The link between combat exposure and mental health among military service members has been well-established, and reservists are at increased risk. This study uses a subset of cross-sectional data (N = 239) from Operation: SAFETY, an ongoing study of U.S. Army Reserve/National Guard soldiers, to examine the moderating effects of reasons for joining the military on the relations between combat exposure and post-deployment mental health symptomatology. Soldiers who served for reasons associated with “wanting a military life” had an increasingly higher likelihood of anxiety symptomatology with greater combat exposure. Conversely, soldiers who served for reasons associated with “wanting material benefits” reported fewer mental health symptoms as combat exposure increased.
Ben-AriE.ConnellyV. (2022). Contemporary military reserves: Between the civilian and military worlds. Taylor & Francis.
2.
Ben AriE.Lomsky-FederE.GazitN. (2024). Reserve soldiers as transmigrants—two decades on: A Research note. Armed Forces & Society, 0(0), 1–9. https://doi.org/10.1177/0095327X231223541
3.
BovinM. J.MarxB. P.WeathersF. W.GallagherM. W.RodriguezP.SchnurrP. P.KeaneT. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders-fifth edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. https://doi.org/10.1037/pas0000254
4.
CasulaM.RangarajanN.ShieldsP. (2021). The potential of working hypotheses for deductive exploratory research. Quality & Quantity, 55(5), 1703–1725.
5.
CohenG. H.FinkD. S.SampsonL.GaleaS. (2015). Mental health among reserve component military service members and veterans. Epidemiologic Reviews, 37, 7–22. https://doi.org/10.1093/epirev/mxu007
6.
CraskeM.WittchenU.BogelsS.SteinM.AndrewsG.LebeuR. (2013). Severity measure for generalized anxiety disorder—Adult. In American Psychiatric Association (Ed.), Diagnostic and statistical manual V (5th ed.). American Psychiatric Publishing.
7.
Defense Manpower Data Center. (2019). Counts of active duty and reserve service members and APF civilians. 2019 Demographics Profile of the Military Community.
8.
Department of Defense. (2021). 2021 demographics report: Profile of the military community. 2021 Demographics Report: Profile of the Military Community.
DevonishJ. A.HomishD. L.VestB. M.DawsR. C.HoopsickR. A.HomishG. G. (2017). The impact of military service and traumatic brain injury on the substance use norms of army reserve and national guard soldiers and their spouses. Addictive Behaviors, 72, 51–56. https://doi.org/10.1016/j.addbeh.2017.03.012
11.
Di LeoneB. A.WangJ. M.KressinN.VogtD. (2016). Women’s veteran identity and utilization of VA health services. Psychological Services, 13(1), 60.
12.
EdmundsT.DawesA.HigateP.JenkingsK. N.WoodwardR. (2016). Reserve forces and the transformation of British military organisation: Soldiers, citizens and society. Defence Studies, 16(2), 118–136.
13.
EighmeyJ. (2006). Why do youth enlist? Identification of underlying themes. Armed Forces & Society, 32(2), 307–328.
14.
EttingerA. (2018). Ending the draft in America: The coevolution of military manpower and the capitalist state, 1948–1973. Critical Military Studies, 4(1), 1–16.
15.
GazitN.Lomsky-FederE.AriE. B. (2021). Military covenants and contracts in motion: Reservists as transmigrants 10 years later. Armed Forces & Society, 47(4), 616–634.
16.
GerbertB.BronstoneA.PantilatS.McPheeS.AllertonM.MoeJ. (1999). When asked, patients tell: Disclosure of sensitive health-risk behaviors. Medical Care, 37(1), 104–111. https://doi.org/10.1097/00005650-199901000-00014
17.
GreenC. A.PolenM. R. (2001). The health and health behaviors of people who do not drink alcohol. American Journal of Preventive Medicine, 21(4), 298–305.
18.
GriffithJ. (2008). Institutional motives for serving in the U.S. Army National Guard: Implications for recruitment, retention, and readiness. Armed Forces & Society, 34(2), 230–258. https://doi.org/10.1177/0095327X06293864
19.
GriffithJ. (2009). After 9/11, what kind of reserve soldier? Considerations given to emerging demands, organizational orientation, and individual commitment. Armed Forces & Society, 35(2), 214–240.
20.
GriffithJ. (2010). Citizens coping as soldiers: A review of deployment stress symptoms among reservists. Military Psychology, 22(2), 176–206. https://doi.org/10.1080/08995601003638967
21.
GriffithJ. (2011). Reserve identities: What are they? And do they matter? An empirical examination. Armed Forces & Society, 37(4), 619–635.
22.
GriffithJ. (2015). Homecoming of soldiers who are citizens: Re-employment and financial status of returning Army National Guard soldiers from Operations Iraqi Freedom (OIF) and Enduring Freedom (OEF). Work-A Journal of Prevention Assessment & Rehabilitation, 50(1), 85–96. https://doi.org/10.3233/wor-131794
23.
HigginsD. J.McCabeM. P. (2001). The development of the comprehensive child maltreatment scale. Journal of Family Studies, 7(1), 7–28.
24.
HoopsickR. A.BensonK. R.HomishD. L.HomishG. G. (2019). Resiliency factors that protect against post-deployment drug use among male US Army Reserve and National Guard soldiers. Drug Alcohol Depend, 199, 42–49. https://doi.org/10.1016/j.drugalcdep.2019.02.017
25.
HoopsickR. A.HomishD. L.BartoneP. T.HomishG. G. (2018). Developing a measure to assess emotions associated with never being deployed. Military Medicine, 183(9–10), e509–e517. https://doi.org/10.1093/milmed/usy005
26.
HoopsickR. A.VestB. M.HomishD. L.HomishG. G. (2018). Combat exposure, emotional and physical role limitations, and substance use among male United States Army Reserve and National Guard soldiers. Quality of Life Research, 27(1), 137–147. https://doi.org/10.1007/s11136-017-1706-2
27.
JacobsonI. G.RyanM. A.HooperT. I.SmithT. C.AmorosoP. J.BoykoE. J.GackstetterG. D.WellsT. S.BellN. S. (2008). Alcohol use and alcohol-related problems before and after military combat deployment. JAMA: Journal of the American Medical Association, 300(6), 663–675. https://doi.org/10.1001/jama.300.6.663
28.
KrebsR. R. (2009). The citizen-soldier tradition in the United States: Has its demise been greatly exaggerated?Armed Forces & Society, 36(1), 153–174.
KroenkeK.StrineT. W.SpitzerR. L.WilliamsJ. B. W.BerryJ. T.MokdadA. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders, 114(1–3), 163–173. https://doi.org/10.1016/j.jad.2008.06.026
31.
KrottN. R.OettingenG. (2018). Mental contrasting of counterfactual fantasies attenuates disappointment, regret, and resentment. Motivation and Emotion, 42, 17–36.
32.
KumarP. C.ClelandC. M.GourevitchM. N.RotrosenJ.StraussS.RussellL.McNeelyJ. (2016). Accuracy of the Audio Computer Assisted Self Interview version of the Alcohol, Smoking and Substance Involvement Screening Test (ACASI ASSIST) for identifying unhealthy substance use and substance use disorders in primary care patients. Drug Alcohol Depend, 165, 38–44. https://doi.org/10.1016/j.drugalcdep.2016.05.030
33.
LappC. A.TaftL. B.TollefsonT.HoepnerA.MooreK.DivyakK. (2010). Stress and coping on the home front: Guard and reserve spouses searching for a new normal [Research Support, Non-U.S. Gov’t]. Journal of Family Nursing, 16(1), 45–67. https://doi.org/10.1177/1074840709357347
34.
Lomsky-FederE.GazitN.Ben-AriE. (2008). Reserve soldiers as transmigrants: Moving between the civilian and military worlds. Armed Forces & Society, 34(4), 593–614.
35.
LuxtonD. D.SkoppN. A.MaguenS. (2010). Gender differences in depression and PTSD symptoms following combat exposure. Depression and Anxiety, 27(11), 1027–1033.
36.
MacLeanA.KleykampM. (2021). Generations of veterans: Socioeconomic attainment from World War II to the contemporary era. Social Science History, 45(1), 83–110.
37.
MankowskiM.TowerL. E.BrandtC. A.MattocksK. (2015). Why women join the military: Enlistment decisions and postdeployment experiences of service members and veterans. Social Work, 60(4), 315–323. https://doi.org/10.1093/sw/swv035
38.
McNeelyJ.StraussS. M.RotrosenJ.RamautarA.GourevitchM. N. (2016). Validation of an audio computer-assisted self-interview (ACASI) version of the alcohol, smoking and substance involvement screening test (ASSIST) in primary care patients. Addiction, 111(2), 233–244. https://doi.org/10.1111/add.13165
39.
MillikenC. S.AuchterlonieJ. L.HogeC. W. (2007). Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq War. JAMA: Journal of the American Medical Association, 298(18), 2141–2148. https://doi.org/10.1001/jama.298.18.2141
40.
MoskosC. C. (1977). From institution to occupation: Trends in military organization. Armed Forces & Society, 4(1), 41–50.
41.
MoskosC. C. (1986). Institutional/occupational trends in armed forces: An update. Armed Forces & Society, 12(3), 377–382.
42.
National Academies of Sciences. (2018). Evaluation of the department of veterans affairs mental health services. National Academies Press. https://doi.org/10.17226/24915
43.
PerlisT. E.Des JarlaisD. C.FriedmanS. R.ArastehK.TurnerC. F. (2004). Audio-computerized self-interviewing versus face-to-face interviewing for research data collection at drug abuse treatment programs. Addiction, 99(7), 885–896. https://doi.org/10.1111/j.1360-0443.2004.00740.x
PietrzakE.PullmanS.CoteaC.NasveldP. (2012). Effects of deployment on mental health in modern military forces: A review of longitudinal studies. Journal of Military and Veterans Health, 20(3), 24–36.
46.
PilkonisP. A.ChoiS. W.ReiseS. P.StoverA. M.RileyW. T.CellaD. (2011). Item banks for measuring emotional distress from the Patient-Reported Outcomes Measurement Information System (PROMIS®): Depression, anxiety, and anger. Assessment, 18(3), 263–283.
47.
RenshawK. D. (2010). Deployment experiences and postdeployment PTSD symptoms in national guard/reserve service members serving in operations enduring freedom and Iraqi freedom. Journal of Traumatic Stress, 23(6), 815–818. https://doi.org/10.1002/jts.20575
48.
RiveraA. C.LeardMannC. A.RullR. P.CooperA.WarnerS.FaixD.DeagleE.NeffR.CasertaR.AdlerA. B. (2022). Combat exposure and behavioral health in US Army Special Forces. PLOS ONE, 17(6), Article e0270515.
49.
RiviereL. A.Kendall-RobbinsA.McGurkD.CastroC. A.HogeC. W. (2011). Coming home may hurt: Risk factors for mental ill health in US reservists after deployment in Iraq. British Journal of Psychiatry, 198(2), 136–142. https://doi.org/10.1192/bjp.bp.110.084863
50.
SmithT. C.WingardD. L.RyanM. A.Kritz-SilversteinD.SlymenD. J.SallisJ. F., & Millennium Cohort Study, T. (2008). Prior assault and posttraumatic stress disorder after combat deployment. Epidemiology, 19(3), 505–512. https://doi.org/10.1097/EDE.0b013e31816a9dff
51.
SpearS. E.ShedlinM.GilbertiB.FiellinM.McNeelyJ. (2016). Feasibility and acceptability of an audio computer-assisted self-interview version of the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in primary care patients. Substance Abuse, 37(2), 299–305. https://doi.org/10.1080/08897077.2015.1062460
52.
StanderV. A.ThomsenC. J.Highfill-McRoyR. M. (2014). Etiology of depression comorbidity in combat-related PTSD: A review of the literature. Clinical Psychology Review, 34(2), 87–98. https://doi.org/10.1016/j.cpr.2013.12.002
53.
TamburrinoM. B.ChanP.PrescottM.CalabreseJ.LiberzonI.SlembarskiR.ShirleyE.FineT.GotoT.WilsonK.DerusA.GanocyS.Beth SerranoM.GaleaS. (2015). Baseline prevalence of axis I diagnosis in the Ohio army national guard. Psychiatry Research, 226(1), 142–148. https://doi.org/10.1016/j.psychres.2014.12.038
54.
ThomasJ. L.WilkJ. E.RiviereL. A.McGurkD.CastroC. A.HogeC. W. (2010). Prevalence of mental health problems and functional impairment among active component and national guard soldiers 3 and 12 months following combat in Iraq. Archives of General Psychiatry, 67(6), 614–623.
55.
TiffinP.PearceM.ParkerL. (2005). Social mobility over the lifecourse and self reported mental health at age 50: Prospective cohort study. Journal of Epidemiology and Community Health, 59(10), 870.
VestB. M. (2013). Citizen, soldier, or citizen-soldier? Negotiating identity in the US National Guard. Armed Forces & Society, 39(4), 602–627.
58.
VestB. M. (2014). Finding Balance: Individuals, agency and dual belonging in the US National Guard. Human Organization, 73(2), 106–113.
59.
VestB. M.HoopsickR. A.HomishD. L.DawsR. C.HomishG. G. (2018). Childhood trauma, combat trauma and substance use in national guard and reserve soldiers. Substance Abuse, 39(4), 452–460. https://doi.org/10.1080/08897077.2018.1443315
60.
VestB. M.HoopsickR. A.HomishD. L.HomishG. G. (2020). Mental health and educational outcomes among current and former national guard and reserve soldiers. Journal of American College Health, 68(2), 110–114. https://doi.org/10.1080/07448481.2018.1536056
61.
VogtD.SmithB. N.KingD. W.KingL. A. (2012). Manual for the Deployment Risk and Resilience Inventory-2 (DRRI-2): A collection of measures for studying deployment-related experiences of military veterans.
62.
WaruruA. K.NduatiR.TylleskärT. (2005). Audio computer-assisted self-interviewing (ACASI) may avert socially desirable responses about infant feeding in the context of HIV. BMC Medical Informatics and Decision Making, 5, 24. https://doi.org/10.1186/1472-6947-5-24
63.
WeathersF.LitzB.KeaneT.PalmieriP.MarxB. P.SchnurrP. (2013). The PTSD checklist for DSM-5 (PCL-5). National Center for PTSD. http://www.ptsd.va.gov/
64.
WilkJ. E.BlieseP. D.KimP. Y.ThomasJ. L.McGurkD.HogeC. W. (2010). Relationship of combat experiences to alcohol misuse among U.S. soldiers returning from the Iraq war. Drug and Alcohol Dependence, 108(1–2), 115–121. https://doi.org/10.1016/j.drugalcdep.2009.12.003
65.
WilliamsD. M.LawlerK. A. (2004). Importance of macro social structures and personality hardiness to the stress-illness relationship in low-income women. Journal of Human Behavior in the Social Environment, 7(3–4), 121–140.
66.
WorthenM.RathodS. D.CohenG.SampsonL.UrsanoR.GiffordR.FullertonC.GaleaS.AhernJ. (2014). Anger problems and posttraumatic stress disorder in male and female National Guard and Reserve Service members. Journal of Psychiatric Research, 55, 52–58. https://doi.org/http://dx.doi.org/10.1016/j.jpsychires.2014.04.004
67.
ZeelenbergM.Van DijkW. W.MansteadA. S.vanr de PligtJ. (2000). On bad decisions and disconfirmed expectancies: The psychology of regret and disappointment. Cognition & Emotion, 14(4), 521–541.
