Social Support and Mental Health Outcomes Among U.S. Army Special Operations Personnel

Mental health disorders continue to plague service members and veterans; thus, new approaches are required to help address such outcomes. The identification of risk and resilience factors for these disorders in specific populations can better inform both treatment and prevention strategies. This study focuses on a unique population of U.S. Army Special Operations personnel to assess how specific avenues of social support and personal morale are related to mental health outcomes. The results indicate that, whereas personal morale and friend support reduce the relationship between combat experiences and posttraumatic stress disorder (PTSD), strong unit support exacerbates the negative effects of combat experiences in relation to PTSD. The study thus shows that although informal social support can lessen postdeployment mental health concerns, military populations with strong internal bonds may be at greater risk of PTSD because the support that they receive from fellow service members may heighten the traumatic impact of combat experiences.     

DEPLOYMENT STATUS: A DIRECT OR INDIRECT EFFECT ON MOTHER–CHILD ATTACHMENT WITHIN A CANADIAN MILITARY CONTEXT?

Research has suggested that military spouses experience increased depressive symptoms and parenting stress during a military member's deployment. A relationship between maternal depressive symptoms, parenting stress, and child attachment security has been found in the general population, as has an indication that social support may provide a buffering effect. While there appears to be an association between the emotional well‐being of military spouses and child emotional well‐being during deployment, data are limited regarding the association between maternal emotional well‐being and child attachment security. The current study explores the association between deployment status and child attachment to the nonmilitary parent (i.e., the mother in this study) in a sample of 68 Canadian military families. Results revealed a significant impact of deployment status on maternal depressive symptoms and on quality of child attachment. The impact of deployment status on attachment was not mediated through the maternal variables, and despite a main effect of social support on the maternal variables, there was no moderating effect. Thus, our results suggest that deployment may affect child attachment independently of maternal well‐being.     

The role of community context and psychological well-being for physical health: A dyadic study of military couples

Drawing from the social organizational theory of community action and change (SOAC) within a systemic biopsychosocial perspective, associations between community context (military community connections and satisfaction with military life), psychological well-being (depressive symptoms, anxiety, and self-efficacy), and physical health were examined for a sample of active duty service members and their civilian spouses (N = 236 couples) using an actor partner interdependence framework. Service members with higher levels of military community connections reported better psychological well-being. When civilian spouses were more satisfied with military life, both partners reported better psychological well-being. In turn, both spouses’ psychological well-being was related to their own reports of physical health. Statistically significant indirect effects were found between community contexts and spouses’ physical health. Enhancing community connections may be an important leverage point for supporting health and family readiness.     

Deployment‐Related Benefit Finding and Postdeployment Marital Satisfaction in Military Couples

Extensive research has evaluated potential negative effects of military deployments on romantic relationships. Comparatively few studies have examined potential positive effects of such deployments. In stressful situations, benefit finding (BF) has been found to be linked with better functioning on both individual and interpersonal levels. This study reports on deployment‐related BF in a sample of 67 male service members (SMs) who deployed at least once since 9/11/2001 and their wives. Couples completed measures of marital satisfaction at baseline (an average of 1 year postdeployment) and follow‐up 4–6 months later. At follow‐up, SMs also provided data on symptoms of posttraumatic stress, and both partners provided reports of deployment‐related BF. Multivariate path analysis controlling for SMs' PTSD symptom severity revealed that wives' BF was positively associated with increases in SMs' relationship satisfaction. These findings suggest that wives' responses to deployment may be more influential than SMs' responses to deployment on military couples' relationships. This pattern indicates that support for spouses during deployments is essential; furthermore, such support should include an emphasis on trying to facilitate personal growth in spouses.     

Stress, Religious Coping Resources, and Depressive Symptoms in an Urban Adolescent Sample

We surveyed low-income urban adolescents about their total exposure to urban stressors and their use of religious coping resources, specifically in the areas of social support, spiritual support, and community service opportunities provided by their congregations. Additionally, we assessed their current levels of depressive symptomatology. Among females, the relationship between stress and depressive symptoms was moderated by the use of spiritual support and community service opportunities. The moderating relationship was such that at low levels of stress, high usage of these resources protected against the development of depressive symptoms. At high levels of stress, however, the protective relationship was lost. Lastly, when the social support aspects of religious coping were statistically controlled, the moderation effect disappeared, suggesting that within this sample, the social support seeking aspects of the resources, rather than their religious nature, was responsible for the effects.     

Moderating Effect of Marital Status on the Association Between Combat Exposure and Post-Deployment Mental Health in Canadian Military Personnel

For military personnel, there are positive and negative aspects of marriage, which may contribute to mental health during times of high stress. The present study investigated the relationship of marital status with three mental health outcomes (general mental health, posttraumatic stress disorder [PTSD], depression) among 14,624 Canadian military personnel recently deployed in support of the mission in Afghanistan. Greater combat exposure was associated with poorer postdeployment mental health, but marital status was, on its own, only slightly associated with PTSD. Marital status significantly moderated the relationship between combat exposure and mental health: For both single and married participants, mental health declined as combat exposure increased, but this association was stronger for married members. This association could be due to the additional familial demands that married personnel may face upon their return from deployment or to the stresses associated with poor marital satisfaction. Overall, results suggest that the relationship between marital status and mental health after deployment is complex and may vary according to other factors.     

Keeping Engaged During Deployment: The Interplay Between Self-Efficacy,Family Support,and Threat Exposure

This study investigated the importance of 2 resilience resources for service members’ ability to deal with threat during deployment. Military self-efficacy and family support were measured before deployment and related to work engagement and burnout levels of service members during deployment. We hypothesized that in high threat situations, low self-efficacy would lead to unfavorable outcomes, whereas in low threat situations, high self-efficacy could have negative consequences. In addition, we hypothesized that family support would compensate for both effects. The results showed these expected 3-way interactions. We found that strong self-efficacy helped service members deal with exposure to threatening situations during deployment, leading to more work engagement and less burnout. However, having strong self-efficacy without being exposed to threat during deployment reduced service members’ work engagement and increased burnout. In addition, we found that the presence of family support compensated for these effects. Service members with low self-efficacy benefitted from family support when threat exposure was high, whereas service members with high self-efficacy benefitted from family support when threat exposure was low. As such, family support seemed to act as a compensatory mechanism for the potential negative effects of self-efficacy. This underlines the importance of studying the interplay between resources that help service members deal with deployment experiences. Practical implications relate to supporting service members’ resilience through enhancing multiple resources.     

A Review of “The Transgender Child: A Handbook for Families and Professionals”

The program described in the present article focused on service member parents and their teenage children participating in camps together. The scope of the project was to provide an opportunity for military personnel who recently returned from deployment to reconnect with an adolescent after an extended absence due to deployment. The camps used the Campfire Curriculum, which included experiential learning, team-building experiences and nightly campfire programs from the Blue to You curriculum for military families. Open-ended responses from parent participants suggested that time together with their children, interacting with fellow service members and their kids, sharing stories, and opportunities for camaraderie were especially important and meaningful.     

Do Youth Development Programs Matter? An Examination of Transitions and Well-Being Among Military Youth

The current correlational study examines the association between internal and external military family contextual factors (e.g., parental rank, having multiple military parents, school changes, living more than 30 min from a military installation, parental deployment, relationship provisions) and military youth well-being outcomes (i.e., depressive symptoms, anxiety, self-efficacy) in a sample of children of active duty military members (i.e., military youth). Data from 749 military youth, ages 11–14, were analyzed using structural equation modeling. The model explained a reasonable amount of the variation in the outcomes of interest (r-square statistics for depressive symptoms, anxiety, and self-efficacy were .151, .018, and .086, respectively). Results indicated that military youth who reported more social provisions experienced fewer depressive symptoms and more self-efficacy. Youth who reported certain military risk factors (i.e., parental rank; living farther from the military installation; multiple school changes) were associated with decreased well-being (i.e., more depressive symptoms and anxiety and less self-efficacy). However, findings suggest that participation in military programs may serve a moderating or buffering factor for these youth.     

Helping military families through the deployment process: Strategies to support parenting

Recent studies have highlighted the impact of deployment on military families and children and the corresponding need for interventions to support them. Historically, however, little emphasis has been placed on family-based interventions in general, and parenting interventions in particular, with returning service members. This paper provides an overview of research on the associations between combat deployment, parental adjustment of service members and spouses, parenting impairments, and children's adjustment problems, and provides a social interaction learning framework for research and practice to support parenting among military families affected by a parent's deployment. We then describe the Parent Management Training-Oregon model (PMTO(?)), a family of interventions that improves parenting practices and child adjustment in highly stressed families, and briefly present work on an adaptation of PMTO for use in military families (After Deployment: Adaptive Parenting Tools, or ADAPT). The article concludes with PMTO-based recommendations for clinicians providing parenting support to military families.     

Deployment Stress and Well-Being Among Military Spouses: The Role of Social Support

The demands of military service, including the intensity and frequency of military operations, can have numerous effects on military families. Evidence suggests that spousal support may play an important role in the resiliency of military families. The present study examined the roles of deployment stress and social support in the psychological well-being of spouses of deployed military personnel (N = 639). The results showed that deployment stress and perceived social support from family, nonmilitary friends, and military partner played independent roles in the psychological wellbeing of military spouses. This evidence suggests the importance of taking perceived social support into account when explaining the variance in the psychological wellbeing of military spouses. Results are discussed in light of some methodological constraints, and the potential implications related to heightening families’ perceptions of interpersonal relationships are emphasized.     

Stressors, Stress Mediators, and Emotional Weil-Being Among Spouses of Soldiers Deployed to the Persian Gulf During Operation Desert Shield/Storm

The Family Factors Field Study of Operation Desert Shield/Storm (ODS) was designed to collect data on the impact of the Persian Gulf deployment on soldier/family well-being, and the effectiveness of Army and community resources in assisting and supporting families of deployed soldiers. In October 1990, a task force was assembled, and multi-agency research teams visited several Army installations. Informal individual and group interviews were conducted with spouses, unit family support leaders, unit rear detachment personnel, garrison leaders, and local Army program/service providers. The questions were aimed at identifying key stressors which spouses and children experienced in relation to the sudden deployment, as well a stress mediators such as social supports and personal coping skills. Anecdotal information collected during the site visits, combined with findings from previous research on Army families, was used to develop a questionnaire designed to quantify those variables which emerged as relevant to a study of stressors and stress mediators in the context of the ODS deployment.     

In pursuit of job satisfaction and happiness: Testing the interactive contribution of emotion‐regulation ability and workplace social support

The present study focuses on the interplay of emotion‐regulation ability and perceived workplace social support as predictors of job satisfaction and happiness in a Spanish multi‐occupational sample. A total of 494 working adults (39.4% females) took part in this study. Emotion‐regulation ability and perceived support from colleagues and supervisors were positively associated. In addition, emotion‐regulation ability and perceived support from colleagues and supervisors showed positive associations with job satisfaction and happiness. Furthermore, considering results from moderation analyses, when low levels of perceived workplace social support were reported, the relationship between emotion regulation and both job satisfaction and happiness was stronger than in cases of higher perceived workplace support. In line with previous studies, these findings suggest that training in emotion regulation abilities may take into consideration the potential moderating role of job characteristics such as support from colleagues and supervisors. Finally, theoretical and practical implications of the joint study of these factors in line with the Job Demands‐Resources model and the Emotional Intelligence framework are discussed.     

Does Reducing Male Domination in Teams Attenuate or Intensify the Harmful Effects of Perceived Discrimination on Women's Job Satisfaction? A Test of Competing Hypotheses

This study tested competing theoretical predictions surrounding the moderating effect of male domination in teams on the relation between women's perceptions of gender discrimination and their job satisfaction. Using archival data from an all-female sample of active military personnel (n = 3,015) comprising 321 work teams, which fell on a continuum from less male dominated to more male dominated, we found that the extent to which teams were male dominated moderated the negative link between perceived gender discrimination and job satisfaction, such that perceptions of discrimination were more negatively related to job satisfaction for women working in teams that were less male dominated than for those working in teams that were more male-dominated. We conclude by discussing the implications of our findings for research and practice and highlight several avenues for future research.     

Trauma Symptoms,Communication, and Relationship Satisfaction in Military Couples

Trauma symptoms are negatively correlated with couple relationship satisfaction, which is of particular importance in the relationships of military personnel who are often exposed to trauma whilst on overseas deployment. This study tested a model in which communication mediated an association between trauma symptoms and low relationship satisfaction. Thirty‐one Australian military couples were observationally assessed during a communication task, and assessed on their relationship satisfaction and individual functioning. As expected, trauma symptoms in the male military spouse were associated with low satisfaction in both spouses. Females’ low positive communication fully mediated the relationship between males’ trauma symptoms and low female satisfaction, but not male relationship satisfaction. Unexpectedly, males’ negative communication behaviors were associated with high male relationship satisfaction, and partially mediated the association between trauma symptoms and male satisfaction. Discussion focused on how some communication usually thought of as negative might be associated with relationship satisfaction in military couples.     

Psychological Well-Being and Job Satisfaction Amongst Military Personnel on Unaccompanied Tours: The Impact of Perceived Social Support and Coping Strategies

The aim of this research was to find out to what extent psychological well-being and job satisfaction amongst British military personnel on unaccompanied tours in the Falkland Islands can be predicted by factors such as perceived social support and coping strategies. A questionnaire was distributed to a random sample of 20% of all military personnel serving in the Falkland Islands at a single point in time. The results showed that the majority of participants appeared to make the best of the situation by engaging in positive thinking and acceptance of the situation. This approach was associated with higher levels of job satisfaction but had no impact on responses to the General Health Questionnaire (Banks et al., 1980). Coping strategies that prevented participants from confronting the situation were associated with the least positive outcomes in terms of psychological well-being. The results also show that perceptions of social support were associated with both psychological well-being and job satisfaction.     

Peer Victimization and Depressive Symptoms: Role of Peers and Parent–Child Relationship

The purpose of this study was to investigate the moderating role of parental and peer support and gender differences in the association between peer victimization forms and depressive symptoms. The sample included 261 youths (ages 10–14). Physical victimization rates were higher for boys, whereas girls reported higher emotional victimization experiences and higher peer support. Regardless of gender, a significant moderation effect indicated that physical victimization was significantly related to depressive symptoms among youths with lower peer support. There were significant main effects of parental and peer support for both genders. The findings contribute to the literature regarding the effects of peer victimization on mental health by illustrating the protective role of peer support against depressive symptoms.     

I AM FAMILY: Understanding the adapted sport experiences of family members of military personnel with physical and psychological illnesses and injuries through the lens of the Invictus Games

Family are influential actors in adapted sport participation. However, little is known about their experiences with adapted sport. The current study sought to explore the experiences of families in adapted sport through the context of the Invictus Games, an international adapted sport competition for military personnel with physical and psychological illnesses and injuries that is unique in its inclusion of family programming. Family members (n = 21; partners, parents, siblings, and children) of Invictus Games Toronto 2017 competitors participated in semi-structured interviews. Data were analyzed using reflexive thematic analysis. Three themes were identified: recognition of family experiences during service and after onset of disability; creating a sense of belonging; and improving family knowledge and perceptions. This study provides insight regarding how adapted sport events can support the well-being of both individuals with illnesses and injuries and their families.     

Effects of Prolongea Isolation in Extreme Environments on Stress,Coping, and Depression1

This influence of prolongea isolation in an extreme environment on depressive symptoms, personality, and coping resources was examined in 121 members of the United States Antarctic Program in 1988–1989. Subjects were followed for a 1-year period in Antarctica. Winter-over personnel experienced an increase in depressive symptoms, avoidance as a coping method, and emotional discharge as a coping resource from baseline (T₀) to Year-1 (T₁). At T₀, education, negative life events, job-related stress, low self-confidence, active cognitive and behavioral coping methods, and low satisfaction with social support were independent predictors of depressive symptoms. At T₁, negative life events, low self-confidence, active behavioral and avoidance coping methods, affective regulation as a coping resource, and low satisfaction with social support were independent predictors of depressive symptoms. However, with the exception of T₀ depressive symptoms, none of the social and demographic characteristics and T₀ psychosocial measures predicted T₁ depressive symptoms. The results of this study support the hypothesis that coping may be more strongly associated with environmental conditions that influence severity of stressor and availability of coping resources than with more remote and stable background factors.     

When Does Soldier Patriotism or Nationalism Matter? The Role of Transformational Small‐Unit Leaders

Patriotism and nationalism, 2 sets of attitudes often associated with the military, are examined in relation to perceived combat readiness and intention to remain in military service. Transformational leadership served as an intervening variable in these relationships. Survey data obtained from a sample of Army National Guard soldiers (N = 415) were used to examine relationships. Among junior‐ranking enlisted soldiers, both patriotism and nationalism showed significant, positive associations with perceived combat readiness and intention to remain in military service. The structural equation model fit soldiers' nationalistic attitudes best, having a considerable indirect effect through transformational leadership on perceived combat readiness. Implications of nationalistic and patriotic attitudes combined with charismatic leaders to benefit soldier readiness and retention are discussed.