This paper aims to identify the key challenges experienced by the families of defence force personnel following deployment.
Method:
We undertook a selective review of four post-deployment challenges to the families of defence force personnel: (1) changes to relationships; (2) changes to family member roles and responsibilities; (3) adjustment of children and parenting challenges; and (4) anger, family conflict and violence. Emerging issues in the area of post-deployment adjustment are also discussed.
Results:
Empirical studies of post-deployment family adjustment are lacking. Each of the reviewed challenges can contribute to psychological difficulties and precipitate contact with mental health services.
Conclusions:
The challenges faced by defence force personnel when returning from deployment arise within a family context. Clinicians should thoroughly assess these factors in families following deployment, but also recognise family strengths and resilience to these challenges.
SammonsMTBattenSV. Psychological services for returning veterans and their families: Evolving. J Clin Psychol2008; 64: 921–927.
2.
KarstoftKIArmourCAndersenSB. Community integration after deployment to Afghanistan: A longitudinal investigation of Danish soldiers. Soc Psychiatry Psychiatr Epidemiol (in press).
3.
InterianAKlineACallahanL. Readjustment stressors and early mental health treatment seeking by returning National Guard soldiers with PTSD. Psychiatr Serv2012; 63: 855–61.
4.
DanishSJAntonidesBJ. The challenges of reintegration for service members and their families. Am J Orthopsychiatry2013; 83: 550–558.
5.
WoodSScarvilleJGravinoKS. Waiting wives: Separation and reunion among army wives. Armed Forces Soc1995; 21: 217–236.
6.
KelleyML. The effects of military-induced separation on family factors and child-behavior. Am J Orthopsychiatry1994; 64: 103–111.
7.
SolomonZ. The effect of combat-related posttraumatic stress disorder on the family. Psychiatry1988; 51: 323–329.
8.
DrummetARColemanMCableS. Military families under stress: Implications for family life education. Fam Relat2003; 52: 279–287.
9.
WeissmanMMMarkowitzJCKlermanGL. Comprehensive guide to interpersonal psychotherapy. New York: Basic Books, 2000.
10.
RayRWebsterR. Group interpersonal psychotherapy for veterans with posttraumatic stress disorder: A pilot study. Int J Group Psychother2010; 60: 131–140.
11.
JacobsenNSMargolinG. Marital therapy: Strategies based on social learning and behavior exchange principles. New York: Brunner-Mazel, 1979.
12.
BaucomDHShohamVMueserKT. Empirically supported couple and family interventions for marital distress and adult mental health problems. J Consult Clin Psychol1998; 66: 53–88.
13.
LebowJLChambersALChristensenA. Research on the treatment of couple distress. J Marital Fam Ther2012; 38: 145–168.
14.
SayersSL. Family reintegration difficulties and couples therapy for military veterans and their spouses. Cogn Behav Pract2011; 18: 108–119.
15.
LesterPPetersonKReevesJ. The long war and parental combat deployment: Effects on military children and at-home spouses. J Am Acad Child Adolesc Psychiatry2010; 49: 310–320.
16.
JordanBKMarmarCRFairbankJA. Problems in families of male Vietnam veterans with posttraumatic-stress-disorder. J Consul Clin Psychol1992; 60: 916–926.
17.
JensenPSMartinDWatanabeH. Children’s response to parental separation during Operation Desert Storm. J Am Acad Child Adolesc Psychiatry1996; 35: 433–441.
18.
BlalsureKRArnold-MannJ. Return and reunion: A psychoeducational program aboard US Navy ships. Fam Relat1992; 41: 178–185.
19.
Department of Veterans Affairs. Vietnam Veterans Family Study. Canberra: Commonwealth of Australia, 2014.
20.
ForbesDParslowRCreamerM. Mechanisms of anger and treatment outcome in combat veterans with posttraumatic stress disorder. J Trauma Stress2008; 21: 142–149.
21.
EvansLMcHughTHopwoodM. Chronic posttraumatic stress disorder and family functioning of Vietnam veterans and their partners. Aust N Z J Psychiatry2003; 37: 765–772.
22.
McCarrollJEUrsanoRJLiuX. Deployment and the probability of spousal aggression by U.S. Army soldiers. Mil Med2010; 175: 352–356.
23.
WadsworthSMRiggsDS. Military deployment and its consequences for families. New York: Springer, 2014.
24.
ParkN. Military children and families: Strengths and challenges during peace and war. Am Psychol2011; 66: 65–72.
25.
FarnsworthJKDrescherKDNieuwsmaJA. The role of moral emotions in military trauma: Implications for the study and treatment of moral injury. Rev Gen Psychol2014; 18: 249–262.
26.
LitzBTSteinNDelaneyE. Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clin Psychol Rev2009; 29: 695–706.
27.
NashWPLitzBT. Moral injury: A mechanism for war-related psychological trauma in military family members. Clin Child Fam Psychol Rev2013; 16: 365–375.
28.
HogeCWCastroCAMesserSC. Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. N Engl J Med2004; 351: 13–22.
29.
KimerlingRStreetAEPavaoJ. Military-related sexual trauma among veterans health administration patients returning from Afghanistan and Iraq. Am J Public Health2010; 1412–1415.
30.
Defence Abuse Taskforce. Report on Abuse in Defence. Australian Government, 2013.
SayerNAFrazierPOrazemRJ. Military to civilian questionnaire: a measure of postdeployment community reintegration difficulty among veterans using Department of Veterans Affairs medical care. J Trauma Stress2011; 24: 660–670.
33.
ResnikLBradfordDWGlynSM. Issues in defining and measuring veteran community reintegration: Proceedings of the Working Group on Community Reintegration, VA Rehabilitation Outcomes Conference, Miami Florida. J Rehabil Res Dev2012; 49: 87–100.
