A community-based intervention program was tested with 181 children ages 6-12 and their mothers exposed to intimate partner violence during the past year. A sequential assignment procedure allocated participants to 3 conditions: child-only intervention, child-plus-mother intervention (CM), and a wait-list comparison. A 2-level hierarchical linear model consisting of repeated observations within individuals and individuals assigned to conditions was used to evaluate the effects of time from baseline to postintervention comparing the 3 conditions and from postintervention to 8-month follow-up for both intervention conditions. Outcomes were individual children's externalizing and internalizing behavior problems and attitudes about violence. Of the 3 conditions, CM children showed the greatest improvement over time in externalizing problems and attitudes about violence. There were 79% fewer children with clinical range externalizing scores and 77% fewer children with clinical range internalizing scores from baseline to follow-up for CM children.
Parents of dependent children comprise approximately 42% of Active Duty and National Guard/Reserve military members serving in Operation Iraqi Freedom/Operation Enduring Freedom. Recent estimates indicate that more than two million children have experienced parental deployment since the terrorist attacks on September 11, 2001. This article seeks to characterize the impact of the deployment life cycle on parenting roles among service members and at-home partners/caregivers of dependent children. Specifically, a new conceptual framework is presented for considering the ways in which parenting and co-parenting processes are affected by the demands and transitions inherent in contemporary deployment to a war zone. Although the phase-based emotional cycle of deployment continues to offer an instructive description of the broad challenges faced by military couples, a parenting cycle of deployment model shifts the perspective to the critical and largely ignored processes of parenting in the context of deployment and war, and to the realities faced by parents serving in the U.S. military. Implications for prevention, intervention, and future research related to military families are addressed.
Seventy-six children (5 to 10 years old), who were referred because of concerns about sexual abuse, were interviewed as part of a larger study testing the efficacy of a computerassisted interview in sexual abuse evaluations. Data from initial interviews were coded according to the presence of disclosure and the details revealed about sexual abuse. The presence and amount of corroboration were coded through case review. Although 56 children were coded as having disclosed prior to evaluation, only 44 subjects disclosed during the initial interview. Only 1 child disclosed spontaneously. An additional 8 children (11%) disclosed possible sexual abuse in a second or later interview. Although girls disclosed at a higher rate than boys, children did not differ in the amount or types of information they provided about alleged sexual abuse. Findings are discussed in terms of the conceptualization of disclosure as a process. Implications for interviewing strategies are addressed.
Traumatic stress symptoms were assessed for 218 children ages 5 to 13 following exposure to intimate partner violence: 33% of Caucasian and 17% of minority children were diagnosed with posttraumatic stress disorder. A risk and protective factors model was used to predict traumatic stress symptoms. For Caucasian children, the best predictors were mothers' mental health and low self-esteem. For minority children, the amount of violence, mothers' low self-esteem, and low income predicted traumatic stress. Social support to the mother, inclusive of friends, relatives, and religion, was a protective element. Implications for assessment and intervention are discussed in light of each group's experiences.
Service member parents and their spouses demonstrated high interest in participating in a postdeployment parenting program targeting families with very young children. Findings point to the feasibility, appeal, and efficacy of Strong Families in this initial trial and suggest promise for implementation in broader military and community service systems. (PsycINFO Database Record
Young children (birth through 5 years of age) are disproportionately represented in U.S. military families with a deployed parent. Because of their developmental capacity to deal with prolonged separation, young children can be especially vulnerable to stressors of parental deployment. Despite the resiliency of many military families, this type of separation can constitute a developmental crisis for a young child. Thus, the experience may compromise optimal child growth and development. This article reviews what is known about the effects of the military deployment cycle on young children, including attachment patterns, intense emotions, and behavioral changes and suggests an ecological approach for supporting military families with infants, toddlers, and preschoolers. Specifically, home-based family focused interventions seem to warrant the most serious consideration.
Children aged 6 to 12 who were exposed to intimate partner violence (IPV) within the last year participated in an intervention program found to be successful in reducing their internalizing and externalizing behavior problems. However, little is known about factors that may contribute to this efficacy. Both fixed and modifiable risk factors that predicted change in children's adjustment after the intervention were identified and tested. There was a significant relationship between the extent of exposure to IPV, gender, change in mothers' mental health, and change in child adjustment. Among fixed factors, length of exposure to violence was found to moderate the relationship between the amount of the child's and mother's participation in the intervention and change in child adjustment, specifically internalizing behavioral problems. Among the modifiable risk factors, change in mother's mental health, specifically symptoms of posttraumatic stress, was found to mediate the relationship between the amount of intervention participation and change in child adjustment. These findings can be used to inform and enhance evidence-based clinical services for children exposed to IPV.
Objective: The present study is the first to use nationally representative data to compare rates of food insecurity among households with veterans of the US Armed Forces and non-veteran households. Design: We used data from the 2005-2013 waves of the Current Population Survey -Food Security Supplement to identify rates of food insecurity and very low food security in veteran and non-veteran households. We estimated the odds and probability of food insecurity in veteran and non-veteran households in uncontrolled and controlled models. We replicated these results after separating veteran households by their most recent period of service. We weighted models to create nationally representative estimates. Setting: Nationally representative data from the 2005-2013 waves of the Current Population Survey -Food Security Supplement.
Subjects: US households (n 388 680).Results: Uncontrolled models found much lower rates of food insecurity (8·4 %) and very low food security (3·3 %) among veteran households than in non-veteran households (14·4 % and 5·4 %, respectively), with particularly low rates among households with older veterans. After adjustment, average rates of food insecurity and very low food security were not significantly different for veteran households. However, the probability of food insecurity was significantly higher among some recent veterans and significantly lower for those who served during the Vietnam War. Conclusions: Although adjusting eliminated many differences between veteran and non-veteran households, veterans who served from 1975 and onwards may be at higher risk for food insecurity and should be the recipients of targeted outreach to improve nutritional outcomes.
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