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Among those in close relationships, the perception that one's partner has a drinking problem is more strongly related to detriments in relationship quality than are the actual rates of the partner's drinking. The current study extends this work by examining the effects of this perception on relationship functioning longitudinally and whether this association is mediated by changes in how one behaves in response to their partner's drinking. Spouses and partners of military service members who were concerned about their partner's drinking (n = 234) completed a baseline survey and a follow-up assessment five months later. Structural equation modeling was used to prospectively examine the association between concern about partner drinking and relationship functioning (i.e., relationship quality, conflict, communication patterns), and the mediated effect of regulation strategies. Results suggested that changes in participant concern were related to changes in relationship functioning, and these changes were mediated by changes in punishment and rewarding sobriety regulation strategies. This research suggests that concern about partner drinking is linked with poorer relationship functioning partly because of the increased use of punishment and the decreased use of rewarding sobriety.

Problematic drinking is a serious and persistent problem among U.S. military service members and veterans, who face barriers to seeking help and are less likely to seek help than the civilian population. One way to reach this population is through spouses or partners who are concerned about the service members' drinking (concerned partners [CPs]). CPs of military service members were recruited for a web-based intervention, Partners Connect, that aimed to improve patterns of communication about the service members' drinking. Participants were 234 CPs (95% female; 71% White; 89% married; average age 32 years) who completed a baseline survey, were randomized to a four-session web-based intervention or a waitlist control group, and completed a follow-up assessment 5 months later. Three measures reported by CPs assessed perceived partner drinking (drinks per week, highest number of drinks across a typical week, and frequency of drinking in the past month) and CP behaviors were assessed using the Significant-other Behavior Questionnaire (SBQ) and the State-Trait Anger Expression Inventory (STAXI-2). Results demonstrated that the intervention did not have a main effect on CP behaviors relative to control. However, changes in CP punishment of partner drinking and behaviors supporting sobriety were significantly associated with decreased perceived partner drinking and improved relationship quality over time. Furthermore, compared to the control group, to the extent that CPs in the treatment group reduced their negative behaviors, perceived partner drinking declined and relationship quality improved. The results reinforce the importance of considering CP behaviors when designing interventions to reduce drinking.

Background There is a lack of research on the effectiveness of online peer support groups for reducing social isolation and depressive symptoms among caregivers, and previous research has mixed results. Objective This study aimed to test whether military caregivers who joined a new online peer support community or engaged with an existing online community experienced decreased perceived social isolation and improved depressive symptoms over 6 months. Methods We conducted a longitudinal study of 212 military caregivers who had newly joined an online community and those who were members of other military caregiver groups. Multiple indicators of perceived social isolation and depressive symptoms were assessed at baseline and at 3 and 6 months. Results Compared with caregivers in the comparison group, caregivers who joined the new group experienced less perceived social isolation at 3 months (eg, number of caregivers in social network [unstandardized regression coefficients] b=0.49, SE 0.19, 95% CI 0.87 to 0.02), but this effect did not persist at 6 months. Those who engaged more with new or existing groups experienced less perceived social isolation over time (eg, number of caregivers in social network b=0.18, SE 0.06, 95% CI 0.02 to 0.27), and this relationship was mediated by increased interactions with other military caregivers (95% CI 0.0046 to 0.0961). Engagement with an online group was not associated with improvements in depressive symptoms. Conclusions Online communities might help reduce social isolation when members engage with the group, but more intensive treatment is needed to improve depressive symptoms.

Concerned partners (CPs) of service members and veterans who misuse alcohol face help-seeking barriers and mental health problems. We used multiple regression to evaluate the efficacy of Partners Connect, a 4-session web-based intervention (WBI) to address military CPs’ mental health and communication. We randomized 312 CPs to the WBI or a control group. Five months later, WBI CPs reported significant reductions in their anxiety and increases in their social support compared to control CPs. Intervention dose was also associated with improved CP outcomes. There was no intervention effect on perceived partner drinking. Partners Connect appears to fill a need for families who face help-seeking barriers and provides an alternative to traditional care for those who may not otherwise seek help.

The RAND Arroyo Center conducted a 2014 formal needs assessment survey of active component soldiers at 40 installations. The original study described a broad landscape of needs in such areas as quality of life support services provided to help families cope with a variety of challenges. In this study, new analysis of those survey data explores differences at the garrison level and includes additional focus group data. The analysis suggests that resources providing one-on-one, personalized help should be given priority and it is possible that emphasizing trust between soldiers and their leaders could help fulfill this need. Providing easily accessible information online and staffing services that provide information to soldiers and their families should also be continuing priorities. In intergovernmental support agreements and other community partnership activities, Army garrisons should consider focusing more on partnerships that help meet the needs of soldiers and their families. The Army might consider a series of solutions to achieve the right balance between fostering resilience and helping its soldiers solve problems early. One solution is to expose noncommissioned officers and other soldiers earlier and more frequently in their careers to information regarding what resources are available. Another solution is to set priorities at the aggregate Army level, rather than leaving lower levels to determine how to prioritize the many requirements that are passed down. Finally, the Army should consider strengthening the “no wrong door” policy at Army Community Service and broadening the policy to help soldiers and families navigate resources.

Although the experience of deployments has been described as devastating to married life, evidence linking deployments directly to poorer marital functioning has been sparse. The analyses described in this article compare associations between prior deployments and current marital satisfaction across four different ways of measuring prior deployment within a large and representative sample of married Army service members and their spouses. Results indicate that the experience of prior deployments is associated with significantly lower current marital satisfaction among military couples. The association is disproportionately strong for first deployments and first cumulative months of deployment and weakens over subsequent deployment experiences. Most of these associations, but not all, can be accounted for by the fact that service members who have been deployed are more likely to have experienced traumatic events and to experience posttraumatic stress disorder symptoms, both of which are independently associated with lower levels of marital satisfaction.

Deployment can be a significant source of stress for military families. Understanding how families prepare in the face of such stress, and which families are more versus less likely to prepare, is ...

A survey of more than 8,500 Army spouses examining their problem-solving processes found that the most common problems involved work-life balance, military practices and culture, and spouses' own well-being. Spouses most often wanted social support.

The authors evaluate the impact of the U.S. Department of Defense's My Career Advancement Account (MyCAA) Scholarship program, which provides tuition assistance to military spouses for education and training in portable career fields, on the retention of military personnel. Using a propensity-score matching analysis comparing MyCAA households to households of nonusers, they find consistent and sustained evidence for its impact on retention.

This report identifies the challenges that Army families face, and the resources they need to address those challenges, directly from the perspectives of more than 8,500 Army spouses who completed a survey. The results show how spouses prioritize needs, the implications of unmet needs for spouses' attitudes toward military service, and how the Army can best address spouses' most-pressing unmet needs through adjustments to Army support services.

Background Online peer support groups are an increasingly common venue for caregivers supporting disabled family members to exchange informational, emotional, and instrumental support. We know very little, however, about who uses these groups and whether they are reaching those with the greatest needs. Objective To examine whether caregiving factors (ie, caregiving demands and strain, competing demands, access to support and services, and other caregiving characteristics) are related to online community support use and intensity of use. Method This study used data from a new survey of family caregivers who provide care to disabled military veterans. We used logistic regression models to examine the likelihood of online community support group usage and intensity of use as a function of a variety of caregiving factors. Results Those with greater caregiving demands were more likely to use online peer support. Specifically, helping the care recipient with more activities was associated with a statistically significantly greater likelihood of visiting an online community support group. Caring for a veteran with a neurological or psychological condition, which, in prior work, suggests more complex care needs, was also positively and significantly related to visiting an online community support group. Hours of care and several other caregiving factors were related to intensity of use. Conclusions We show that family caregivers with the most caregiving demands are most engaged with online support communities. This suggests that online communities could be used to support the most vulnerable family caregivers. The implications of this work for online support systems are discussed.

Developing programs to support low-income married couples requires an accurate understanding of the challenges they face. To address this question, we assessed the salience and severity of relationship problems by asking 862 Black, White, and Latino newlywed spouses (N=431 couples) living in low-income neighborhoods to (a) free list their three biggest sources of disagreement in the marriage, and (b) rate the severity of the problems appearing on a standard relationship problem inventory. Comparing the two sources of information revealed that, although relational problems (e.g., communication and moods) were rated as severe on the inventory, challenges external to the relationship (e.g., children) were more salient in the free listing task. The pattern of results is robust across couples of varying race/ethnicity, parental status, and income levels. We conclude that efforts to strengthen marriages among low-income couples may be more effective if they address not only relational problems, but also couples’ external stresses by providing assistance with childcare, finances, or job training.

The appropriate format for services supporting military families depends on how vulnerabilities and resources are distributed across and within those families. If different types of vulnerabilities cluster together, then programs supporting families should combine multiple services rather than targeting specific concerns. Yet scant data exist about how vulnerabilities and resources covary within military families. The current study addressed this issue through a latent class analysis of data on a wide range of domains obtained from a stratified random sample of 1,981 deployable, active component, married servicemembers and their spouses. Within married deployable servicemembers, results indicated that vulnerabilities and resources cluster together within individuals; servicemembers at high risk in one domain are likely to be high risk in multiple domains. This is less the case for spouses. One or both spouses are vulnerable in 39% of couples. These results support programs that provide vulnerable military families with more comprehensive services.

Background: Web-based peer support interventions have shown promise in reducing social isolation and social support deficits among informal caregivers, but little research has examined how caregivers use and perceive these interventions. Objective: In this study, we examined utilization and perceptions of a Web-based social support intervention for informal caregivers of wounded, ill, and injured United States military service members and veterans. Methods: This was a mixed-methods study that used quantitative survey data and qualitative data from focus groups and interviews with informal caregivers enrolled in a Web-based peer support intervention to explore their use and perceptions of the intervention. The intervention was delivered via a website that featured interest groups organized around specific topics, webinars, webchats, and messaging functionality and was moderated by professionally trained peers. This study occurred in the context of a quasi-experimental outcome evaluation of the intervention, where intervention participants were compared with a group of military caregivers who were not enrolled in the intervention. Results: Survey findings indicated that caregivers used the website infrequently, with 60.7% (128/211) visiting the website once a month or less, and passively, with a minority (32/144, 22.2%) of users (ie, those who had visited the website at least once during the past 3 months, N=144) posting comments or links to the network. Nonetheless, most users (121/144, 84.0%) endorsed moderate or greater satisfaction with the website on the survey, and focus group and interview participants reported benefiting sufficiently from passive use of the website (eg, reading posts). Quantitative and qualitative findings suggested that users viewed the website primarily as a source of informational support. Among 63.2% (91/144) of users who completed the survey, the most commonly reported network-related activity was obtaining information from the network’s resource library, and focus group and interview participants viewed the network primarily as an informational resource. Focus group and interview participants expressed an unmet need for emotional support and the desire for a more personal touch in the forms of more active engagement with other caregivers in the network and the creation of local, in-person support groups for caregivers. Conclusions: These findings suggest that Web-based peer support interventions may lend themselves better to the provision of informational (vs emotional) support and may need to be supplemented by in-person peer support groups to better meet caregivers’ needs for emotional support.

Over the past decade, the research and policy institute sector has been designing and conducting large-scale studies to inform evidence-based policy decision-making to effectively meet the needs of military families and maintain overall force readiness. Several studies have been initiated and much has been learned about the changing composition of the force and the impact of deployment on military families; however, several gaps in our knowledge base remain. At the same time, several lessons have been learned about the challenges associated with studying military families. Taken together, these lessons and remaining gaps can help inform a more strategic research agenda on military families in the future. This chapter provides several recommendations toward this end; however, in doing so, it also highlights the importance of initiating these recommendations now rather than waiting for future deployments.

A recent evaluation of the military's non-medical counseling programs suggests that they help military personnel and their families. Participants gave the programs favorable ratings, and most reported improvement over a three-month period.

My Career Advancement Account Scholarships are intended to help military spouses with education and employment. The percentage of eligible spouses working declined over time, but users were more likely than nonusers to be working two years later.

In 2009, RAND launched the Deployment Life Study to study military family readiness. This article presents analyses on marital relationships, family environment, psychological and behavioral health, child well-being, and military integration.

Heavy drinking in relationships is complex and we focus on an understudied sample of concerned partners (CPs) worried about their U.S. service member/veteran partner's drinking. We evaluated the link between CP drinking and their own mental health, and how CP drinking moderated the efficacy of a web-based intervention designed to address CPs' mental health and communication. CPs (N = 234) were randomly assigned to intervention or control and completed assessments at baseline and 5 months later. CP drinking was associated with greater CP depression, anxiety, and anger independent of partner drinking. Moreover, the intervention was more efficacious in reducing depression for heavy drinking CPs. CPs are often an overlooked population and resources to help support them are needed.

The present research investigated whether having out-group friends serves as a buffer for feeling misunderstood in interracial interactions. Across three experience sampling studies, we found that among ethnic minorities who have few White friends or are not interacting with White friends, daily interracial interactions are associated with feeling less understood. By contrast, we found that among ethnic minorities who have more White friends or are interacting with White friends, the relationship between daily interracial interactions and feeling understood is not significant. We did not find similar results for Whites; that is, having ethnic minority friends did not play a role in the relationship between daily interracial interactions and feeling understood. Together, these studies demonstrate the beneficial effects of intergroup friendships for ethnic minorities.

Interventions intended to prevent relationship distress are expected to enhance relationship satisfaction and, in turn, reduce the need for later couples counseling. We test this prediction against an alternative possibility: participation in preventive interventions may operate as a gateway for later help-seeking, paradoxically increasing receipt of later couples counseling. A cross-sectional study of 2,126 married individuals examined whether participation in premarital education covaried inversely or directly with couples counseling. Consistent with the gateway hypothesis, receiving premarital education covaried with an increased likelihood of receiving couples counseling. The association between receipt of premarital education and pursuit of couples counseling was moderated by demographic indicators, with the association being stronger for African Americans and for individuals with lower incomes and less formal education. Encouraging the use of premarital interventions may increase the use of therapeutic interventions later in the relationship, especially among high-risk populations.

While much has been written about the role of caregiving for the elderly and chronically ill and for children with special needs, little is known about "military caregivers"-the population of those who care for wounded, ill, and injured military personnel and veterans. These caregivers play an essential role in caring for injured or wounded service members and veterans. This enables those for whom they are caring to live better quality lives, and can result in faster and improved rehabilitation and recovery. Yet playing this role can impose a substantial physical, emotional, and financial toll on caregivers. This article distills a longer report

In this brief, RAND researchers document the construction and elements of a research blueprint to inform future efforts to improve support for military and veteran caregivers.

RAND's evaluation of Military and Family Life Counseling and Military OneSource, based on participant surveys, suggests that these programs are largely effective for service members and families who have used these services.

In the United States, low marriage rates and high divorce rates among the poor have led policymakers to target this group for skills- and values-based interventions. The current research evaluated the assumptions underlying these interventions; specifically, the authors examined whether low-income respondents held less traditional values toward marriage, had unrealistic standards for marriage, and had more problems managing relational problems than higher income respondents. They assessed these issues in a stratified random sample that oversampled low-income and non-White populations (N = 6,012). The results demonstrated that, relative to higher income respondents, low-income respondents held more traditional values toward marriage, had similar romantic standards for marriage, and experienced similar skills-based relationship problems. Low-income groups had higher economic standards for marriage and experienced more problems related to economic and social issues (e.g., money, drinking/drug use) than did higher income respondents. Thus, efforts to save low-income marriages should directly confront the economic and social realities these couples face.

Observational coding systems are uniquely suited for investigating interactional processes in couples and families, but their validity in diverse populations is unknown. We addressed this issue by applying factor analysis to interactional data collected from couples in low-income neighborhoods and coded with the widely-used Iowa Family Interaction Rating Scales (IFIRS). Four hundred and fourteen low-income, ethnically diverse newlywed couples each provided 24-minute samples of problem-solving and social support behavior. Inter-rater reliabilities were strong, and the resultant factors - reflecting positive, negative, and effective communication - were very similar to those obtained with white, middle-class samples. Additionally, couples were more negative, less positive, and less effective in problem-solving conversations than in socially supportive conversations, further supporting the validity of the IFIRS in this population. We conclude by discussing the strengths and shortcomings of the IFIRS when used in a low-income, ethnically diverse population.

A prominent metaphor in American politics associates left with liberals and right with conservatives. Three studies investigate the extent to which this metaphor not only shapes how people talk about politics, but how people think about politics. Participants who are oriented to their right report more conservative political attitudes, while those who are oriented toward their left report more liberal attitudes. This supports the notion that spatial metaphor is a key ingredient underlying abstract thinking even for important belief systems.

We investigated the relationship between Whites’ and ethnic minorities’ concerns about appearing prejudiced and anxiety during daily interracial interactions. College roommate pairs completed an individual difference measure of concerns about appearing prejudiced at the beginning of the semester. Then they completed measures of anxiety and perceptions of their roommates’ anxiety-related behaviors for 15 days. Results indicated that among interracial roommate pairs, Whites’ and ethnic minorities’ concerns about appearing prejudiced were related to their self-reported anxiety on a daily basis; but this was not the case among same-race roommate pairs. In addition, among interracial roommate pairs, roommates who were concerned about appearing prejudiced began to “leak” their anxiety towards the end of the diary period, as indicated by their out-group roommate who perceived their anxious behaviors as increasing across time, and who consequently liked them less. The implications of these findings for intergroup relations are discussed in this article.

We examine the processes involved in the development of interracial friendships. Using Reis and Shaver’s intimacy model, we explore the extent to which disclosure and perceived partner responsiveness influence intimacy levels in developing interracial and intraracial friendships. White and ethnic minority participants completed diary measures of self and partner disclosure and partner responsiveness every two weeks for 10 weeks about an in-group and an out-group person whom they thought they would befriend over time. The results revealed that perceived partner responsiveness mediated the relationships between both self and partner disclosure and intimacy in interracial and intraracial relationships. The implications of these results for intergroup relations are discussed.

A common ingroup identity promotes positive attitudes and behavior toward members of outgroups, but the durability of these effects and generalizability to relationships outside of the laboratory have been questioned. The present research examined how initial perceptions of common ingroup identity among randomly assigned college roommates provide a foundation for the development of intergroup friendships. For roommate dyads involving students who differed in race or ethnicity, respondents who were low on perceived intergroup commonality showed a significant decline in friendship over-time, whereas those high on perceived commonality showed consistently high levels of friendship. Similarly, participants in these dyads demonstrated a significant decline in feelings of friendship when their roommate was low in perceived commonality but not when their roommate was high in perceived commonality. These effects were partially mediated by anxiety experienced in interactions over-time. The implications of a common identity for intergroup relationship development are discussed.

Jobs, social group memberships, or living arrangements lead many people to interact every day with another person from a different racial background. Given that research has shown that interracial interactions are often stressful, it is important to know how these daily interactions unfold across time and what factors contribute to the success or failure of these interactions. Both members of same-race and mixed-race college roommate pairs completed daily questionnaires measuring their emotional experiences and their perceptions of their roommate. Results revealed that roommates in mixed-race dyads experienced less positive emotions and intimacy toward their roommates than did roommates in same-race dyads and that the experience of positive emotions declined over time for ethnic minority students with White roommates. Mediation analyses showed that the negative effects of roommate race were mediated by the level of intimacy-building behaviors performed by the roommate. Implications for future research and university policies are discussed.

Most of the research on intergroup anxiety has examined the impact of people's own anxiety on their own outcomes. In contrast, we show that in intergroup interactions, one's partner's anxiety is just as important as one's own anxiety (if not more important). Using a diary study among college roommates, we show that partners' anxiety predicts respondents' anxiety across time on a daily basis, as well as respondents' interest in living together again the next year. We discuss the importance of taking a relational approach to understanding intergroup interactions.

The Marine Corps Combat Development Command asked RAND to study the integration of women into infantry combat roles. Researchers reviewed the literature, conducted interviews, estimated costs, and developed an approach for monitoring integration.

People’s social and political opinions are grounded in their moral concerns about right and wrong. We examine whether five moral foundations—harm, fairness, ingroup, authority, and purity—can influence political attitudes of liberals and conservatives across a variety of issues. Framing issues using moral foundations may change political attitudes in at least two possible ways: (a) Entrenching: Relevant moral foundations will strengthen existing political attitudes when framing pro-attitudinal issues (e.g., conservatives exposed to a free-market economic stance) and (b) Persuasion: Mere presence of relevant moral foundations may also alter political attitudes in counter-attitudinal directions (e.g., conservatives exposed to an economic regulation stance). Studies 1 and 2 support the entrenching hypothesis. Relevant moral foundation-based frames bolstered political attitudes for conservatives (Study 1) and liberals (Study 2). Only Study 2 partially supports the persuasion hypothesis. Conservative-relevant moral frames of liberal issues increased conservatives’ liberal attitudes.

Alcohol misuse among military service members from the recent conflicts in Iraq and Afghanistan is over two times higher compared to misuse in the civilian population. Unfortunately, in addition to experiencing personal consequences from alcohol misuse, partners and family members of alcohol-misusing service members also suffer in negative ways from their loved one’s drinking. These family members represent important catalysts for helping their loved ones identify problem drinking and overcoming the barriers to seeking care. This paper describes the protocol to a pilot study evaluating a 4-session, web-based intervention (WBI) for concerned partners (CPs) of service members with alcohol misuse. The WBI will be adapted from the Community Reinforcement and Family Training (CRAFT) intervention. In the first phase, we will develop and beta-test the WBI with 15–20 CPs. In the second phase, we will randomize CPs to WBI (n = 50) or to delayed-WBI (n = 50) and evaluate the impact of the WBI on CPs’ perceptions of service member help-seeking and drinking, as well as the CP’s well-being and relationship satisfaction 3 months after the intervention. In the third phase, we will recruit 15–20 service members whose partners have completed the study. We will interview the service members to learn how the CP-focused WBI affected them and to assess whether they would be receptive to a follow-on WBI module to help them. This project has the potential to benefit a large population of military service members who may be disproportionately affected by recent conflicts and whose drinking misuse would otherwise go undetected and untreated. It also develops a new prevention model that does not rely on service members or partners attending a hospital or clinical facility to access care. NCT02073825 .

This presentation slide deck offers key facts and statistics from the RAND Military Caregivers Study. The results of the study are fully documented in Ramchand R, Tanielian T, et al., Hidden Heroes: America's Military Caregivers, RAND Corporation, 2014. These charts and figures are offered in both Microsoft PowerPoint and .PDF formats for ease of insertion into other presentation slide decks.

Presents an overview of findings and recommendations from RAND's sweeping study of military caregivers and their support environment.

Examines how health care providers can best support military caregivers based on RAND's sweeping study of this population and their support environment.

Presents options Congress might take to support military caregivers based on RAND's sweeping study of this population and their support environment.

Provides an overview of support resources for military caregivers based on RAND's sweeping study of this population and their support environment.

The experience of racial or ethnic discrimination is a salient and severe stressor that has been linked to numerous disparities in important outcomes. Yet, the link between perceived discrimination and marital outcomes has been overlooked by research on relationship stressors. The current study examined this link and tested whether ethnic identity buffered the relation between discrimination and ratings of marital quality and verbal aggression. A sample of 330 Latino newlyweds completed measures of perceived discrimination, ethnic identity, spouse’s verbal aggression, and marital quality. Each spouse’s interviewer also independently rated marital quality. Dyadic analyses revealed that husbands’ experience of discrimination negatively predicted wives’ marital quality, but only for husbands with weak ethnic identity. Wives whose husbands had strong ethnic identity were buffered from this effect. Identity also buffered the relation between husbands’ discrimination and verbal aggression toward their wives, and this effect mediated the association between discrimination, identity, and marital quality.