Family Adaptation to OIF Deployment

家庭适应 OIF 部署

• 批准号: 8471781
• 负责人: CASEY T TAFT
• 金额: $ 30.24万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-05-22 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8471781
• 关键词: Afghanistan; Archives; Characteristics; Child; Child Abuse and Neglect; Child Mental Health; Chronic; Cognitive; Conflict (Psychology); Data; Data Collection; Event; Exposure to; Family; Family Relationship; Family member; Freedom; Functional disorder; Future; Goals; Health; Health Benefit; Household; Intervention; Interview; Iraq; Length; Life; Measurement; Measures; Mental Health; Mental Health Services; Mental disorders; Military Personnel; Modeling; Neurocognition; Observational Study; Outcome; Patient Self-Report; Performance; Personal Satisfaction; Post-Traumatic Stress Disorders; Preventive Intervention; Problem behavior; Productivity; Psychological adjustment; Public Health; Questionnaires; Recovery; Reporting; Research; Resources; Risk; Risk Factors; Services; Severities; Social support; Societies; Spouses; Stress; Symptoms; Telephone; Veterans; War; Work; base; beneficiary; cohesion; cohort; combat; cooperative study; cost; cost effective; design; family influence; follow-up; health care service utilization; longitudinal course; member; modifiable risk; neuropsychological; operation; partner aggression; prevent; programs; protective effect; psychologic; psychological distress; psychosocial; resilience; targeted delivery

DESCRIPTION (provided by applicant): With over 2.1 million service members deployed at least once in support of Operation Enduring Freedom or Operation Iraqi Freedom (OIF), many contemporary military families are strained. The impact of recent deployments on the family is largely unknown, although available evidence suggests that deployments take a considerable toll on families, leading to psychological distress, behavioral problems, and family discord. Such psychosocial dysfunction likely comes with substantial societal costs. Military partners/spouses comprise a large proportion of the US workforce and are potential beneficiaries of mental health services. Likewise, the well-being and future productivity of military children are critical to society. Research from previous deployments suggests that warzone veteran posttraumatic stress disorder (PTSD) confers significant additional risk of poor psychosocial outcomes in families. Little is known, however, about how pre-deployment characteristics, social support, and the course of combat veteran PTSD symptoms influence family adaptation, especially in the context of recent deployments. The immediate aim of the proposed work is to examine associations of OIF veteran PTSD symptoms (and symptoms trajectories, pre-deployment to 8 years post-deployment) with family mental health outcomes and family functioning. The longer term goal is to use study findings to enhance family mental health adaptation to deployment by informing service delivery targets and prevention interventions among military/military veteran family members. We hypothesize that OIF veteran PTSD, especially if chronic, will be associated with poorer family outcomes, and that risk and resilience variables (e.g., family social support, veteran characteristics) will moderate the impact of veteran PTSD on family outcomes. This unique observational study involves primary data collection from the family members (N = 380 families) of previously followed nationally-dispersed OIF veterans, which will be analyzed with the large body of archived OIF veteran data collected from the Neurocognition Deployment Health Study and VA Cooperative Study Program (CSP) #566. The OIF veteran data are distinct from other efforts because they contain self-report questionnaires, interview data, and objective, neuropsychological performance data in the context of longitudinal measurement of veteran mental health (beginning prior to deployment). Family data will encompass self-report questionnaires and phone interviews, with family outcomes relevant to spouses/partners, children, and overall family cohesion. The VA CSP presents a cost-effective platform for contacting veteran cohort members and accessing archived veteran data.

描述（由申请人提供）：有超过210万服务人员部署至少一次支持持久自由行动或伊拉克自由行动（OIF），许多当代军人家庭都很紧张。最近的部署对家庭的影响在很大程度上是未知的，尽管现有的证据表明，部署对家庭造成了相当大的损失，导致心理困扰，行为问题和家庭不和。这种心理社会功能障碍可能会带来巨大的社会成本。军人伴侣/配偶占美国劳动力的很大比例，是心理健康服务的潜在受益者。同样，军人子女的福祉和未来生产力对社会至关重要。从以前的部署研究表明，战区退伍军人创伤后应激障碍（PTSD）赋予显着的额外风险，在家庭不良的心理社会后果。然而，鲜为人知的是，如何部署前的特点，社会支持，以及战斗老兵PTSD症状的过程中影响家庭适应，特别是在最近的部署。拟议工作的直接目标是检查OIF退伍军人PTSD症状（和症状轨迹，部署前至部署后8年）与家庭心理健康结果和家庭功能的关系。长期目标是利用研究结果，通过告知军事/退伍军人家庭成员的服务提供目标和预防干预措施，增强家庭心理健康对部署的适应。我们假设OIF退伍军人PTSD，特别是慢性PTSD，将与较差的家庭结局相关，并且风险和弹性变量（例如，家庭社会 支持，退伍军人特征）将缓和退伍军人PTSD对家庭结果的影响。这项独特的观察性研究涉及从以前跟踪的全国分散的OIF退伍军人的家庭成员（N = 380个家庭）收集的主要数据，这些数据将与从神经认知部署健康研究和VA合作研究计划（CSP）#566收集的大量存档OIF退伍军人数据进行分析。OIF退伍军人数据与其他努力不同，因为它们包含自我报告问卷，访谈数据，以及在退伍军人心理健康纵向测量（部署前开始）背景下的客观神经心理学表现数据。家庭数据将包括自我报告问卷和电话访谈，以及与配偶/伴侣、子女和整体家庭凝聚力有关的家庭结果。VA CSP提供了一个具有成本效益的平台，用于联系退伍军人队列成员和访问存档的退伍军人数据。