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Feasibility of Telephone Support Groups for Spouses of Returning Iraq and Afghanistan Service Members

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Military Deployment and its Consequences for Families

Abstract

Reintegration of the returning service member and the family can be difficult, especially for families that are not near military resources. We tested a telephone support group intervention targeted to spouses, providing them with information about combat consequences and reintegration concerns, skills to manage the tasks of reintegration such as role negotiation and to take care of themselves such as stress management, and support from other spouses. Our strategy was to focus on the spouse as the lynchpin of the family who would manage the transition and reintegration process and to provide the intervention using a low cost, established, and widely accessible technology. Telephone support groups proved feasible for this group of spouses, and they learned skills to help their families and themselves with reintegration tasks.

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References

  • Bank, A. L., Argüelles, S., Rubert, R., Eisdorfer, C., & Czaja, S. J. (2006). The value of telephone support groups among ethnically diverse caregivers of persons with dementia. The Gerontologist, 46(1), 134–138.

    Article  Google Scholar 

  • Bell, D. B., & Schumm, W. R. (2000). Providing family support during military deployments. In J. A. Martin, L. N. Rosen, & L. R. Sparacino (Eds.), The military family: A practice guide for human service providers. Westport, CN: Praeger.

    Google Scholar 

  • Belle, S. H., Burgio, L., Burns, R., Coon, D., Czaja, S. J., Gallagher-Thompson, D., et al. For the REACH II Investigators. (2006). Enhancing the quality of life of dementia caregivers from different ethnic or racial groups: A randomized, controlled trial. Annals of Internal Medicine, 145, 227–238.

    Google Scholar 

  • Belle, S. H., Czaja, S. J., Schulz, R., Burgio, L., Gitlin, L. N., Jones, R., et al. For the REACH Investigators. (2003). Using a new taxonomy to combine the uncombinable: Integrating results across diverse interventions. Psychology and Aging, 18, 396–405.

    Google Scholar 

  • Black, K., & Lobo, M. (2008). A conceptual review of family resilience factors. Journal of Family Nursing, 1, 33–55.

    Article  Google Scholar 

  • Blow, A., MacInnes, M., Hamel, J., Ames, B., Onaga, E., Holtrop, K., et al. (2012). National Guard service members returning home after deployment: The case for increased community support. Administration and Policy in Mental Health and Mental Health Services Research, 39(5), 383–393.

    Article  Google Scholar 

  • Booth, B., Wechsler Segal, M., & Bell, D. B. (2007). What we know about army families: 2007 Update. Alexandria, VA: Caliber Associates for the U.S. Army Family and Morale, Welfare and Recreation Command.

    Google Scholar 

  • Burrell, L., Durand, D. B., & Fortado, J. (2003). Military community integration and its effect on well-being and retention. Armed Forces & Society, 30(1), 7–24.

    Article  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Czaja, S. J., Schulz, R., Lee, C. C., & Belle, S. H. For the REACH Investigators. (2003). A methodology for describing and decomposing complex psychosocial and behavioral interventions. Psychology and Aging, 18, 385–395.

    Google Scholar 

  • Di Nola, G. M. (2008). Stressors afflicting families during military deployment. Military Medicine, 173(5), v–vii.

    Google Scholar 

  • Drummet, A. R., Coleman, M., & Cable, S. (2003). Military families under stress: Implications for family life education. Family Relations, 52, 279–287.

    Article  Google Scholar 

  • Eaton, K. M., Hoge, C. W., Messer, S. C., Whitt, A. A., Cabrora, O. A., McGurk, D., et al. (2008). Prevalence of mental health problems, treatment need, and barriers to care among primary care-seeking spouses of military service members involved in Iraq and Afghanistan deployments. Military Medicine, 173(11), 1051–1056.

    Google Scholar 

  • Faber, A. J., Willerton, E., Clymer, S. R., MacDermid, S. M., & Weiss, H. M. (2008). Ambiguous absence, ambiguous presence: A qualitative study of military reserve families in wartime. Journal of Family Psychology, 22(2), 222–230.

    Article  Google Scholar 

  • Gitlin, L. N., Burgio, L., Czaja, S., Mahoney, D., Burns, R., Zhang, S., et al. For the REACH Investigators. (2003). Effect of multi-component interventions on caregiver burden and depression: The REACH multi-site initiative at 6 month follow-up. Psychology and Aging, 18, 361–374.

    Google Scholar 

  • Gorman, L. A., Blow, A. J., Ames, B. D., & Reed, P. L. (2011). National Guard families after combat: Mental health, use of mental health services, and perceived treatment brriers. Psychiatric Services, 62, 28–34.

    Article  Google Scholar 

  • Gottman, J. M., Gottman, J. S., & Atkins, C. L. (2011). The comprehensive soldier fitness program: Family skills component. American Psychologist, 66(1), 52–57.

    Article  Google Scholar 

  • Hoge, C. W., Auchterlonie, J. L., & Milliken, C. S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. Journal of the American Medical Association, 295, 1023–1032.

    Article  Google Scholar 

  • Hoge, C., Castro, C., & Eaton, K. (2006). Impact of combat duty in Iraq and Afghanistan on family functioning: Findings from the Walter Reed Army Institute of Research Land Combat Study. In Human Factors and Medicine Panel Symposium (HFM-134) on human dimensions in military operations. Military leaders’ strategies for addressing stress and psychological support. Retrieved from http://www.socialwork.vcu.edu/pdfs/Impact_of_Combat_Duty.pdf

  • Hosek, J., Kavanagh, J., & Miller, L. (2006). How deployments affect service members. Santa Monica, CA: RAND.

    Google Scholar 

  • Jacobson, N. S., Foilette, W. C., & Revenstorf, D. (1984). Psychotherapy outcome research: Methods for reporting variability and evaluating clinical significance. Behavior Therapy, 15, 336–352.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Lazarus, E. B., & Launier, R. (1978). Stress-related transactions between persons and environment. In L. Pervin & M. Lewis (Eds.), Perspectives in international psychology (pp. 287–325). New York: Plenum.

    Chapter  Google Scholar 

  • Lester, P., Mogil, C., Saltzman, W., Woodward, K., Nash, W., Leskin, G., et al. (2011). Families overcoming under stress: Implementing family-centered prevention for military families facing wartime deployments and combat operational stress. Military Medicine, 176(1), 19–25.

    Google Scholar 

  • MacDermid Wadsworth, S. M. (2010). Family risk and resilience in the context of war and terrorism. Journal of Marriage and Family, 72, 537–556.

    Article  Google Scholar 

  • Mansfield, A. J., Kaufman, J. S., Marshall, S. W., Gaynes, B. N., Morrissey, J. P., & Engel, C. C. (2010). Deployment and the use of mental health services among U.S. Army wives. The New England Journal of Medicine, 362(2), 101–109.

    Article  Google Scholar 

  • Martindale-Adams, J., Nichols, L., Burns, R., & Malone, C. (2002). Telephone support groups: A lifeline for isolated Alzheimer’s disease caregivers. Alzheimer’s Care Quarterly, 3(2), 181–189.

    Google Scholar 

  • Marziali, E., & Garcia, L. J. (2011). Dementia caregivers’ responses to 2 internet-based intervention programs. American Journal of Alzheimer’s Disease and Other Dementias, 26(1), 36–43.

    Article  Google Scholar 

  • Najavits, L. M. (2002). Seeking safety: A treatment manual for PTSD and substance abuse. New York, NY: Guilford.

    Google Scholar 

  • Pfeiffer, J. W., & Jones, J. E. (Eds.). (1987). A handbook of structured experiences for human relations training (Vol. III). San Diego, CA: University Associates.

    Google Scholar 

  • Riviere, L. A., Clark, J. C., Cox, A. L., Kendall-Robbins, A., & Castro, C. A. (2007, August). Spouse Battlemind training: Elements and strengths. In C. A. Castro (Chair), The Battlemind training system: Supporting soldiers throughout the deployment cycle. Symposium conducted at the meeting of the American Psychological Association. San Francisco, CA.

    Google Scholar 

  • Sayers, S. L., Farrow, V. A., Ross, J., & Oslin, D. W. (2009). Family problems among recently returned military veterans referred for a mental health evaluation. Journal of Clinical Psychiatry, 70(2), 163–170.

    Article  Google Scholar 

  • Schulz, R., Burgio, L., Burns, R., Eisdorfer, C., Gallagher-Thompson, D., Gitlin, L. N., et al. (2003). Resources for enhancing Alzheimer’s caregiver health (REACH): Overview, site-specific outcomes, and future directions. The Gerontologist, 43, 514–520.

    Article  Google Scholar 

  • Segal, M. W., & Segal, D. R. (2003). Implications for military families of changes in the Armed Forces of the United States. In Caforio (Ed.), Handbook of the sociology of the military (pp. 225–233). New York: Kluwer Academic/Plenum.

    Google Scholar 

  • Slone, L. B., & Friedman, M. J. (2008). After the war zone: A practical guide for returning troops and their families. Philadelphia, PA: Da Capo Books.

    Google Scholar 

  • Sörensen, S., Pinquart, M., & Duberstein, P. (2002). How effective are interventions with caregivers? An updated meta-analysis. The Gerontologist, 42(3), 356–372.

    Article  Google Scholar 

  • Stanley, S. M., Allen, E. S., Markman, H. J., Rhoades, G. K., & Prentice, D. (2010). Decreasing divorce in Army couples: Results from a randomized clinical trial of PREP for Strong Bonds. Journal of Couple and Relationship Therapy, 9, 149–160.

    Article  Google Scholar 

  • Toseland, R. W., Rossiter, C. M., & Labrecque, M. S. (1989). The effectiveness of peer-led and professionally led groups to support family caregivers. The Gerontologist, 29, 465–471.

    Article  Google Scholar 

  • Walsh, F. (2006). Strengthening family resilience. New York: Guilford.

    Google Scholar 

  • Wood, S., Scarville, J., & Gravino, K. (1995). Waiting wives: Separation and reunion among Army wives. Armed Forces and Society, 21(2), 217–236.

    Article  Google Scholar 

Download references

Acknowledgment

  This research was supported through the Defense Health Program (DHP), managed by the U.S. Army Medical Research and Materiel Command, through the Congressionally Directed Medical Research Program (CDMRP) and the Department of the Army Medical Research Acquisition Activity (W81XWH-08-2-0195). Our thanks to Dr. Katharine Nasseuer and COL Carl Castro, PhD for their support and encouragement. It was also supported in part by the Office of Research and Development, Department of Veterans Affairs, and the Memphis VA Medical Center.

We thank Robert Burns, M.D. for his insightful comments on the manuscript.

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Correspondence to Linda Olivia Nichols Ph.D. .

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Nichols, L.O., Martindale-Adams, J., Graney, M.J., Zuber, J., Miller, P.E., Brown, D.V. (2014). Feasibility of Telephone Support Groups for Spouses of Returning Iraq and Afghanistan Service Members. In: MacDermid Wadsworth, S., Riggs, D. (eds) Military Deployment and its Consequences for Families. Risk and Resilience in Military and Veteran Families. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8712-8_4

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