Mental Health Outcomes Associated with Risk and Resilience among Military-Connected Youth.

Mental Health Outcomes Associated with Risk and Resilience among Military-Connected Youth.
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与军队有联系的青年中与风险和复原力相关的心理健康结果。

DOI:
10.1111/famp.12596
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发表时间:
2021-06
期刊:
影响因子:
3.9
通讯作者:
Castro CA
Castro CA
中科院分区:
心理学2区
文献类型:
--
作者:
Sullivan KS;Hawkins SA;Gilreath TD;Castro CA

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本研究旨在描述影响美国军人家庭的风险和保护因素的模式,以及它们与军人相关儿童心理健康诊断的关系。战时服兵役与与军队有关的年轻人的不良后果增加有关,但很少有研究探讨并发风险和获得保护因素的影响。利用大数据方法将现有数据集联系起来,从1630名美国军人配偶完成的自愿调查中得出了保护因素(如婚姻和家庭功能)。风险因素(如父母心理健康、家庭搬迁、部署)取自国防部档案数据。青少年的心理健康诊断率来源于国防部的医疗记录。使用三步潜剖面分析方法,出现了五种不同风险和保护因素的变异特征。最大的一组(40%的样本)有相当大的保护因素和有限的风险暴露。在与军队有联系的青年中,心理健康诊断的患病率在各类型中存在统计学差异(χ2 = 30.067, df = 4, p < .001),在保护因素最低的两种类型中,患病率最高(31.1%和30.5%)。调查结果表明,大多数军人家庭都过得很好,并强调了对军人家庭面临的压力因素和他们拥有的优势进行全面评估的重要性。
The present study aimed to describe patterns of risk and protective factors affecting U.S. Army families and their association with mental health diagnoses among military-connected children. Wartime military service is associated with increased adverse outcomes for military-connected youth, but few studies have explored the impact of concurrent risk and access to protective factors. Using big data methods to link existing datasets, protective factors (e.g., marital and family functioning) were drawn from a voluntary survey completed by 1,630 US Army spouses. Risk factors (e.g., parent mental health, family moves, deployment) were drawn from Department of Defense (DoD) archival data. Rates of mental health diagnoses among youth were derived from DoD healthcare records. Using the three-step method of latent profile analysis, five profiles emerged with variability across risk and protective factors. The largest group (40% of the sample) had considerable protective factors and limited risk exposure. Statistically significant differences in the prevalence of mental health diagnoses among military-connected youth were observed across profiles (χ2 = 30.067, df = 4, p < .001), with the highest rates (31.1% and 30.5%) observed in the two profiles with the lowest protective factors. Findings suggest most military families are faring well and highlight the importance of a thorough assessment that evaluates both the stressors military families face and the strengths they possess.
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