Psychosocial Screening in Children With Wartime-Deployed Parents

Aranda, Mary Catherine; Middleton, Laura; Flake, Eric; Davis, Beth E.

doi:10.7205/milmed-d-10-00202

Cited by 57 publications

(44 citation statements)

References 20 publications

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“…family members increased. Among parents and youth surveyed during annual physicals in a military pediatric clinic, current parent deployment was associated with more child psychosocial symptoms, including greater internalizing symptoms, externalizing symptoms, school problems, and attention problems (Aranda et al 2011). School staff in military-connected schools also reported that deployments may be associated with increased child anxiety (Chandra et al 2010b).…”

Section: Current Eramentioning

confidence: 99%

Long-Term Trajectories and Service Needs for Military Families

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Palinkas

2013

Clin Child Fam Psychol Rev

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The deployment of US military personnel to recent conflicts has been a significant stressor for their families; yet, we know relatively little about the long-term family effects of these deployments. Using data from prior military service eras, we review our current understanding of the long-term functioning and needs of military families. These data suggest that overseas deployment, exposure to combat, experiencing or participating in violence during war deployment, service member injury or disability, and combat-related post-traumatic stress disorder (PTSD) all have profound impacts on the functioning of military families. We offer several recommendations to address these impacts such as the provision of family-centered, trauma-informed resources to families of veterans with PTSD and veterans who experienced high levels of combat and war violence. Recent efforts to address the needs of caregivers of veterans should be evaluated and expanded, as necessary. We should also help military families plan for predictable life events likely to challenge their resilience and coping capacities. Future research should focus on the following: factors that mediate the relationship between PTSD, war atrocities, caregiver burden, and family dysfunction; effective family-centered interventions that can be scaled-up to meet the needs of a dispersed population; and system-level innovations necessary to ensure adequate access to these interventions.

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Section: Current Eramentioning

confidence: 99%

Long-Term Trajectories and Service Needs for Military Families

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Palinkas

2013

Clin Child Fam Psychol Rev

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“…Adolescents self-report problems with a similar prevalence as their parents and may have more valid reporting than their parents of their own internalizing symptoms. 38 …”

Section: Suggestions For Pediatriciansmentioning

confidence: 99%

“…38 In a telephone survey of 1500 military youth and their at-home parent, Chandra reported increased emotional difficulties associated with longer deployment times and emphasized the importance of positive coping and mental health of the at-home parent. 8 The effects of war can have life-threatening consequences for military children and their families far removed from the battlefields.…”

Section: Adolescentsmentioning

confidence: 99%

“…39 More than one-third of children report excessive worry about their parent's deployment. 38,39 A parent survey noted 1 in 5 school-age children cope poorly, 9,38,39 and a similar number have academic problems. Length of deployment was associated with significant behavioral health problems.…”

Section: Current Researchmentioning

confidence: 99%

“…Changes in behavior, both externalizing and internalizing, and changes in school performance are reported. [7][8][9]11,[36][37][38] High levels of sadness and worry are reported in most age groups. [7][8][9]39 Depressive symptoms are reported in approximately 1 in 4 children experiencing deployment of a parent.…”

Section: Current Researchmentioning

confidence: 99%

See 2 more Smart Citations

Health and Mental Health Needs of Children in US Military Families

Siegel¹,

Davis²,

Services³

2013

Pediatrics

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The wars in Afghanistan and Iraq have been challenging for US uniformed service families and their children. Almost 60% of US service members have family responsibilities. Approximately 2.3 million active duty, National Guard, and Reserve service members have been deployed since the beginning of the wars in Afghanistan and Iraq (2001 and 2003, respectively), and almost half have deployed more than once, some for up to 18 months’ duration. Up to 2 million US children have been exposed to a wartime deployment of a loved one in the past 10 years. Many service members have returned from combat deployments with symptoms of posttraumatic stress disorder, depression, anxiety, substance abuse, and traumatic brain injury. The mental health and well-being of spouses, significant others, children (and their friends), and extended family members of deployed service members continues to be significantly challenged by the experiences of wartime deployment as well as by combat mortality and morbidity. The medical system of the Department of Defense provides health and mental health services for active duty service members and their families as well as activated National Guard and Reserve service members and their families. In addition to military pediatricians and civilian pediatricians employed by military treatment facilities, nonmilitary general pediatricians care for >50% of children and family members before, during, and after wartime deployments. This clinical report is for all pediatricians, both active duty and civilian, to aid in caring for children whose loved ones have been, are, or will be deployed.

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