Family Problems Among Recently Returned Military Veterans Referred for a Mental Health Evaluation

Sayers, Steven L.; Farrow, Victoria A.; Ross, Jennifer; Oslin, David W.

doi:10.4088/jcp.07m03863

Cited by 391 publications

(356 citation statements)

References 38 publications

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“…Among Army families with children 3.5 years old or younger, parent stress was related to child behavior problems (Barker and Berry 2009). These effects appear to persist among OEF/OIF/OND veterans referred for mental health evaluations over a year post-deployment, on average (Sayers et al 2009); among these veterans, 78 % reported a family concern, including having a troubled relationship (58 %), having disagreements about responsibilities (57 %), feeling like a guest within the family (41 %), being unsure of responsibilities (37 %), and children being afraid or not warm toward the veteran.…”

Section: Current Eramentioning

confidence: 99%

“…In a study of active duty military families affected by OEF/OIF/OND deployments either currently or within the prior 12 months, service member PTSD symptoms were associated with child depression, internalizing behaviors, and externalizing behaviors in children ages 6-to 12 years old (Lester et al 2010). Among married/partnered OEF/OIF/OND veterans referred for a mental health evaluation, PTSD was associated with children's fear of or emotional distance from the veteran (Sayers et al 2009). In this same study, the avoidance and emotional numbing PTSD clusters were associated with having at least one role-related family problem.…”

Section: Current Eramentioning

confidence: 99%

See 1 more Smart Citation

Long-Term Trajectories and Service Needs for Military Families

Link

Palinkas

2013

Clin Child Fam Psychol Rev

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The deployment of US military personnel to recent conflicts has been a significant stressor for their families; yet, we know relatively little about the long-term family effects of these deployments. Using data from prior military service eras, we review our current understanding of the long-term functioning and needs of military families. These data suggest that overseas deployment, exposure to combat, experiencing or participating in violence during war deployment, service member injury or disability, and combat-related post-traumatic stress disorder (PTSD) all have profound impacts on the functioning of military families. We offer several recommendations to address these impacts such as the provision of family-centered, trauma-informed resources to families of veterans with PTSD and veterans who experienced high levels of combat and war violence. Recent efforts to address the needs of caregivers of veterans should be evaluated and expanded, as necessary. We should also help military families plan for predictable life events likely to challenge their resilience and coping capacities. Future research should focus on the following: factors that mediate the relationship between PTSD, war atrocities, caregiver burden, and family dysfunction; effective family-centered interventions that can be scaled-up to meet the needs of a dispersed population; and system-level innovations necessary to ensure adequate access to these interventions.

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Section: Current Eramentioning

confidence: 99%

Section: Current Eramentioning

confidence: 99%

Long-Term Trajectories and Service Needs for Military Families

Link

Palinkas

2013

Clin Child Fam Psychol Rev

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“…Specifically, PTSD is associated with impairments in occupational and academic functioning [2][3][4][5][6], marital and family functioning [5,[7][8], parenting [9][10], and friendships and socializing [11]. Additional studies have shown associations between PTSD and objective indicators of quality of life (QOL) such as homelessness and unemployment [12][13].…”

Section: Introductionmentioning

confidence: 99%

“…Additional studies have shown associations between PTSD and objective indicators of quality of life (QOL) such as homelessness and unemployment [12][13]. Such impairments are common among populations at high risk for PTSD, such as military personnel deployed to combat [3,[5][6][8][9][10][11][12][13][14]. Research suggests that these impairments are currently affecting many Veterans of the wars in Iraq and Afghanistan (Operations Iraqi Freedom and Enduring Freedom) and are therefore important to identify and treat [15].…”

Section: Introductionmentioning

confidence: 99%

Assessment of posttraumatic stress disorder-related functional impairment: A review

Rodriguez

Holowka²,

Marx³

2012

JRRD

161

110

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Abstract-In 2010, the Department of Veterans Affairs (VA) and Department of Defense (DOD) jointly published the revised VA/DOD Clinical Practice Guideline for Management of Posttraumatic Stress. The Clinical Practice Guideline (CPG) provides evidence-based recommendations for diagnosing and treating a spectrum of stress-related disorders. Included in the CPG were recommendations for assessing posttraumatic stress disorder (PTSD) and other stress disorder-related functional impairment. This article complements those CPG recommendations by providing information that may further guide clinicians in the assessment of functional impairment related to PTSD and other stress-related disorders. We briefly review some of the empirical literature on the association between PTSD and functional impairment and some of the more frequently used methods and measures for assessing functional impairment and introduce a new measure currently being developed by our group. We suggest that information obtained via patient self-report and/or clinician rating be supplemented whenever possible with collateral data from friends, family members, coworkers, or supervisors to provide a complete picture of current and premorbid functional status. Finally, we explore several important issues that we encourage clinicians to keep in mind when assessing functional impairment among Veterans and Active Duty servicemembers.Clinical Trial Registration: ClinicalTrials.gov; PT074941, "Development and validation of a PTSD-related functional impairment scale;" http://www.clinicaltrials.gov.

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“…Servicemembers who report family problems, either before or after a deployment, are at greater risk for PTSD [1]. Also, PTSD symptoms have been found to have a negative effect on readjustment, leading to difficulties with reestablishing bonds, familial roles, and household routines [2][3]. Altogether, research highlights the importance of a postdeployment environment in which family members are able to adequately understand, communicate with, and support servicemembers experiencing PTSD and other postdeployment sequelae.…”

Section: Introductionmentioning

confidence: 99%

Randomized controlled trial of a brief Internet-based intervention for families of Veterans with posttraumatic stress disorder

Interian

Kline

Perlick³

et al. 2016

J Rehabil Res Dev

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Abstract-Veterans with posttraumatic stress disorder (PTSD) and their families require resources to cope with postdeployment readjustment. Responding to this need, the current study examined a brief Internet-based intervention that provided Veterans' families with psychoeducation on postdeployment readjustment. Participants were 103 dyads of Veterans with probable PTSD and a designated family member/partner. Dyads were randomized to an intervention group, in which the family member completed the intervention, or to a control group with no intervention. Each member of the dyad completed surveys at baseline and 2 mo follow-up. Family member surveys focused on perceived empowerment, efficacy to provide support, and communication (perceived criticism and reactivity to criticism). Veteran surveys assessed perceived family support and communication. Results showed that Veterans in the intervention group reported decreases in reactivity to criticism but also decreased perceived family support. No significant differences were observed in outcomes reported by family members. This preliminary study provides an early understanding of this novel outreach program, as well as the challenges inherent with a very brief intervention. Future research can build on the current study by more closely evaluating the communication changes that occur with this form of intervention and whether greater intervention intensity is needed. Clinical Trial Registration: ClinicalTrials.gov; "The families of heroes: An evaluation of an online educational tool": NCT01554839; https://clinicaltrials.gov/ct2/show/NCT01554839?term=NCT01554839

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Family Problems Among Recently Returned Military Veterans Referred for a Mental Health Evaluation

Cited by 391 publications

References 38 publications

Long-Term Trajectories and Service Needs for Military Families

Long-Term Trajectories and Service Needs for Military Families

Assessment of posttraumatic stress disorder-related functional impairment: A review

Randomized controlled trial of a brief Internet-based intervention for families of Veterans with posttraumatic stress disorder

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