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The psychosocial effects of deployment on military children
Eric M Flake1, Beth Ellen Davis, Patti L Johnson
1Madigan Army Medical Center, Tacoma, WA 98431, USA. eric.flake@us.army.mil
Insights
Parenting stress significantly impacts child psychosocial health during military deployment. Military families can mitigate risks through support systems, with one-third of children identified as high-risk.
Area of Science:
- Psychology
- Military Health
- Child Development
Background:
- The psychosocial impact of the Global War on Terror on U.S. military children is largely unknown.
- Understanding children's mental health during parental deployment is crucial for effective support.
Purpose of the Study:
- To describe the psychosocial profile of school-aged children during parental deployment.
- To identify predictors of children at high risk for psychosocial morbidity.
Main Methods:
- Army spouses with deployed service members and children (5-12 years) completed psychosocial assessments.
- Measures included the Pediatric Symptom Checklist (PSC) and Parenting Stress Index-Short Form.
Main Results:
- 32% of children exceeded the PSC cutoff for high risk; 42% reported high parenting stress.
- Parenting stress significantly predicted increased child psychosocial morbidity.
- Military support and parental college education were associated with decreased child morbidity.
Conclusions:
- One-third of military children experienced high psychosocial morbidity during deployment.
- Parenting stress is the most significant predictor of child psychosocial functioning.
- Military, family, and community supports are vital in mitigating deployment-related family stress.
Objective:
The impact of the Global War on Terror on two million U.S. military children remains unknown. The purpose of this study was to describe the psychosocial profile of school age children during parental deployment utilizing standardized psychosocial health and stress measures, and to identify predictors of children at "high risk" for psychosocial morbidity during wartime deployment.
Methods:
Army spouses with a deployed service member and a child aged 5-12 years completed a deployment packet consisting of demographic and psychosocial questions. The psychosocial health measures included the Pediatric Symptom Checklist (PSC), the Parenting Stress Index-Short Form and the Perceived Stress Scale-4.
Results:
Overall, 32% of respondents exceeded the PSC cut off score for their child, indicating "high risk" for psychosocial morbidity and 42% reported "high risk" stress on the Parenting Stress Index-Short Form. Parenting stress significantly predicted an increase in child psychosocial morbidity (odds ratio 7.41, confidence interval 2.9-19.0, p < 0.01). Parents utilizing military support reported less child psychosocial morbidity (odds ratio 0.32, confidence interval 0.13-0.77, p < 0.01) and parental college education was related to a decrease in child psychosocial morbidity (odds ratio 0.33, confidence interval 0.13-0.81, p < 0.02). The effects of military rank, child gender, child age, and race or ethnic background did not reach statistical significance.
Conclusion:
Families in this study experiencing deployment identified one-third of military children at "high risk" for psychosocial morbidity. The most significant predictor of child psychosocial functioning during wartime deployment was parenting stress. Military, family and community supports help mitigate family stress during periods of deployment.
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