focus:

Couples
Mental health
Children
Parents

Population:

Childhood (birth - 12 yrs)
Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

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Research & Summary

Authors: Roth, Michelle; Weitkamp, Katharina; Landolt, Selina A.; Bodenmann, Guy

Year: 2022

Abstract

The relevance of dyadic coping (DC), a concept how couples cope with stressors together, has been established in different contexts (e.g., daily hassles, mental and physical health) and is related to different outcomes such as relationship satisfaction, relationship quality and stability, psychological well-being, and child behavior. The current systematic review aims at providing an integration of the field of research on couple’s DC with child-related stressors which are understood as demands that arise for couples due to becoming or being parents. DC and related search terms were used for the literature search in PsycINFO, Psyndex, and Medline. We included 55 publications (reporting empirical data on 6,779 couples in total) including quantitative, qualitative, and mixed-methods studies published between 1990 and 2020. We applied a narrative synthesis approach organizing the results around six identified areas of child-related stressors: pregnancy and transition to parenthood, parenting, child mental health, child disability, child chronic physical illness, and child death. Overall, results show the importance of DC for both individual and relationship functioning in the context of child-related stress. Surprisingly, effects of parental DC on child outcomes remained understudied, although the existing studies yield promising results for child adjustment. In conclusion, adapting a “we”-perspective, mutual understanding and support is of importance not only to overcome the stressor but also to grow together as a couple. As DC plays a significant role for couples to cope in a resilient way when facing child-related stressors it should be more promoted in couple- and family counseling and therapy. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

9 Sources of risk and resilience among adolescents from military families

Sources of risk and resilience among adolescents from military families

APA Citation:

Bullock, A., Williams, L., & Goubanova, E. (2022). Sources of risk and resilience among adolescents from military families. Military Behavioral Health, 10(2), 124-133. https://doi.org/10.1080/21635781.2022.2098883

DOI:

https://doi.org/10.1080/21635781.2022.2098883

Focus:

Youth
Mental health
Deployment

Branch of Service:

International Military

Military Affiliation:

Active Duty

Population:

Adolescence (13 - 17 yrs)
Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)

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Research & Summary

Authors: Bullock, Amanda; Williams, Lisa; Goubanova, Elena

Year: 2022

Abstract

Most of the extant research examining the impact of military life on adolescents from military families has focused on various sources of risk that negatively influence military-connected youths’ well-being. As such, the resilience factors that contribute to military-connected youth adjustment to military life are currently understudied, particularly in Canada. Therefore, the goal of the present study was to explore the perceptions of adolescents from Canadian Armed Forces families with regard to the sources of risk and resilience that affect their well-being. A sample of N = 178 adolescents (108 females, 70 males) between the ages of 14–19 years (Mage 16.44 years, SD = 1.59) from families of Canadian Regular Force service members responded to open-ended questions about the challenges and opportunities of military life they believed they encounter in comparison to adolescents from nonmilitary families. The results from thematic analyses revealed that these military-connected youth perceived enduring multiple unique challenges related to social disruptions, lack of sense of belonging, and feelings of distress during relocations and lack of parental availability and feelings of concern during parental deployment. Two themes on the sources of resilience emerged from the analyses, including access to military-sponsored programs and services, and travel opportunities resulting from the military parents’ career. The findings are discussed in terms of the ways to help adolescents adjust to military life challenges.

10 Pilot open trial of the OurRelationship online couples’ program in a Veterans Affairs Medical Center

Pilot open trial of the OurRelationship online couples’ program in a Veterans Affairs Medical Center

APA Citation:

Knopp, K., Rashkovsky, K., Khalifian, C. E., Grubbs, K. M., Doss, B. D., Depp, C. A., Glynn, S. M., & Morland, L. A. (2022). Pilot open trial of the OurRelationship online couples’ program in a Veterans Affairs Medical Center. Couple and Family Psychology: Research and Practice, 11(1), 33-41. https://doi.org/10.1037/cfp0000196

DOI:

https://doi.org/10.1037/cfp0000196

Focus:

Couples
Veterans
Programming

Branch of Service:

Multiple branches

Military Affiliation:

Veteran

Population:

Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

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Research & Summary

Authors: Knopp, Kayla; Rashkovsky, Katerine; Khalifian, Chandra E.; Grubbs, Kathleen M.; Doss, Brian D.; Depp, Colin A.; Glynn, Shirley M.; Morland, Leslie A.

Year: 2022

Abstract

Military-related stressors place veterans at increased risk of intimate relationship problems, which are detrimental to physical health, mental health, and well-being. Couple and family interventions for veterans are effective, and veteran access to family-based care is mandated by law. However, many veteran couples experience barriers to accessing care. OurRelationship is a coached online relationship program that may help meet veterans’ needs for accessible couples’ interventions. Although OurRelationship is effective with community couples, it has not been implemented or evaluated in a Veterans Affairs (VA) Medical Center setting. The present study piloted the OurRelationship program at a VA site in the southwestern United States to examine feasibility, acceptability, and preliminary effects of the program. Thirteen veterans and their partners enrolled in an open trial and provided baseline and postprogram data on relationship and individual functioning as well as qualitative feedback about their program experiences. Feasibility was supported by meeting recruitment goals, implementing all parts of the online program and coaching sessions, and a completion rate of 85%. Couples reported moderate to high satisfaction with the existing program but also suggested veteran-specific adaptations, including more attention to cognitive and mental health challenges. Veterans and partners exhibited small improvements in relationship satisfaction, distress, depression, and quality of life, with partners showing larger improvements in relationship conflict and quality of life. These results suggest OurRelationship can help expand access to family care for veterans; however, a randomized trial to evaluate the efficacy of a version of the OurRelationship program tailored to veterans is needed. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

11 Predictors of missed school days among military connected families: A feasibility study

Predictors of missed school days among military connected families: A feasibility study

APA Citation:

Gehring, J., & Robert, R. C. (2023). Predictors of missed school days among military connected families: A feasibility study. Journal of the American Association of Nurse Practitioners, 35(1), 32-40. https://doi.org/10.1097/JXX.0000000000000783

DOI:

https://doi.org/10.1097/JXX.0000000000000783

Focus:

Children
Mental health
Physical health

Branch of Service:

Multiple branches

Military Affiliation:

Active Duty

Population:

Childhood (birth - 12 yrs)
Adolescence (13 - 17 yrs)

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Research & Summary

Authors: Gehring, Janet; Robert, Rebecca C.

Year: 2023

Abstract

Background: There is a paucity of research specific to military children's health, especially those with special needs. This may be partly attributed to the difficulty in accessing military connected families as a population. Yet, given the recognized importance of military connected families to the national security agenda, a need exists for studies to explore factors underlying child and family health. Purpose: We sought to identify factors among a sample of military children with special health care needs (CSHCN) predictive of missed school days, a commonly used measure of health and one used by NPs to monitor chronic conditions management success. Methodology: We used a secondary data analysis design and multivariable logistic regression with a subsample of military connected families from the National Survey of CSHCN identified by their reported insurance type. Results: We identified 1,656 military CSHCN. According to the adjusted model, hours of care per week, family work hours change, and activity limitations for the child were positive predictors of ≥4 missed school days per year. Conclusion/Implications: Our models identified important predictors of missed school days among military children that may inform assessments, interventions, and referrals by nurse practitioners caring for them. We identified a robust sample of military CSHCN from the National Survey of CSHCN by using self-reported insurance, a novel and simple approach to conducting a focused study of this population. Although feasible, this sampling approach was not without limitations. We advocate for including military connected families within sampling frameworks of national surveys to ensure that studies with this critical and unique population continue.

12 Psychological distress with relationship satisfaction is moderated by anticipatory relational savoring among non-deployed military partners

Psychological distress with relationship satisfaction is moderated by anticipatory relational savoring among non-deployed military partners

APA Citation:

Froidevaux, N. M., Sanchez Hernandez, H., Pourmand, V., Yunusova, A., Sbarra, D. A., & Borelli, J. L. (2023). Psychological distress with relationship satisfaction is moderated by anticipatory relational savoring among non-deployed military partners. Personal Relationships, 30(2), 636-659. https://onlinelibrary.wiley.com/doi/10.1111/pere.12469

DOI:

https://doi.org/10.1111/pere.12469

Focus:

Couples
Mental health
Deployment

Branch of Service:

Multiple branches

Military Affiliation:

Active Duty

Population:

Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

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Research & Summary

Authors: Froidevaux, Nicole M.; Sanchez Hernandez, Hugo; Pourmand, Vida; Yunusova, Asal; Sbarra, David A.; Borelli, Jessica L.

Year: 2023

Abstract

This study recruited participants whose partners were deployed for active-duty military service to examine whether anticipatory relational savoring moderated the association of psychological distress with relationship satisfaction. Two weeks prior to their partner's deployment (T1), participants (N = 73) completed a self-report measure of relationship satisfaction. Then, 2 weeks into their partner's deployment (T2), participants completed self-report measures of stress, loneliness, and depression (combined into a composite index of psychological distress), and relationship satisfaction. Participants also completed a stream-of-consciousness task at T2 in which they imagined and discussed their partner's return from deployment. We coded the stream-of-consciousness task for anticipatory relational savoring regarding their upcoming reunion with their deployed partner. We found that anticipatory relational savoring moderated the association of psychological distress with during-deployment relationship satisfaction after adjusting for demographics, interpersonal variables, and deployment-specific variables; the association did not hold after adjusting for pre-deployment relationship satisfaction, and thus was robust when considering the distress-satisfaction association during the deployment but was not when considering changes in relationship satisfaction from pre- to during-deployment. We discuss the potential importance of anticipatory relational savoring for this unique population.

13 Effectiveness of cognitive behavioral conjoint therapy for posttraumatic stress disorder (PTSD) in a U.S. Veterans Affairs PTSD clinic

Effectiveness of cognitive behavioral conjoint therapy for posttraumatic stress disorder (PTSD) in a U.S. Veterans Affairs PTSD clinic

APA Citation:

Pukay-Martin, N. D., Fredman, S. J., Martin, C. E., Le, Y., Haney, A., Sullivan, C…Chard, K. M. (2022). Effectiveness of cognitive behavioral conjoint therapy for posttraumatic stress disorder (PTSD) in a U.S. Veterans Affairs PTSD clinic. Journal of Traumatic Stress, 35(2), 644-658. https://doi.org/10.1002/jts.22781

DOI:

https://doi.org/10.1002/jts.22781

Focus:

Veterans
Couples
Trauma
Mental health
Programming

Branch of Service:

Multiple branches

Military Affiliation:

Veteran

Population:

Adulthood (18 yrs & older)
Middle age (40 - 64 yrs)

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Research & Summary

Authors: Pukay-Martin, Nicole D.; Fredman, Steffany J.; Martin, Colleen E.; Le, Yunying; Haney, Alison; Sullivan, Connor; Monson, Candice M.; Chard, Kathleen M.

Year: 2022

Abstract

Cognitive behavioral conjoint therapy (CBCT) for posttraumatic stress disorder (PTSD) is a 15-session conjoint treatment for PTSD designed to improve PTSD symptoms and enhance intimate relationship functioning. Numerous studies of CBCT for PTSD document improvements in patient PTSD and comorbid symptoms, partner mental health, and relationship adjustment. However, little is known about its effectiveness in real-world clinical settings. Using an intention-to-treat sample of couples who participated in CBCT for PTSD in an outpatient U.S. Veterans Affairs (VA) PTSD clinic (N = 113), trajectories of session-by-session reports of veterans’ PTSD symptoms and both partners’ relationship happiness were examined. Across sessions, there were significant reductions in veteran-rated PTSD symptoms, d = −0.69, and significant increases in veteran- and partner-rated relationship happiness, ds = 0.36 and 0.35, respectively. Partner ratings of veterans’ PTSD symptoms increased before significantly decreasing, d = −0.24. Secondary outcomes of veteran and partner relationship satisfaction, ds = 0.30 and 0.42, respectively; veteran and partner depressive symptoms, ds = −0.75 and −0.29, respectively; and partner accommodation of PTSD symptoms, d = −0.44, also significantly improved from pre- to posttreatment. The findings suggest that CBCT for PTSD was effective for decreasing PTSD and comorbid symptoms in veterans, as well as for improving relationship functioning and partners’ mental health, among a sample of real-world couples seeking treatment in a VA PTSD specialty clinic.

14 Military families with young children with disabilities: Families’ and providers’ perceptions

Military families with young children with disabilities: Families’ and providers’ perceptions

APA Citation:

Sands, M. M., McGuire, S. N., Meadan, H., DiPietro-Wells, R., & Hacker, R. E. (2023). Military families with young children with disabilities: Families’ and providers’ perceptions. Early Childhood Research Quarterly, 64 (3rd Quarter), 61–71. https://doi.org/10.1016/j.ecresq.2023.01.013

DOI:

https://doi.org/10.1016/j.ecresq.2023.01.013

Focus:

Children
Mental health
Physical health

Branch of Service:

Multiple branches

Military Affiliation:

Active Duty

Population:

Childhood (birth - 12 yrs)
Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

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Research & Summary

Authors: Sands, Michelle M.; McGuire, Stacy N.; Meadan, Hedda; DiPietro-Wells, Robyn; Hacker, Rebecca E.

Year: 2023

Abstract

Active duty military families have unique life experiences that can affect individual members and also the family as a whole. While many benefits to the military lifestyle exist, previous research has described how children of active duty military families may also be more at-risk for emotional and academic difficulties as a result of parent absence, family stress or strain. For active duty military families who have children with disabilities, mobility and change can be especially stressful. However, limited research has been conducted to understand the experiences and perceptions of military families who have young children with disabilities. The purpose of this study was to explore (a) the experiences and needs of military families with young children with disabilities, and (b) the experiences and recommendations of early intervention professionals who work with young children with disabilities and their military families. Semi-structured individual interviews were conducted with six active duty military family members who have a children with disabilities, and focus groups were conducted with 12 early intervention service providers. Findings of the study include unique experiences and needs of military family members with young children with disabilities that have been highlighted in previous literature, as well as some unique findings specific to those receiving services under part of Part C of the Individuals with Disabilities Education Act.

15 Assessing intimate partner violence: A review of 13 reliable and valid tools

Assessing intimate partner violence: A review of 13 reliable and valid tools

APA Citation:

Vandenberg, C., Hanson, E., Short, K., Chen, C.-F., Sjolseth, S., Wright, E., O’Neal, C. W., & Lucier-Greer, M. (2023). Assessing intimate partner violence: A review of 13 reliable and valid tools. Auburn, AL: Military REACH.

Focus:

Couples
Trauma
Mental health
Physical health
Veterans

Branch of Service:

Army
Navy
Air Force
Coast Guard
Marine Corps
Multiple branches

Military Affiliation:

Active Duty
Veteran

Population:

Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

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Research Report

Authors: Vandenberg, Carlynn; Hanson, Emily; Short, Kaylee; Chen, Chia-Feng; Sjolseth, Sheila; Wright, Emily; O'Neal, Catherine W.; Lucier-Greer, Mallory

Year: 2023

16 An exploration of potential pressures to engage in parenting accommodation of PTSD symptoms for military couples

An exploration of potential pressures to engage in parenting accommodation of PTSD symptoms for military couples

APA Citation:

Allen, E. S., Renshaw, K. D., & Fredman, S. J. (2024). An exploration of potential pressures to engage in parenting accommodation of PTSD symptoms for military couples. Family Process, 63(1), 315-330. https://doi.org/10.1111/famp.12858

DOI:

https://doi.org/10.1111/famp.12858

Focus:

Couples
Parents
Children

Branch of Service:

Army

Military Affiliation:

Active Duty
Veteran

Population:

Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

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Research & Summary

Authors: Allen, Elizabeth S.; Renshaw, Keith D.; Fredman, Steffany J.

Year: 2024

Abstract

In the context of service member posttraumatic stress disorder (PTSD) symptoms, intimate partners may experience pressure to take over parenting roles and run interference between the service member and the children; that is, to engage in partner accommodation focal to parenting. The current study quantitatively assessed potential pressures to engage in parenting accommodation (PPEPA) in a sample of 207 female partners married to male service members with at least one child in the home and the convergence of PPEPA with service member PTSD symptoms, general partner accommodation, couple functioning, parenting, and child functioning. Partners' reports of PPEPA were associated with higher levels of service member PTSD symptoms and partners' general accommodation of PTSD symptoms. When controlling for service member PTSD symptoms and general partner accommodation, partner reports of PPEPA still accounted for unique variance in lower parenting alliance (as reported by both service member and partner), lower levels of service members' reports of closeness with children in the home, higher levels of harsh parenting by both the service member and partner, and greater child behavioral difficulties. Findings support PPEPA as related to partners' accommodative responses to PTSD but demonstrating unique associations with parenting alliance, parenting, and child outcomes. Parenting interventions in the context of PTSD may benefit from conjoint or family approaches that attend to the intersection of PTSD and broader family functioning, including pressures to engage in accommodation focal to the parenting domain.

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Library (16)

Date Range

Military REACH Publications

Focus Terms

Military Branch of Service

Sample Affiliation

Age Group

Military Affiliation

Publication Type