The impact of financial strain and external locus of control on psychological distress among single CAF members with children

Introduction: Military families are often confronted with unique financial stressors related to the military lifestyle, including relocations, loss of spousal job, or child care expenses. Moreover, the impact of financial stressors may be exacerbated in single-parent military families. Although there is an increasing number of single-parent families in the Canadian Armed Forces (CAF), research concerning the role of financial stressors in their psychological well-being is limited. Methods: The goal of this study was to examine the role of financial stressors in the psychological well-being of single and married CAF members with and without children ( n = 1,781). Results: Single CAF members with children reported significantly higher financial strain and psychological distress than other CAF members. In addition, hierarchical regression analyses revealed that financial strain and an external locus of control played important roles in psychological distress even when family structure was taken into account. Discussion: Organizational implications, including recommendations related to financial education services aimed at single CAF members with children and the development of programs to promote an internal financial locus of control, are discussed.

Critical questions: Advancing the health of female Veterans

PURPOSE

Women are the fastest growing Veteran population in the United States and many receive all or part of their health care outside of the Department of Veterans Affairs (VA). The purpose of this article is to review the healthcare issues of women Veterans and discuss implications for care.

DATA SOURCES

Review of selected literature, VA resources and guidelines, and expert opinion.

CONCLUSIONS

Few providers are aware of the impact military service has on the health of women and fail to ask the all-important question, "Have you served in the military?" Recognizing women's military service can reveal important information that can answer perplexing clinical questions, aid in designing comprehensive plans of care, and enable women to receive the assistance needed to address complex physical and psychosocial issues to improve the quality of their lives.

IMPLICATIONS FOR PRACTICE

There are gender disparities related to physical health conditions, mental health issues, environmental exposures, and socioeconomic factors that contribute to female Veterans' vulnerabilities. Many of the health conditions, if recognized in a timely manner, can be ameliorated and shift the health trajectory of this population. Clinicians play a critical role in identifying health risk and helping female Veterans start the sometimes arduous journey toward wellness. Discovering and acknowledging women's military history is critical in ensuring quality care and appropriate decision making.

Caring for children and youth from Canadian military families: Special considerations

Military families experience a number of life stressors, such as frequent geographical moves, long periods of separation within the family, geographic isolation from extended family support systems and deployments to high-risk areas of the world. While children and youth in military families experience all the same developmental and motivational trajectories as their civilian counterparts, they must also contend with more unusual developmental pressures and stressors placed on them by the unique demands of military life. The effects of the military life on families and children are beginning to be recognized and characterized more fully. Understanding the unique concerns of children and youth from military families and mobilizing specific resources to support them are critical for meeting the health care needs of this population.

The psychosocial effects of deployment on military children

OBJECTIVE

The impact of the Global War on Terror on two million U.S. military children remains unknown. The purpose of this study was to describe the psychosocial profile of school age children during parental deployment utilizing standardized psychosocial health and stress measures, and to identify predictors of children at "high risk" for psychosocial morbidity during wartime deployment.

METHODS

Army spouses with a deployed service member and a child aged 5-12 years completed a deployment packet consisting of demographic and psychosocial questions. The psychosocial health measures included the Pediatric Symptom Checklist (PSC), the Parenting Stress Index-Short Form and the Perceived Stress Scale-4.

RESULTS

Overall, 32% of respondents exceeded the PSC cut off score for their child, indicating "high risk" for psychosocial morbidity and 42% reported "high risk" stress on the Parenting Stress Index-Short Form. Parenting stress significantly predicted an increase in child psychosocial morbidity (odds ratio 7.41, confidence interval 2.9-19.0, p < 0.01). Parents utilizing military support reported less child psychosocial morbidity (odds ratio 0.32, confidence interval 0.13-0.77, p < 0.01) and parental college education was related to a decrease in child psychosocial morbidity (odds ratio 0.33, confidence interval 0.13-0.81, p < 0.02). The effects of military rank, child gender, child age, and race or ethnic background did not reach statistical significance.

CONCLUSION

Families in this study experiencing deployment identified one-third of military children at "high risk" for psychosocial morbidity. The most significant predictor of child psychosocial functioning during wartime deployment was parenting stress. Military, family and community supports help mitigate family stress during periods of deployment.

Domestic violence and deployment in US Army soldiers

Although military deployment has been suggested as a possible cause of increases in domestic violence, little is known about it. The purpose of this study was to determine if deployment of 6 months to Bosnia predicted early postdeployment domestic violence. Active duty recently deployed (N = 313) and nondeployed (N = 712) male soldiers volunteered to take an anonymous questionnaire. Deployment was not a significant predictor of postdeployment domestic violence. However, younger soldiers, those with predeployment domestic violence, nonwhite race, and off-post residence also were more likely to report postdeployment domestic violence. The predicted probability of postdeployment domestic violence for a deployed 20-year-old, nonwhite soldier with a history of predeployment domestic violence and who lives on-post was.20. For the soldier without a history of predeployment domestic violence, it was.05. Prevention and intervention programs for postdeployment domestic violence shortly after return should target age and persons with a domestic violence history rather than deployment per se.

Internalizing and externalizing behavior of children with enlisted Navy mothers experiencing military-induced separation

OBJECTIVES

To examine whether children with Navy mothers exhibit higher levels of internalizing and externalizing behavior than children in civilian families and whether deployment affects children's internalizing and externalizing behavior.

METHOD

Navy mothers who experienced deployment completed a measure assessing children's internalizing and externalizing behavior before and after a deployment (and at similar intervals for the Navy and civilian comparison groups). Data collection took place between 1996 and 1998.

RESULTS

Navy children with deployed mothers exhibited higher levels of internalizing behavior than children with nondeployed Navy mothers. Navy children whose mothers experienced deployment were more likely to exhibit clinical levels of internalizing behavior than Navy children with nondeployed mothers or civilian children. Group differences, however, were modest and overall mean scores were in the normal range.

CONCLUSIONS

Findings do not suggest greater pathology in children of Navy mothers; however, findings do indicate we should be particularly attentive of deployed mothers and their children.