The Impact of Deployment Length and Experience on the Well-Being of Male and Female Soldiers.

This study examined the effects of stressor duration (deployment length) and stressor novelty (no prior deployment experience) on the psychological health of male and female military personnel returning from a peacekeeping deployment. The sample consisted of men (n = 2,114) and women (n = 1,225) surveyed for symptoms of depression and posttraumatic stress. The results confirmed the hypotheses. Longer deployments and 1st-time deployments were associated with an increase in distress scores. However, the relationship between deployment length and increased distress was found only for male soldiers. The findings demonstrate the importance of considering the impact of exposure to long-term occupational stressors and confirm, in part, previous research that has demonstrated a different stress response pattern for men and women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Risk and resilience in military families experiencing deployment: The role of the family attachment network.

Deployment separation constitutes a significant stressor for U.S. military men and women and their families. Many military personnel return home struggling with physical and/or psychological injuries that challenge their ability to reintegrate and contribute to marital problems, family dysfunction, and emotional or behavioral disturbance in spouses and children. Yet research examining the psychological health and functioning of military families is scarce and rarely driven by developmental theory. The primary purpose of this theoretical paper is to describe a family attachment network model of military families during deployment and reintegration that is grounded in attachment theory and family systems theory. This integrative perspective provides a solid empirical foundation and a comprehensive account of individual and family risk and resilience during military-related separations and reunions. The proposed family attachment network model will inform future research and intervention efforts with service members and their families. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Associations among experiential avoidance, couple adjustment, and interpersonal aggression in returning Iraqi war veterans and their partners.

Objective: The purpose of the present study was to examine the role of experiential avoidance (EA) in relationship adjustment, psychological aggression, and physical aggression among military couples. Method: The sample was composed of 49 male soldiers who recently returned from deployment to Iraq and their female partners. As part of a larger study, participants completed self-report measures of emotional avoidance (EA; Acceptance and Action Questionnaire–II), relationship adjustment (Dyadic Adjustment Scale), and conflict (Conflict Tactics Scale–2). Data from men and women were simultaneously modeled with the actor–partner interdependence model. Results: Men's EA was associated with decreases in relationship adjustment and increases in physical aggression perpetration and victimization. For women, relationship adjustment was not associated with EA, but greater EA among women was associated with decreased relationship adjustment for male partners. Associations among EA and psychological aggression were nonsignificant. Conclusions: These data provide evidence that EA may play a critical role in the relationships of couples following deployment and highlight the importance of targeting EA in couple therapy. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Use of both qualitative and quantitative approaches to study job stress in different gender and occupational groups.

Gender differences in job stress were investigated, collecting both qualitative (stressful incidents at work) and quantitative (rating scales of commonly experienced job stressors and strains) data from a sample of university employees. Content analyses of the qualitative data revealed 5 major job stressors, 5 major psychological strains, and 4 major physical strains experienced by both genders. When comparisons are made between men and women on their job stress experiences, a potential confounder is occupation, for which the authors controlled. While the authors controlled for occupation, women reported more overall psychological strains (as indicated by the qualitative data) and depression (as indicated by the quantitative data) than did men. Conversely, while the authors controlled for gender, faculty reported more anger and less frustration (as indicated by the qualitative data) and less turnover intentions (as indicated by the quantitative data) than did support staff. In this study, both qualitative and quantitative data indicated interaction effects between gender and occupation in predicting job stressors and strains. Finally, there was a stronger relation between interpersonal conflicts and negative emotions/job satisfaction were stronger for faculty than for staff. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress exposure and affective modulation of aggressive behavior in men and women.

To study differences in the effects of stress exposure and affective responding on aggression in men and women, the authors examined the effects of an acute stressor (air blast) on subsequent aggressive behavior, measured as the intensity of shocks men and women delivered to a putative employee. The authors measured participants' affective responding using the startle reflex. Results showed that although men and women did not differ in their startle responses to the actual stressor, high stress led to contrasting patterns of subsequent aggressive behavior. Women under high stress responded with less aggression than women under low stress, whereas men exposed to high stress exhibited increases in aggression relative to those under low stress. Affective responding during the stressor differentially modulated aggression in men and women: Startle responses predicted increasing levels of aggression in men and less aggression in women. These findings suggest that although men and women show similar basic affective processing in response to stressors, the behavioral profiles associated with stress differ in men and women. These findings have implications for understanding gender differences in the prevalence of internalizing and externalizing psychopathology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender differences in combat-related stressors and their association with postdeployment mental health in a nationally representative sample of U.S. OEF/OIF veterans.

Though the broader literature suggests that women may be more vulnerable to the effects of trauma exposure, most available studies on combat trauma have relied on samples in which women's combat exposure is limited and analyses that do not directly address gender differences in associations between combat exposure and postdeployment mental health. Female service members' increased exposure to combat in Afghanistan and Iraq provides a unique opportunity to evaluate gender differences in different dimensions of combat-related stress and associated consequence for postdeployment mental health. The current study addressed these research questions in a representative sample of female and male U.S. veterans who had returned from deployment to Afghanistan or Iraq within the previous year. As expected, women reported slightly less exposure than men to most combat-related stressors, but higher exposure to other stressors (i.e., prior life stress, deployment sexual harassment). No gender differences were observed in reports of perceived threat in the war zone. Though it was hypothesized that combat-related stressors would demonstrate stronger negative associations with postdeployment mental health for women, only one of 16 stressor × gender interactions achieved statistical significance and an evaluation of the clinical significance of these interactions revealed that effects were trivial. Results suggest that female Operation Enduring Freedom/Operation Iraqi Freedom service members may be as resilient to combat-related stress as men. Future research is needed to evaluate gender differences in the longer-term effects of combat exposure. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Irritation at school: Reasons to initiate strain management earlier.

Organizational research provides many tested stressor–strain relationships in the workforce. To a lesser extent, it has been researched whether strain may already be present before the commencement of employment. The final years of school may be experienced as straining, because the need to perform well to obtain further education and, therefore, job opportunities, is often intense. To explore this, a scale measuring irritation, a well-documented concept of psychological strain at work, was adapted to the situation of school adolescents. Samples from 2 Swiss schools (n = 1,310 and n = 301) were obtained to study (a) the reliability of the adapted irritation scale, (b) the relationships between school stressors and irritation, (c) the moderating influences of self-efficacy on the relationship between stressors and irritation, and (d) the mediating effect of irritation in the relationship between stressors and other psychological impairments. These hypotheses were in line with results from organizational stress research. Results indicate the same mechanisms at play as those found in occupational stress research studies and implications with regard to stress interventions at school are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An introduction to the special section on U.S. Military operations: Effects on military members' partners and children.

[Correction Notice: An erratum for this article was reported in Vol 25(5) of Journal of Family Psychology (see record 2011-22678-001). An author’s name cited in the text and the reference section was misspelled as Knoblock. The correct reference is Knobloch, L. K., & Theiss, J. A. (2011). Depressive symptoms and mechanisms of relational turbulence as predictors of relationship satisfaction among returning service members. Journal of Family Psychology, 25, 470–478. The online versions of this article have been corrected.] The deployment of U.S. military personnel to global hot spots, whether as combatants or as peacekeepers, has increased attention to the psychological well-being of military personnel and their family members. Despite the growing awareness that deployments have reverberating effects on all family members, theoretical explanations and empirical research on the impact of deployment on couple, family, and child adjustment, factors that serve to protect families from the demands of military employment, and effective methods of treating the mental health needs of military families are needed. The seven papers in this section increase our understanding of how the demands of U.S. military operations impact couples, family functioning, parenting, and child psychological adjustment and provide an additional resource for mental health professionals who work with these families. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Correction to Kelley and Jouriles (2011).

Reports an error in "An introduction to the special section on U.S. Military operations: Effects on military members' partners and children" by Michelle L. Kelley and Ernest N. Jouriles (Journal of Family Psychology, 2011[Aug], Vol 25[4], 459-460). An author’s name cited in the text and the reference section was misspelled as Knoblock. The correct reference is Knobloch, L. K., & Theiss, J. A. (2011). Depressive symptoms and mechanisms of relational turbulence as predictors of relationship satisfaction among returning service members. Journal of Family Psychology, 25, 470–478. The online versions of this article have been corrected. (The following abstract of the original article appeared in record 2011-17889-001.) The deployment of U.S. military personnel to global hot spots, whether as combatants or as peacekeepers, has increased attention to the psychological well-being of military personnel and their family members. Despite the growing awareness that deployments have reverberating effects on all family members, theoretical explanations and empirical research on the impact of deployment on couple, family, and child adjustment, factors that serve to protect families from the demands of military employment, and effective methods of treating the mental health needs of military families are needed. The seven papers in this section increase our understanding of how the demands of U.S. military operations impact couples, family functioning, parenting, and child psychological adjustment and provide an additional resource for mental health professionals who work with these families. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

What is so bad about a little name-calling? Negative consequences of gender harassment for overperformance demands and distress.

Few studies have investigated why harassment has negative effects on women's well-being. The authors proposed that, for women working in traditionally male occupations, gender harassment (GH) causes overperformance demands (OPD), which lead to psychological distress. This mediated model was strongly supported for 262 female police officers but, as proposed, was not supported for male officers (N=315). For men, levels of GH and OPD were lower than for women, and GH was not a significant predictor of OPD. Harassing behaviors thus had different consequences for women and men. A lack of perceived support for equal deployment of women police was associated with OPD for women, and family → work conflict was a significant predictor of OPD for both men and women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Alternative representations of war zone stressors: Relationships to posttraumatic stress disorder in male and female Vietnam veterans.

Four conceptualizations of war zone stressor experiences were defined: traditional combat, atrocities-abusive violence, perceived threat, and malevolent environment. Items from the National Vietnam Veterans Readjustment Study (NVVRS) were reviewed for content, and stressor indexes were created. Using retrospective self-report data from the NVVRS, intercorrelations among stressor scores and between these scores and measures of posttraumatic stress disorder (PTSD) were computed for all veterans and for men and women separately. Structural equation modeling procedures followed. Results indicated that the four stressor indexes were internally consistent, reasonably distinct from one another, and influenced PTSD differentially. Men scored significantly higher than women on all 4 indexes. Whereas the pattern of relationships among the variables was comparable across genders, there was evidence that one path coefficient in the model differed for men and women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationships Among Life Stress, Social Support, Academic Stressors, and Reactions to Stressors of International Students in the United States.

This study examined the relationships among 4 constructs--life stress (primary stressor), academic stressors (secondary stressor), perceived social support (stress mediator), and reactions to stressors (stress outcome)--among 143 international students. Structural equation modeling was used to assess the relationships among latent and measured variables in the conceptual model. Results indicated no significant difference in academic and life stressors by gender. However, women exhibited higher reactions to stressors than men. Higher levels of academic stressors were predicted by higher levels of life stress and by lower levels of social support. Higher academic stressors predicted greater reactions to stressors. All of the regression weights in the model were statistically significant, and the model's predictors accounted for 82% of the variance in reactions to stressor. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Power and affiliation motivation, stress, and abuse in intimate relationships.

The associations among n Power, n Affiliation, inhibition, stressful life events, and infliction and receipt of psychological and physical abuse in intimate relationships were investigated in a sample of 48 male and 107 female college undergraduates. Results indicated that life events that were perceived as being negative were associated with both the infliction and the receipt of abuse for women but not for men. High n Power was significantly associated with the infliction of physical abuse on their partners by men. For women, n Affiliation and activity inhibition moderated the effect that stress has on the infliction of abuse. Highly stressed women with high n Affiliation and low activity inhibition were the most likely to inflict abuse. Length and status of relationship were related to abuse, with abuse occurring most often between more committed couples. Receipt of abuse was highly correlated with infliction of abuse for women but not for men, suggesting that when women strike out they are struck in return. (49 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Resilience–recovery factors in post-traumatic stress disorder among female and male Vietnam veterans: Hardiness, postwar social support, and additional stressful life events.

Structural equation modeling procedures were used to examine relationships among several war zone stressor dimensions, resilience-recovery factors, and post-traumatic stress disorder symptoms in a national sample of 1,632 Vietnam veterans (26% women and 74% men). A 9-factor measurement model was specified on a mixed-gender subsample of the data and then replicated on separate subsamples of female and male veterans. For both genders, the structural models supported strong mediation effects for the intrapersonal resource characteristic of hardiness, postwar structural and functional social support, and additional negative life events in the postwar period. Support for moderator effects or buffering in terms of interactions between war zone stressor level and resilience–recovery factors was minimal. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Different genetic components in the Ethiopian population, identified by mtDNA and Y-chromosome polymorphisms

Structural equation modeling procedures were used to examine relationships among several war zone stressor dimensions, resilience-recovery factors, and post-traumatic stress disorder symptoms in a national sample of 1,632 Vietnam veterans (26% women and 74% men). A 9-factor measurement model was specified on a mixed-gender subsample of the data and then replicated on separate subsamples of female and male veterans. For both genders, the structural models supported strong mediation effects for the intrapersonal resource characteristic of hardiness, postwar structural and functional social support, and additional negative life events in the postwar period. Support for moderator effects or buffering in terms of interactions between war zone stressor level and resilience-recovery factors was minimal.     

A simple survey of post-traumatic stress disorders among Bosnian war refugees in Norway

150 Bosnian war refugees (100 men and 50 women) were followed for 12 months by means of a brief screening procedure to determine prevalence and course of symptoms of post-traumatic stress disorder. 88 men and 18 women had spent some time in Serbian concentration camps before arriving in Norway. A short check list for interview and a simple self-assessment questionnaire based on stressor and symptom criteria for post-traumatic stress disorders according to DSM-III-R were used three times. The number of persons with a diagnosis of post-traumatic stress disorder remained high throughout the period of observation. The presented diagnostic approach was compared with a comprehensive, standardized diagnostic test battery applied in a similar population of refugees by comparing the outcomes. For the majority of outcomes, no significant difference in prevalence was found. The experiences and results indicate that our approach is practicable, and can deliver diagnostic outcomes with acceptable validity.     

Randomised trial of home-based psychosocial nursing intervention for patients recovering from myocardial infarction

BACKGROUND: Increases in life stress have been linked to poor prognosis, after myocardial infarction (MI). Previous research suggested that a programme of monthly screening for psychological distress, combined with supportive and educational home nursing interventions for distressed patients, may improve post-MI survival among men. Our study assessed this approach for both men and women. We aimed to find out whether the programme would reduce 1-year cardiac mortality for women and men. METHODS: We carried out a randomised, controlled trial of 1376 post-MI patients (903 men, 473 women) assigned to the intervention programme (n = 692) or usual care (n = 684) for 1 year. All patients completed a baseline interview that included assessment of depression and anxiety. Survivors were also interviewed at 1 year. FINDINGS: The programme had no overall survival impact. Preplanned analyses showed higher cardiac (9.4 vs 5.0%, p = 0.064) and all-cause mortality (10.3 vs 5.4%, p = 0.051) among women in the intervention group. There was no evidence of either benefit or harm among men (cardiac mortality 2.4 vs 2.5%, p = 0.94; all-cause mortality 3.1 vs 3.1%, p = 0.93). The programme's impact on depression and anxiety among survivors was small. INTERPRETATION: Our results do not warrant the routine implementation of programmes that involve psychological-distress screening and home nursing intervention for patients recovering from MI. The poorer overall outcome for women, and the possible harmful impact of the intervention on women, underline the need for further research and the inclusion of adequate numbers of women in future post-MI trials.     

Effects of granulocyte-colony-stimulating factor and interleukin-2 on ascites formation and the survival time of nude mice bearing human ovarian cancer cells

This study assessed the effects of the Persian Gulf War on the psychological health and adjustment of military personnel in Hawaii and Pennsylvania who either deployed (N = 1,524) or did not deploy (N = 2,727) to the Persian Gulf during Operations Desert Shield/Desert Storm. All participants anonymously completed a questionnaire providing information on demographics, psychological and psychosocial health, deployment stressors, current life problems, current distress, and causal attributions of present problems. Results indicate that deployed veterans experienced significant levels of stress in-theater and continue to report significant stress in their lives today. Although considerable stress is experienced, the majority of veterans are handling it unremarkably. Implications for future deployments and the need for military-normed assessment instruments are discussed.     

Prewar factors in combat-related posttraumatic stress disorder: Structural equation modeling with a national sample of female and male Vietnam veterans.

Structural equation modeling was used to examine relationships among prewar factors, dimensions of war-zone stress, and current posttraumatic stress disorder (PTSD) symptomatology using data from 1,632 female and male participants in the National Vietnam Veterans Readjustment Study (R. A. Kulka et al; 1990). For men, previous trauma history (accidents, assaults, and natural disasters) directly predicted PTSD and also interacted with war-zone stressor level to exacerbate PTSD symptoms for high combat-exposed veterans. Male veterans who entered the war at a younger age displayed more symptoms. Family instability, childhood antisocial behavior and age had indirect effects on PTSD for men. For women, indirect prewar effects emanated from family instability. More attention should be given to critical developmental conditions, especially family instability and earlier trauma exposure, in conceptualizing PTSD in adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of mental and physical health service utilization among Vietnam veterans.

This study investigated predictors of mental and physical health care service utilization among 1,632 male (n = 1,200) and female (n = 432) Vietnam veterans who participated in the National Vietnam Veterans Readjustment Study. Using Anderson's theory as a model (Anderson & Bartkus, 1973), the authors examined both direct and mediated relationships among predisposing factors (i.e., age, marital status, and combat exposure), enabling factors (e.g., household income and insurance), and need factors (e.g., medical and psychological symptomatology) and physical and mental health care utilization outcomes. Need factors were the most consistent and strongest mediators of predisposing variables for both physical and mental health care service utilization, although there were differences between male and female veterans. For men, combat exposure indirectly predicted mental health care utilization through the need variables (with the effects of posttraumatic stress disorder being greatest). For women, physical health problems mediated the relationship between combat exposure and physical health outpatient care utilization. These findings have implications for screening and outreach efforts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)