Complicated Family Reintegration in OEF-OIF Veterans

OEF-OIF 退伍军人重新融入家庭的复杂问题

• 批准号: 8600183
• 负责人: STEVEN L. SAYERS
• 金额: --
• 依托单位: PHILADELPHIA VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-06-01 至 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8600183
• 关键词: Accounting; Anxiety; Area; Buffers; Caring; Clinical; Community Services; Conflict (Psychology); Counseling; Development; Emotional; Family; Family Process; Family dynamics; Family member; Freedom; Goals; Health; Intervention; Interview; Investigation; Knowledge; Life; Literature; Longitudinal Studies; Mediating; Medical center; Mental Depression; Mental Health; Methods; Military Personnel; Mission; Moods; Participant; Personal Satisfaction; Phase; Philadelphia; Post-Traumatic Stress Disorders; Process; Recommendation; Recruitment Activity; Reporting; Research; Resources; Risk; Role; Sampling; Services; Social support; Source; Spouses; Structure; Symptoms; System; Telephone; Testing; Time; Trauma; Veterans; War; abstracting; combat; depressive symptoms; experience; follow-up; improved; intervention program; member; operation; outreach; social; therapy development; treatment program

Project Summary/Abstract: Complicated Family Reintegration in OEF-OIF Veterans Project Background: Family members can be a great source of support to returning service members, but problems in these relationships can add to the difficulty of readjustment to civilian life. There has been relatively little systematic research on problems in family reintegration after a wartime deployment, especially regarding the role that trauma-related symptoms have in limiting successful reintegration and the impact on family functioning. A better understanding of family reintegration and family functioning would assist the creation of interventions for veterans experiencing difficulties in these areas. Project Objectives: We plan to recruit in the Philadelphia area over 200 married/partnered military veterans who served in the OEF-OIF conflicts within 2 years of return from deployment. We will assess the degree of family reintegration problems of among veterans with psychiatric symptoms ranging from none to a high level of disturbance. We will test whether anxiety and depressive symptoms are associated with family functioning at the initial assessment and also again in 1 year. We will also test whether the impact of psychiatric symptoms on subsequent family functioning is mediated by the process of family reintegration. In a subset of the sample, we will assess the subjective reports of how depressive and anxiety symptoms may interfere with the reintegration process. Project Methods: We plan to recruit veterans and their family members from the Philadelphia VA Medical Center for this cross-sectional and longitudinal study. Assessments will be conducted with the veteran, his/her spouse by interview at the VA Medical Center, or by telephone using a structured set of interview assessments. The interviews will assess anxiety, depressive and other psychiatric symptoms, family reintegration, overall family functioning, and a range of demographic and military service covariates. Additional qualitative interview methods with the veterans and their spouses will be used to examine the subjective impact of psychiatric symptoms on family reintegration and family problems. Anticipated Impacts on Veterans Care: This study will provide findings that will help the system develop better outreach and services for returning veterans. Specifically, the findings will inform the counseling and psychiatric services that will help them return to civilian life, whether and how psychiatric difficulties impede readjustment and reintegration, and extend our knowledge about the family experiences of military veterans in the post-deployment period. These findings are highly relevant to the mission of the VA and the broader military service community. First and foremost, the VA seeks to improve the health and well-being of veterans and to enhance the well-being of their families. The support of family members of returning veterans is a key part of their post-deployment period, and understanding how to assist veterans and their families in this process is crucial.

项目摘要/摘要：EEF-OIF退伍军人的复杂家庭重返社会 项目背景：家庭成员可以成为回归服务成员的重要支持来源，但是 这些关系可以增加对平民生活的重新调整的困难。系统的系统很少 在战时部署后家庭重返社会问题的研究，尤其是关于创伤有关的作用 症状限制了成功的重新整合和对家庭功能的影响。更好地了解家庭 重新整合和家庭功能将有助于为退伍军人创建干预措施，在这些中遇到困难 区域。 项目目标：我们计划在费城地区招募200多名已婚/合作退伍军人 在部署后的2年内，在OEF-OIF冲突中。我们将评估家庭重返社会的程度 有精神病症状的退伍军人中的问题，从无效到高水平的干扰。我们将测试 焦虑和抑郁症状是否与初始评估时的家庭功能有关 在1年内。我们还将测试精神症状对随后家庭功能的影响是否由 家庭重返社会的过程。在样本的一部分中，我们将评估有关抑郁和如何抑郁的主观报告 焦虑症状可能会干扰重融合过程。 项目方法：我们计划从费城VA医疗中心招募退伍军人及其家人 横断面和纵向研究。评估将与老将，他/她的配偶在面试中进行 VA医疗中心，或通过电话使用结构化的访谈评估。访谈将评估焦虑， 抑郁症和其他精神病症状，家庭重返社会，整体家庭功能以及一系列人口统计 和兵役协变量。将使用与退伍军人及其配偶的其他定性访谈方法 检查精神症状对家庭重返社会和家庭问题的主观影响。 对退伍军人护理的预期影响：这项研究将提供有助于系统发展更好的外展的发现 和返回退伍军人的服务。具体而言，调查结果将为咨询和精神病服务提供信息 帮助他们重返平民生活，无论精神病困难如何阻碍重新调整和重新融入，并扩展 我们对退出后期退伍军人家庭经历的了解。这些发现很高 与VA和更广泛的兵役社区有关。首先，弗吉尼亚州试图改善 退伍军人的健康和福祉，并增强家人的福祉。家庭成员的支持 返回退伍军人是其后期期间的关键部分，并了解如何协助退伍军人及其 在此过程中的家庭至关重要。