Psychiatric Care in the Military Community: Family and Military Stressors

Ursano, Robert J.; Holloway, Harry C.; Jones, David R.; Rodriguez, Alex R.; Belenky, Gregory

doi:10.1176/ps.40.12.1284

Cited by 16 publications

(14 citation statements)

References 22 publications

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“…Likewise, marital satisfaction was not affected by routine deployments nor by operations such as ODS and Operation Restore Hope in Somalia in 1993 (Bell, Teitelbaum, & Schumm, 1996; Schumm, Bell, Knott, & Rice, 1996). In other words, multiple studies throughout the 1980s and 1990s showed that spouses and children of service members often experienced symptoms of depression and anxiety during and immediately after their loved one's deployment (Kelley, 1994; Ursano et al, 1989); however, the military family picture was essentially one of successful negotiation of the demands of military life.…”

Section: The Deployment Cycle and Military Familiesmentioning

confidence: 99%

The case for treating depression in military spouses.

Verdeli¹,

Baily²,

Vousoura³

et al. 2011

Journal of Family Psychology

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The increased operational tempo associated with current deployments to Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) is placing considerable strain on military families. Among other sequelae of OIF and OEF deployment, findings from recent studies suggest high rates of depression in spouses of service members. This review presents a rationale for targeting depression among military spouses. It examines how stressors relating to the deployment cycle may contribute to depression in spouses, and outlines the effects of spousal depression on the mental health of service members and their children. Mental health services currently available to military spouses as well as barriers to their care are also described. Considerations for the adaptation of treatment to their unique circumstances and needs are discussed.

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Section: The Deployment Cycle and Military Familiesmentioning

confidence: 99%

The case for treating depression in military spouses.

Verdeli¹,

Baily²,

Vousoura³

et al. 2011

Journal of Family Psychology

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“…Profound transgenerational shifts and strains have been documented in families of survivors of the Nazi holocaust (Felsen & Erlich, 1990). Even in the absence of wartime threats and trauma, separation due to military deployment during peacetime can result in stressful shifts in family system structure and dynamics (Ursano et al, 1989).…”

Section: Toms Of Psychosocial Malfunctioning and Even Begin To Accruementioning

confidence: 99%

Psychosocial Debriefing After Operation Desert Storm: Marital and Family Assessment and Intervention

Ford

Shaw

Sennhauser

et al. 1993

Journal of Social Issues

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This article provides an overview of and initial empirical findings from a preventive clinical/educational model for psychosocial assessment and intervention with the families of Operation Desert Storm (ODS) veterans. Interview and questionnaire data were obtained (a) 2–6 months after demobilization from ODS from veteran/veteran or veteran/civilian spouse couples who received conjoint time‐limited therapy and veterans from the same Reserve and National Guard Units who received one‐to‐one time‐limited therapy and (b) 12–15 months after demobilization from veterans deployed during ODS with the same military units. Principal findings are as follows: (1) the trauma and strain of war‐zone military service, family separation, and subsequent family and community readjustment take a toll on a significant minority of ODS veterans and their families that is directly related to the stress symptomatology experienced by the veteran; and (2) with timely psychosocial intervention—based on life‐span developmental and self‐psychology, family systems theory, and a communitarian social integration model—veterans and families in distress are able to substantially resolve symptoms of psychosocial malfunctioning and even begin to accrue personal and systemic benefits from their ODS stressor experiences.

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“…2 This is partly because selection and retention criteria lead to low rates of chronic physical disorders, but military service also has unique stressors that can increase mental disorders. 3–6 Annual hospital bed days owing to mental disorders in the US military doubled 7 between 2006 and 2010. The military suicide rate also increased substantially during this period.…”

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confidence: 99%