Mental health outcomes associated with profiles of risk and resilience among U.S. Army spouses.

Mental health outcomes associated with profiles of risk and resilience among U.S. Army spouses.
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心理健康结果与美国陆军配偶的风险和韧性相关。

DOI:
10.1037/fam0000702
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发表时间:
2021-03
期刊:
Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)
影响因子:
--
通讯作者:
Castro CA
Castro CA
中科院分区:
其他
文献类型:
--
作者:
Sullivan KS;Hawkins SA;Gilreath TD;Castro CA

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目前的研究调查了军人家庭的风险模式和保护因素以及美国陆军配偶心理健康诊断的关联。配偶(N = 3,036)完成了一项家庭社会心理健康调查,了解了包括应对、家庭凝聚力和社会支持在内的保护因素。调查结果与国防部 (DoD) 档案数据相关联,该数据提供了有关军事特定风险的信息,包括搬迁、部署和统一以及心理健康护理诊断。潜在概况分析的三步法确定了六种概况,表明军人家庭在获取资源和面临风险方面存在显着异质性。最大的家庭(占样本的 40.48%)风险敞口有限,但实力相当大。不同档案中风险和保护的变异性与配偶之间心理健康诊断患病率的统计显着差异相关(χ2 = 108.968,df = 5,p < .001)。在保护因素水平最低的情况下,军队配偶中心理健康诊断的患病率最高(41.2%)。研究结果表明评估并发风险和保护因素的重要性。增加获得资源的机会可能是为陷入困境的军人家庭提供有效的预防途径。
The current study examined patterns of risk and protective factors among military families and associations with mental health diagnoses among U.S. Army spouses. Spouses (N = 3,036) completed a survey of family psychosocial fitness, which informed protective factors including coping, family cohesion, and social support. Survey results were linked with Department of Defense (DoD) archival data, which provided information on military-specific risks, including relocation, deployments, and reunification, as well as mental health care diagnoses. The three-step method of latent profile analysis identified six profiles, suggesting significant heterogeneity in military families with respect to their access to resources and exposure to risk. The largest profile of families (40.48% of the sample) had limited risk exposure and considerable strengths. Variability in risk and protection across profiles was associated with statistically significant differences in the prevalence of mental health diagnoses among spouses (χ2 = 108.968, df = 5, p < .001). The highest prevalence of mental health diagnoses among Army spouses (41.2%) was observed in the profile with the lowest levels of protective factors. Findings point to the importance of evaluating both concurrent risk and protective factors. Increasing access to resources may be a fruitful avenue for prevention among military families that are struggling.
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