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AbstractIncreasing rates of posttraumatic stress disorder (PTSD) in military populations during recent conflicts have sparked concerns regarding the incidence of other commonly associated problems, such as intimate partner violence (IPV). From a clinical perspective, it is important to understand patterns of PTSD symptomology that may indicate heightened risk for such aggression. To address this, among a longitudinal cohort of U.S. military personnel, we evaluated the association of PTSD symptom clusters and comorbid conditions as predictors of any subsequent Department of Defense Family Advocacy Program incidents of IPV meeting full definitional criteria for physical or psychological abuse. Results suggested that general symptoms of negative affect common in PTSD (e.g., anger/irritability, sleep disruption) and comorbid alcohol dependence were stronger predictors of IPV than trauma-specific PTSD symptomology (e.g., reexperiencing, hypervigilance). Clinical implications and recommendations for future research are discussed.

ABSTRACTThis study examined the relationship of on- and off-post resources to perceived residential neighborhood quality in 432 soldiers and their spouses from the four largest U.S. Army installations. Participants completed a questionnaire that measured one important element of perceived neighborhood quality (social cohesion/interrelatedness) and the extent to which community resources met the needs of military families. Higher levels of perceived on- and off-post resources were independently related to greater perceived neighborhood quality. After adjusting for demographics and off-post resources, on-post resources continued to be associated with perceived neighborhood quality (B= .17, p≤ .01). Access to diverse, high-quality, and readily available community resources, particularly on-post, may enhance perceived neighborhood quality and strengthen military communities.

Preventing child maltreatment fatalities is a critical goal of the U.S. society and the military services. Fatality review boards further this goal through the analysis of circumstances of child deaths, making recommendations for improvements in practices and policies, and promoting increased cooperation among the many systems that serve families. The purpose of this article is to review types of child maltreatment death, proposed classification models, risk and protective factors, and prevention strategies.

Problem drinking that predates enlistment into military service may contribute to the overall burden of alcohol misuse in the Armed Forces; however, evidence bearing on this issue is limited. This study examines prevalence and correlates of alcohol misuse among new U.S.Army soldiers. Cross‐sectional survey data were collected from soldiers reporting for basic combat training. The survey retrospectively assessed lifetime alcohol consumption and substance abuse/dependence, enabling estimation of the prevalence of lifetime binge drinking and heavy drinking in a sample of 30,583 soldiers and of probable alcohol use disorder (AUD) among 26,754 soldiers with no/minimal lifetime use of other drugs. Co‐occurrence of mental disorders and other adverse outcomes with binge drinking, heavy drinking, and AUDwas examined. Discrete‐time survival analysis, with person‐year the unit of analysis and a logistic link function, was used to estimate associations of AUDwith subsequent onset of mental disorders and vice versa. Weighted prevalence of lifetime binge drinking was 27.2% (SE= 0.4) among males and 18.9% (SE= 0.7) among females; respective estimates for heavy drinking were 13.9% (SE= 0.3) and 9.4% (SE= 0.4). Among soldiers with no/minimal drug use, 9.5% (SE= 0.2) of males and 7.2% (SE= 0.5) of females had lifetime AUD. Relative to no alcohol misuse, binge drinking, heavy drinking, and AUDwere associated with increased odds of all mental disorders and other adverse outcomes under consideration (adjusted odds ratios [AORs] = 1.5 to 4.6; ps < 0.001). Prior mental disorders and suicidal ideation were associated with onset of AUD(AORs = 2.3 to 2.8; ps< 0.001), and prior AUDwas associated with onset of mental disorders and suicidal ideation (AORs = 2.0 to 3.2, ps < 0.005). Strong bidirectional associations between alcohol misuse and mental disorders were observed in a cohort of soldiers beginning Army service. Conjoint recognition of alcohol misuse and mental disorders upon enlistment may provide opportunities for risk mitigation early in a soldier's career. Weighted prevalence of lifetime post‐traumatic stress disorder, suicidal behavior, major depressive disorder, and panic disorder by categories of alcohol misuse among new soldiers in a sample of the US Army, assessed during basic training. Standard errors range from 0.1 to 1.5%. All four co‐occurring conditions were more prevalent among soldiers with lifetime binge drinking, lifetime heavy drinking, lifetime probable alcohol use disorder (AUD) and past‐year probable AUD than among soldiers with no lifetime alcohol misuse (all p's < 0.001).

U.S. Army mortuary affairs (MA) soldiers experience stressors of deployment and exposure to the dead, increasing risk for post-traumatic stress and depression. This study examines Troop Education for Army Morale, a postdeployment early intervention based on Psychological First Aid. MA soldiers (N = 126) were randomized to intervention or comparison groups 1-month postdeployment. Intervention sessions were held at 2, 3, 4, and 7 months. Assessments of post-traumatic stress disorder (PTSD), depression, and quality of life (QOL) were conducted at 1, 2, 3, 4, 7, and 10 months for both groups. At baseline, 25.0% of the total sample had probable PTSD (17-item PTSD Checklist M = 35.4, SD = 16.9) and 23.6% had probable depression (9-item Patient Health Questionnaire Depression Scale M = 7.8, SD = 6.9). Over 10 months, PTSD and depression symptoms decreased and QOL improved for the total sample. At study conclusion, intervention and comparison groups were not different. Intervention group males showed a transient symptom increase at 2 to 3 months. Males attended fewer intervention sessions than females. Lower attendance was associated with more symptoms and lower QOL. Higher attendance was associated with greater intervention benefits. Findings highlight the need for better understanding postdeployment interventions and facilitating attendance. Further intervention for MA soldiers is indicated.

Neglect has been linked to short-term and long-term deleterious outcomes in children, but has received little attention in the research literature.

Understanding features of community strength both on and off the military installation will help identify and address the needs of military families. This study introduced a measure to identify adequacy of community resources for military families. Using confirmatory factor analysis with data from 717 service users (Mage = 37.3 yr., SD= 10.6) representing four large U.S. Army installations, two domains of community resource adequacy were identified: resources on the installation and resources off the installation. This measure could be used in health research with military families and in improving resources available to this population.

Military families include 2.9 million people, with approximately 40% of all service members having at least one child. Rates of child neglect in this population have increased in recent years, but little is known about the characteristics of the neglect. To better identify targets for intervention, it is necessary that we refine our understanding of child neglect in the military. In this review, we examine definitions of child neglect and the specific definitions used by the U.S. Army. We identify domains of neglect and caregiver behaviors and affiliated. We suggest that this approach can inform prevention efforts within the Institute of Medicine's framework for preventive interventions. Understanding risk and protective factors in the military family are important to interventions for child neglect in military families.

To determine the relationship between length of soldier deployment and self-reports of moderate and severe spousal violence.

At a single U.S. Army installation from 1997 to 2005, domestic violence volunteer victim advocates assisted 1,417 clients in 1,380 physical and 301 verbal abuse incidents. The average soldier and spouse population during this time was slightly less than 10,000. Advocates went to the scene of the incident to talk to the victim to ensure that her/his rights were observed, to determine whether the victim was safe, was referred to the hospital social work service for assessment, and had the information necessary to negotiate the complex military and community systems. The advocate inquired of the victim the characteristics of the incident and risk factors in the history of the relationship. In many incidents, risk factors indicated a history of serious violence by the offender including an increasing level of violence, stalking, and assaults. Frequently reported precipitants of incidents were relationship problems, jealously, and infidelity. Spouses often reported previous attempts to leave and to get help. Advocates play an important role in gathering information uniquely available at the scene that can be useful in planning education and intervention programs to reduce domestic violence in the Army, the military services, and civilian society.

A descriptive evaluation of a volunteer victim advocacy (VA) program was conducted to assist domestic violence victims on the scene of a domestic violence incident on a 24-hour per day basis at a U.S. Army installation. A total of 87 volunteers contributed data to this evaluation. The VAs conducted on-the-spot client safety planning using risk factor assessment. Additional information was given to the client about post programs and services. VAs were evaluated and monitored through initial, periodic, and exit interviews. They were asked about their training needs, the most difficult situations they confronted, what they did best, and whether the VA program met their personal needs. While the Army supports victim advocacy by regulation, it often does not provide sufficient funds to support the hiring of the necessary staff. Hence, a volunteer program may be the only feasible approach to provide advocacy assistance for abused spouses in the Army above a minimum level. Drawing on the services of trained volunteers allowed the Family Advocacy Program at this installation to accomplish its mandated mission. Suggestions for further research in VA programs are presented.

Background: Prior studies suggest racial/ethnic differences in the associations between alcohol misuse and spouse abuse. Some studies indicate that drinking patterns are a stronger predictor of spouse abuse for African Americans but not whites or Hispanics, while others report that drinking patterns are a stronger predictor for whites than African Americans or Hispanics. This study extends prior work by exploring associations between heavy drinking, alcohol‐related problems, and risk for spouse abuse within racial/ethnic groups as well as variations associated with whether the perpetrator is drinking during the spouse abuse incident.

This study determined the perception by 951 U.S. Army soldiers of positive and negative consequences of a peacekeeping deployment to Bosnia. Seventy-seven percent reported some positive consequences, 63% reported a negative consequence, and 47% reported both. Written comments were also provided. Of the 951 soldiers, 478 wrote at least one positive comment and 403 at least one negative comment. Single soldiers were more likely than married soldiers to report positive consequences (82% vs. 72%). Married soldiers were more likely than single soldiers to report negative consequences (70% vs. 55%). Positive consequences included making additional money, self-improvement, and time to think. Negative consequences included the military chain of command, being away from home, and deterioration of marital/significant other relationships.

The objective of this study was to determine whether a military deployment of 6 months predicted domestic violence against the wives of deployed and nondeployed soldiers during the postdeployment period. The method involved the completion of an anonymous questionnaire by a sample of the spouses of soldiers deployed from a large U.S. Army post. The Conflict Tactics Scale identified incidents of domestic violence by the soldier husbands, and a logistic regression model predicted domestic violence during the postdeployment period. The results indicate that deployment was not a significant predictor of domestic violence during the first 10 months of the postdeployment period. Younger wives and those who were victims of predeployment domestic violence were more likely to report postdeployment domestic violence. The conclusion was that interventions for domestic violence in the U.S. Army should address risks among younger couples and those with a previous incident of domestic violence.

Background: This study examines the relationship between typical weekly drinking and perpetration of spouse abuse as well as the relationship between the perpetrator's typical weekly drinking and alcohol use during the abuse event among U.S. Army male soldiers.

This study compares reports of the severity of child maltreatment for the U.S. Army and a civilian jurisdiction, Washington State (WS). Such comparisons can provide important information on risk and protective factors in designing prevention programs. An understanding of the differences facilitates the tailoring of interventions to better fit the characteristics of each community. The ages of the children in the WS cases were significantly older than the cases of the Army children. In both populations, neglect was the most prevalent form of maltreatment, followed in order by physical abuse, sexual abuse, and emotional abuse. The percentages of physical abuse, sexual abuse, and neglect were not statistically different, but the Army classified three times the number of emotional abuse cases as WS. The Army also classified more cases of physical abuse as severe (11%) compared with WS (5%). However, 16% of WS neglect cases were classified severe compared with 3% of Army cases.

The transitional compensation (TC) program of the U.S. Army provides financial and other benefits to the families of service members discharged for child or spouse maltreatment. We analyzed the TC records of the 347 offenders, 337 spouses (160 victims and 177 nonvictims) who were applicants for benefits, and 820 children (244 victims and 576 nonvictims). One hundred fifty-two spouses were physically abused and eight were sexually abused. One hundred eighty-two children were sexually abused, 61 were physically abused, and one was emotionally abused. The Army Central Registry (ACR) of child and spouse maltreatment cases was examined to determine whether the TC offenders and victims had a history of prior maltreatment and to assess its severity. Ninety percent of the IC offenders had an ACR history as child or spouse maltreatment offenders. Seventy-four percent of the TC child abuse victims had an ACR history as victims, and 81 percent of the TC spouse abuse victims had such a history. The severity of maltreatment in the ACR of TC child and spouse victims was greater than the overall severity of maltreatment for those in the ACR database who were not in the IC database. Other children in the family who had not been identified as TC victims also had an ACR history that was more severe. Health and social service agencies should be aware of the TC program and be knowledgeable about its benefits for family members of soldiers discharged for abuse-related offenses. [ABSTRACT FROM AUTHOR]

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 (N313) and nondeployed (N712) 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.

Many personnel deployed to the 1991 Persian Gulf War complained of symptoms that sometimes remained unexplained after comprehensive clinical examinations. We used existing population-based data from the Epidemiologic Catchment Area survey to estimate the expected incidence, prevalence, resolution, and mortality for multiple idiopathic physical symptoms (MIPS) among Army active duty personnel. Multinomial logistic regression was used to model the relationship between sociodemographic characteristics and the distribution of MIPS in U.S. workers. We used logit coefficients and known sociodemographic characteristics of U.S. Army active duty personnel to predict MIPS status in the Army. High, medium, and low estimates of MIPS incidence, prevalence, resolution, and MIPS-related mortality were obtained by altering logit intercepts. Among workers, the estimated MIPS prevalence and annual incidence, resolution, and mortality were 4.62%, 2.11%, 63.85%, and 0.26%, respectively. In contrast, the same predicted rates among Army active duty personnel were 3.89%, 1.64%, 71.33%, and 0.15%.

Exposure to the dead has been an important subject for traumatic stress research, considering that such exposure is a risk factor for posttraumatic stress disorder (PTSD). Individuals required to handle the dead from war are exposed to multiple stressors. No previous studies, however, have examined pre- and post-responses to traumatic death. We studied the pre-post responses of 352 military men and women who worked in the mortuary that received the dead from the Persian Gulf War (Operation Desert Storm) in 1990 to 1991. The respondents were volunteers and nonvolunteers for assignment to the mortuary; some had prior experience in handling the dead and some did not. Symptoms of intrusion and avoidance were measured before and after exposure. Four groups were examined based on the degree of exposure to remains. Age, sex, volunteer status, and prior experience handling remains were statistically controlled. Post-exposure intrusion symptoms increased significantly for all groups exposed to the dead. Increased post-exposure avoidance symptoms were present in the two groups with the greatest exposure to remains. There were no significant increases in intrusion or avoidance in the unexposed group.

Exposure to traumatic death is a risk factor for posttraumatic stress disorder. For some groups, anticipation of such exposure may contribute to traumatic stress. We studied the anticipated stress of working in the Operation Desert Storm mortuary in two groups prior to the arrival of the dead. We examined those who would handle remains (mortuary workers, N386, 330 men and 56 women) and those who would not (support workers, N87, 67 men and 20 women). These two groups were a mixture of volunteers and nonvolunteers as well as persons with and without experience in handling the dead. The mortuary workers had higher levels of preexposure distress than support workers; nonvolunteer mortuary workers had higher levels of distress than volunteers. Female mortuary workers had higher levels of distress than males, although this effect was modest. Experienced mortuary workers reported fewer intrusive and avoidant symptoms than did inexperienced workers. Those persons at highest risk for generalized distress as well as intrusive and avoidant symptoms were inexperienced nonvolunteer mortuary workers.

High levels of distress were found in military mortuary workers prior to the arrival of the human remains from the Persian Gulf War of 1991. To better understand the stress of anticipating the handling of remains, we performed stepwise multiple regression analyses to identify the best predictors of intrusive thoughts and avoidant thoughts and behavior, two of the primary symptoms of posttraumatic stress disorder. After volunteer status and sex were controlled, fear and discomfort with mutilation and the grotesque, as measured by the Mutilation Questionnaire, and defensiveness or denial, as measured by the Marlowe-Crowne Scale, were significant predictors of intrusion and avoidance in the inexperienced group. In the experienced group, only the Mutilation Questionnaire predicted intrusion and avoidance. Results have implications for selection, training, and interventions for mortuary workers and other disaster workers whose job includes exposure to human remains.

3 measures of stimulation seeking were administered to 128 pre-freshman students and 97 general psychology students. Normative data were provided and compared with previous data. Significantly higher means and correlations among scales were obtained for the general psychology students than for the pre-freshman students. It is possible that the Sensation-seeking Scale (SSS) tends to measure more variable characteristics than SVS or CSI. However, it is equally possible that these differences may be due to lack of reliability of the SSS or the insensitivity of the other two to change. Which of the possibilities may be or is the case is not evident from these data.

60 rats were given doses of 20, 60 or 100 mg/kg of magnesium pemoline or a placebo. They were tested (1 trial a day) for 21 days of drug treatment and for 10 days of no treatment. It was found that drug-treated animals had a significantly lower total time in the maze on some days of the experiment; however, the swimming time of the drug groups was often higher than that of the placebo group. Experimental subjects also made more errors and had higher percentages of swimming time than placebo-treated subjects. The number of errors and percent swimming time increased with increasing drug doses. Drug-treated subjects had higher activity scores and less weight gain than placebo subjects. The weight changes were reversed after drug treatment was discontinued.

The avoidance behavior of rats was observed under the conditions of a jumping or a running apparatus paired with a 5- or a 10-sec. CS interval. It was determined that the latency of S's response late in acquisition was dependent on the duration of CS interval but independent of the type of apparatus. Trials to criterion of acquisition indicated that Ss in the running apparatus required more trials than those in the jumping apparatus. After 3 days, extinction trials to criterion indicated that more trials to criterion were required for Ss in the running apparatus and having the 10-sec. CS interval.