Complicated Family Reintegration in OEF-OIF Veterans

项目摘要/摘要：OEF-OIF退伍军人复杂的家庭重新融合 项目背景：家庭成员可以成为返回服务人员的重要支持来源，但 这些关系会增加重新适应平民生活的难度。相对而言， 研究战时部署后家庭重新融合的问题，特别是与创伤有关的 这些症状限制了成功的重返社会，并对家庭功能产生影响。更好地理解家庭 重返社会和家庭功能将有助于为在这些方面遇到困难的退伍军人创造干预措施。 地区 项目目标：我们计划在费城地区招募200多名已婚/有伴侣的退伍军人， 在从部署地返回后两年内参加“持久自由行动”-“伊部队”冲突。我们将评估家庭团聚的程度 退伍军人的精神症状从没有到高度困扰。我们将测试 焦虑和抑郁症状是否与家庭功能在最初的评估，并再次 在1年内。我们还将测试精神症状对随后的家庭功能的影响是否是由以下因素介导的： 家庭重新融合的过程。在样本的一个子集中，我们将评估关于抑郁和抑郁程度的主观报告， 焦虑症状可能会干扰重返社会的进程。 项目方法：我们计划从费城退伍军人医疗中心招募退伍军人和他们的家庭成员， 横向和纵向研究。评估将通过与退伍军人及其配偶在 VA医疗中心，或通过电话使用一套结构化的面试评估。面试将评估焦虑， 抑郁和其他精神症状，家庭团聚，整体家庭功能，以及一系列人口统计学 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 探讨精神病症状对家庭团聚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该系统更好地推广的调查结果 为退伍军人服务。具体来说，调查结果将告知咨询和精神病服务， 帮助他们恢复平民生活，精神问题是否以及如何妨碍重新适应和重新融入社会， 我们对退伍军人在部署后时期的家庭经历的了解。这些发现高度 与退伍军人事务部和更广泛的军事服务社区的使命有关。首先，VA寻求改善 退伍军人的健康和福祉，并提高其家庭的福祉。家庭成员的支持 返回的退伍军人是他们部署后时期的一个关键部分，了解如何帮助退伍军人和他们的 家庭在这个过程中至关重要。

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.