Journal of the American Academy of Child & Adolescent Psychiatry
Volume 49, Issue 4 , Pages 310-320 , April 2010

The Long War and Parental Combat Deployment: Effects on Military Children and At-Home Spouses

  • Patricia Lester, M.D.

      Affiliations

    • UCLA Semel Institute for Neuroscience and Human Behavior
    • Corresponding Author InformationCorrespondence to Dr. Patricia Lester, Department of Psychiatry & Biobehavioral Sciences, UCLA Semel Institute, 760 Westwood Plaza, Room A8-159, Los Angeles, CA 90024
  • , COL
  • Kris Peterson, M.D.

      Affiliations

    • Madigan Army Medical Center
  • , CDR
  • James Reeves, M.D.

      Affiliations

    • Naval Medical Center San Diego
  • ,
  • Larry Knauss, Ph.D.

      Affiliations

    • Madigan Army Medical Center
  • ,
  • Dorie Glover, Ph.D.

      Affiliations

    • UCLA Semel Institute for Neuroscience and Human Behavior
  • ,
  • Catherine Mogil, Psy.D.

      Affiliations

    • UCLA Semel Institute for Neuroscience and Human Behavior
  • ,
  • Naihua Duan, Ph.D.

      Affiliations

    • Columbia University
  • ,
  • William Saltzman, Ph.D.

      Affiliations

    • UCLA Semel Institute for Neuroscience and Human Behavior
  • ,
  • Robert Pynoos, M.D.

      Affiliations

    • UCLA Semel Institute for Neuroscience and Human Behavior
  • ,
  • Katherine Wilt, M.S.

      Affiliations

    • UCLA Semel Institute for Neuroscience and Human Behavior
  • ,
  • William Beardslee, M.D.

      Affiliations

    • Children's Hospital Boston, Harvard Medical School

,Accepted 15 January 2010.

References 

  1. McFarlane AC. Military deployment: the impact on children and family adjustment and the need for care. Curr Opin Psychiatry. 2009;22:369–373
  2. Bowling UB, Sherman MD. Welcoming them home: Supporting service members and their families in navigating the tasks of reintegration. Prof Psychol Res Pr. 2008;39:451–458
  3. McNulty PAF. Reported stressors and health care needs of active duty navy personnel during three phases of deployment in support of the war in Iraq. Mil Med. 2005;170:530–535
  4. Johnson SJ, Sherman MD, Hoffman JS, et al. The psychological needs of US military service members and their families: a preliminary report. Washington, DC: American Psychological Association; 2007;
  5. Cozza SJ, Chun RS, Polo JA. Military families and children during operation Iraqi freedom. Psychiatr Q. 2005;76:371–378
  6. Hiew CC. Separated by their work: families with fathers living apart. Environ Behav. 1992;24:206–225
  7. Levai M, Kaplan S, Ackermann R, Hammock M. The effect of father absence on the psychiatric hospitalization of navy children. Mil Med. 1995;160:104–106
  8. Yeatman GW. Paternal separation and the military dependent child. Mil Med. 1981;146:320–322
  9. Rosen LN, Teitelbaum JM, Westhuis DJ. Children's reactions to the Desert Storm deployment: initial findings from a survey of Army families. Mil Med. 1993;158:465–469
  10. Jensen PS, Martin D, Watanabe H. Children's response to parental separation during Operation Desert Storm. J Am Acad Child Adolesc Psychiatry. 1996;35;:433–441
  11. Lincoln A, Swift E, Shorteno-Fraser M. Psychological adjustment and treatment of children and families with parents deployed in military combat. J Clin Psychol. 2008;64:984–992
  12. Palmer C. A theory of risk and resilience factors in military families. Mil Psychol. 2008;20:205–217
  13. Waldrep DA, Cozza SJ, Chun RS. The impact of deployment on the military family. The National Center for Post Traumatic Stress Disorder, ed In: The Iraq War Clinician Guide. 2nd ed.. Washington, D.C: Department of Veterans Affairs; 2004;p. 83–86
  14. Kelley ML, Finkel LB, Ashby J. Geographic mobility, family, and maternal variables as related to the psychosocial adjustment of military children. Mil Med. 2003;168:1019–1024
  15. Huebner AJ, Mancini JA, Wilcox RM, Grass GA, Grass SR. Parental deployment and youth in military families: Exploring uncertainty and ambiguous loss. Fam Relat. 2007;56:112–122
  16. Flake EM, Davis BE, Johnson PL, Middleton LS. The psychosocial effects of deployment on military children. J Dev Behav Pediatr. 2009;30:271–278
  17. Chandra A, Burns RM, Tanielian TL, et al. Understanding the impact of deployment on children and families: findings from a pilot study of Operation Purple Camp participants. Santa Monica, CA: RAND; 2008;
  18. Murray JS. Helping children cope with separation during war. J Spec Pediatr Nurs. 2002;7:127–130
  19. Chartrand MM, Frank DA, White LF, Shope TR. Effect of parents' wartime deployment on the behavior of young children in military families. Arch Pediatr Adolesc Med. 2008;162:1009–1014
  20. Chandra A, Lara-Cinisomo S, Jaycox LH, et al. Children on the homefront: the experience of children from military families. Pediatrics. 2010;125:13–22
  21. Rentz ED, Marshall SW, Loomis D, Casteel C, Martin SL, Gibbs DA. Effect of deployment on the occurrence of child maltreatment in military and nonmilitary families. Am J Epidemiol. 2007;165:1199–1206
  22. Gibbs DA, Martin SL, Kupper LL, Johnson RE. Child maltreatment in enlisted soldiers' families during combat-related deployments. J Am Med Assoc. 2007;298:528–535
  23. McCarroll JE, Fan Z, Newby JH, Ursano RJ. Trends in US army child maltreatment reports: 1990–2004. Child Abuse Rev. 2008;17:108–118
  24. McCarroll JE, Ursano RJ, Liu X, et al. Deployment and the probability of spousal aggression by U.S. Army soldiers. Mil Med. 2000;165:41–44
  25. Rutter M, Quinton D. Parental psychiatric disorder: Effects on children. Psychol Med. 1984;14:853–880
  26. Beardslee WR. Familial influences in childhood depression. Pediatr Ann. 1984;13:32–36
  27. Christ GH, Siegel K, Sperber D. Impact of parental terminal cancer on adolescents. Am J Orthopsychiatry. 1994;64:604–613
  28. Lester P, Stein JA, Bursch B. Developmental predictors of somatic symptoms in adolescents of parents with HIV: a 12-month follow-up. J Dev Behav Pediatr. 2003;24:242–250
  29. Medway FJ, Davis KE, Cafferty TP, Chappell KD. Family disruption and adult attachment correlates of spouse and child reactions to separation and reunion due to operation desert storm. J Soc Clin Psychol. 1995;14:97–118
  30. Klarić M, Francisković T, Klarić B, et al. Psychological problems in children of war veterans with posttraumatic stress disorder in Bosnia and Herzegovina: cross-sectional study. Croat Med J. 2008;49:491–498
  31. Sayers SL, Farrow VA, Ross J, Oslin DW. Family problems among recently returned military veterans referred for a mental health evaluation. J Clin Psychiatry. 2009;70:163–170
  32. Steindl SR, Young RM, Creamer M, Crompton D. Hazardous alcohol use and treatment outcome in male combat veterans with posttraumatic stress disorder. J Trauma Stress. 2003;16:27–34
  33. McFall ME, Mackay PW, Donovan DM. Combat-related posttraumatic stress disorder and severity of substance abuse in Vietnam veterans. J Stud Alcohol. 1992;53:357–363
  34. Shalev AY, Freedman S, Peri T, et al. Prospective study of posttraumatic stress disorder and depression following trauma. Am J Psychiatry. 1998;155:630–637
  35. Caselli LT, Motta RW. The effect of PTSD and combat level on Vietnam veterans' perceptions of child behavior and marital adjustment. J Clin Psychol. 1995;51:4–12
  36. Jordan BK, Marmar CR, Fairbank JA, et al. Problems in families of male Vietnam veterans with posttraumatic stress disorder. J Consult Clin Psychol. 1992;60:916–926
  37. Maloney LJ. Post traumatic stresses on women partners of Vietnam veterans. Smith Coll Stud Soc Work. 1988;58:122–143
  38. Achenbach TM. Manual for the Child Behavior Checklist/4-18 and 1991 profile. Burlington, VT: University of Vermont; 1991;
  39. Kovacs M. Rating scales to assess depression in school-aged children. Acta Paedopsychiatr. 1981;46:305–315
  40. March JS, Parker JD, Sullivan K, et al. The Multidimensional Anxiety Scale for Children (MASC): Factor structure, reliability, and validity. J Am Acad Child Adolesc Psychiatry. 1997;36:554–565
  41. Derogatis LR, Melisaratos N. The Brief Symptom Inventory: an introductory report. Psychol Med. 1983;13:595–605
  42. Foa EB, Cashman L, Jaycox L, Perry K. The validation of a self-report measure of posttraumatic stress disorder: The posttraumatic diagnostic scale. Psychol Assess. 1997;9:445–451
  43. Weathers FW, Huska JA, Keane TM. PCL-M for DSM-IV. Boston: National Center for PTSD, Behavioral Science Division; 1991;
  44. Milliken CS, Auchterlonie JL, Hoge CW. Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. J Am Med Assoc. 2007;298:2141–2148
  45. Eaton KM, Hoge CW, Messer SC, et al. Prevalence of mental health problems, treatment need, and barriers to care among primary care-seeking spouses of military service members involved in Iraq and Afghanistan deployments. Mil Med. 2008;173:1051–1056
  46. Pincus SH, House R, Christenson J, Adler LE. The emotional cycle of deployment: a military family perspective. US Army Med Dep J. 2001;615–623
  47. Hoven CW, Duarte CS, Lucas CP, et al. Psychopathology among New York City public school children 6 months after September 11. Arch Gen Psychiatry. 2005;62:545–552
  48. Faber AJ, Willerton E, Clymer SR, MacDermid SM, Weiss HM. Ambiguous absence, ambiguous presence: A qualitative study of military reserve families in wartime. J Fam Psychol. 2008;22:222–230

 This article is discussed in an editorial by Dr. Gail Manos on page 297.

 This study was supported by a grant from the National Institute for Child and Human Development (R03 HD049451).

 The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense, or the U.S. Government. The investigators have adhered to the policies for protection of human subjects as prescribed in 45 CFR 46.

 Disclosure: Drs. Lester, Peterson, Reeves, Knauss, Glover, Mogil, Duan, Saltzman, Pynoos, and Beardslee, and Ms. Wilt report no biomedical financial interests or potential conflicts of interest.

PII: S0890-8567(10)00077-8

doi: 10.1016/j.jaac.2010.01.003

Journal of the American Academy of Child & Adolescent Psychiatry
Volume 49, Issue 4 , Pages 310-320 , April 2010