The Deployment Life Study: Longitudinal Analysis of Military Families Across the Deployment Cycle.

In 2009, RAND launched the Deployment Life Study, a longitudinal study of military families across a deployment cycle in order to assess family readiness. Family readiness refers to the state of being prepared to effectively navigate the challenges of daily living experienced in the unique context of military service. The study surveyed families at frequent intervals throughout a complete deployment cycle---before a service member deploys (sometimes months before), during the actual deployment, and after the service member returns (possibly a year or more after she or he redeployed). It assessed a number of outcomes over time, including: the quality of marital and parental relationshipsthe psychological, behavioral, and physical health of family memberschild and teen well-being (e.g., emotional, behavioral, social, and academic)military integration (e.g., attitudes toward military service, retention intentions).This culminating paper briefly reviews the study design and data collection procedures, presents results from analyses of the longitudinal data collected from some 2,700 military families, and offers recommendations for programs and future research related to military families. The research was jointly sponsored by the Office of the Surgeon General, U.S. Army, and by the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury.

[1]  M. Egerton,et al.  Occupational Inheritance: The Role of Cultural Capital and Gender , 1997 .

[2]  D. Warden,et al.  Screening for Traumatic Brain Injury in Troops Returning From Deployment in Afghanistan and Iraq: Initial Investigation of the Usefulness of a Short Screening Tool for Traumatic Brain Injury , 2007, The Journal of head trauma rehabilitation.

[3]  Thomas W. Britt,et al.  The Impact of Benefit Finding and Leadership on Combat-Related PTSD Symptoms , 2012 .

[4]  Hannah Fischer,et al.  Guide to U.S. Military Casualty Statistics: Operation Freedom's Sentinel, Operation Inherent Resolve, Operation New Dawn, Operation Iraqi Freedom, and Operation Enduring Freedom [August 7, 2015] , 2015 .

[5]  Rami Benbenishty,et al.  Substance Abuse and Other Adverse Outcomes for Military-Connected Youth in California: Results From a Large-Scale Normative Population Survey. , 2015, JAMA pediatrics.

[6]  R J Rona,et al.  PTSD after deployment to Iraq: conflicting rates, conflicting claims , 2009, Psychological Medicine.

[7]  Georges Vernez,et al.  Families and Mission: A Review of the Effects of Family Factors on Army Attrition, Retention, and Readiness , 1987 .

[8]  Christopher R. Erbes,et al.  Posttraumatic stress symptoms among National Guard soldiers deployed to Iraq: associations with parenting behaviors and couple adjustment. , 2010, Journal of consulting and clinical psychology.

[9]  M. Steinhardt,et al.  Stressful Experiences, Coping Strategies, and Predictors of Health-related Outcomes among Wives of Deployed Military Servicemen , 2010 .

[10]  Derek J Smolenski,et al.  Risk of Suicide Among US Military Service Members Following Operation Enduring Freedom or Operation Iraqi Freedom Deployment and Separation From the US Military. , 2015, JAMA psychiatry.

[11]  John H. Faris,et al.  The All-Volunteer Force , 1981 .

[12]  J. McCarroll,et al.  Positive and negative consequences of a military deployment. , 2005, Military medicine.

[13]  Beth Ann Griffin,et al.  Assessing Operation Purple: A Program Evaluation of a Summer Camp for Military Youth. , 2012, Rand health quarterly.

[14]  Charles W Hoge,et al.  Posttraumatic Stress Disorder Associated With Combat Service in Iraq or Afghanistan: Reconciling Prevalence Differences Between Studies , 2012, The Journal of nervous and mental disease.

[15]  Charles R. Marmar,et al.  Mental Health Diagnoses and Utilization of VA Non-Mental Health Medical Services Among Returning Iraq and Afghanistan Veterans , 2009, Journal of General Internal Medicine.

[16]  E. M. Cummings,et al.  Hostility and withdrawal in marital conflict: effects on parental emotional unavailability and inconsistent discipline. , 2006, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[17]  H. M. Weiss,et al.  Retention in the armed forces: past approaches and new research directions , 2001 .

[18]  Robert J Ursano,et al.  Posttraumatic stress disorder and depression in battle-injured soldiers. , 2006, The American journal of psychiatry.

[19]  Jennifer Hickes Lundquist,et al.  Reinstitutionalizing Families: Life Course Policy and Marriage in the Military , 2014 .

[20]  Weir Hou,et al.  Relationship Risks in Context: A Cumulative Risk Approach to Understanding Relationship Satisfaction. , 2008, Journal of marriage and the family.

[21]  Jessica E Lambert,et al.  Impact of posttraumatic stress disorder on the relationship quality and psychological distress of intimate partners: a meta-analytic review. , 2012, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[22]  L. Jaycox,et al.  Prevalence of, Risk Factors for, and Consequences of Posttraumatic Stress Disorder and Other Mental Health Problems in Military Populations Deployed to Iraq and Afghanistan , 2015, Current Psychiatry Reports.

[23]  Dawne Vogt,et al.  Deployment-related sequelae and treatment utilization in rural and urban war veterans in Hawaii. , 2014, Psychological services.

[24]  Sarah A. Mustillo,et al.  Overview of depression, post-traumatic stress disorder, and alcohol misuse among active duty service members returning from Iraq and Afghanistan, self-report and diagnosis. , 2015, Military medicine.

[25]  Charles W Hoge,et al.  Prevalence of mental health problems and functional impairment among active component and National Guard soldiers 3 and 12 months following combat in Iraq. , 2010, Archives of general psychiatry.

[26]  René Moelker,et al.  There and Back Again: How Parental Experiences Affect Children’s Adjustments in the Course of Military Deployments , 2011 .

[27]  Paul D Bliese,et al.  Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat. , 2008, Journal of consulting and clinical psychology.

[28]  Terri Tanielian,et al.  Invisible Wounds of War. Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery , 2008 .

[29]  L. H. Barker,et al.  Developmental issues impacting military families with young children during single and multiple deployments. , 2009, Military medicine.

[30]  Erika Lawrence,et al.  Trajectories of change in physical aggression and marital satisfaction. , 2007, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[31]  Betty Pfefferbaum,et al.  Family Communication Across the Military Deployment Experience: Child and Spouse Report of Communication Frequency and Quality and Associated Emotions, Behaviors, and Reactions , 2013 .

[32]  R. Bell,et al.  Aggression after traumatic brain injury: Analysing socially desirable responses and the nature of aggressive traits , 2006, Brain injury.

[33]  R. Goodman The Strengths and Difficulties Questionnaire: a research note. , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[34]  Beth Ann Griffin,et al.  Employment Gaps Between Military Spouses and Matched Civilians , 2016 .

[35]  Lawrence L Kupper,et al.  Child maltreatment in enlisted soldiers' families during combat-related deployments. , 2007, JAMA.

[36]  Zahava Solomon,et al.  Combat Stress Reaction: The Enduring Toll of War , 1993 .

[37]  R. Larsen,et al.  The Satisfaction with Life Scale , 1985, Journal of personality assessment.

[38]  Galena K. Rhoades,et al.  Hitting home: relationships between recent deployment, posttraumatic stress symptoms, and marital functioning for Army couples. , 2010, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[39]  Jeremy Arkes,et al.  Effects of Iraq/Afghanistan deployments on major depression and substance use disorder: analysis of active duty personnel in the US military. , 2012, American journal of public health.

[40]  Vernon A Barnes,et al.  Perceived stress, heart rate, and blood pressure among adolescents with family members deployed in Operation Iraqi Freedom. , 2007, Military medicine.

[41]  Han K. Kang,et al.  Post-traumatic stress disorder and chronic fatigue syndrome-like illness among Gulf War veterans: a population-based survey of 30,000 veterans. , 2003, American journal of epidemiology.

[42]  Lisa L. Wood,et al.  Family Factors and the Reenlistment Intentions of Army Enlisted Personnel , 1991 .

[43]  Patricia Lester,et al.  Mechanisms of Risk and Resilience in Military Families: Theoretical and Empirical Basis of a Family-Focused Resilience Enhancement Program , 2011, Clinical child and family psychology review.

[44]  Gayla Margolin,et al.  Military service absences and family members' mental health: A timeline followback assessment. , 2015, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[45]  Benjamin R. Karney,et al.  Comparing Marital Status and Divorce Status in Civilian and Military Populations , 2012 .

[46]  Margaret C. Harrell,et al.  Deployment Experiences of Guard and Reserve Families: Implications for Support and Retention , 2008 .

[47]  Benjamin R. Karney,et al.  Families Under Stress: An Assessment of Data, Theory, and Research on Marriage and Divorce in the Military , 2007 .

[48]  Janet D. Griffith,et al.  Family and Other Impacts on Retention , 1992 .

[49]  T. Wells,et al.  Prospective evaluation of mental health and deployment experience among women in the US military. , 2012, American journal of epidemiology.

[50]  James Hosek,et al.  Economic Conditions of Military Families , 2015, The Future of children.

[51]  Leanne K. Knobloch,et al.  Communication in military families across the deployment cycle , 2014 .

[52]  Mark E Glickman,et al.  Predictors of decline in overall mental health, PTSD and alcohol use in OEF/OIF veterans. , 2014, Comprehensive psychiatry.

[53]  Edward J Boyko,et al.  Predeployment Sleep Duration and Insomnia Symptoms as Risk Factors for New-Onset Mental Health Disorders Following Military Deployment. , 2013, Sleep.

[54]  Deborah Gross,et al.  Impact of deployment on military families with young children: A systematic review. , 2015, Nursing outlook.

[55]  Shelley E. Taylor,et al.  Risky families: family social environments and the mental and physical health of offspring. , 2002, Psychological bulletin.

[56]  Susan W Durham,et al.  In their own words: Staying connected in a combat environment. , 2010, Military medicine.

[57]  J Barling,et al.  Prevalence and stability of physical aggression between spouses: a longitudinal analysis. , 1989, Journal of consulting and clinical psychology.

[58]  B. Dohrenwend,et al.  The Psychological Risks of Vietnam for U.S. Veterans: A Revisit with New Data and Methods , 2006, Science.

[59]  Shannon M. Kehle,et al.  Psychiatric diagnoses, comorbidity, and functioning in National Guard troops deployed to Iraq. , 2011, Journal of psychiatric research.

[60]  Corinne M. Ritter,et al.  The impact of deployment on the psychological health status, level of alcohol consumption, and use of psychological health resources of postdeployed U.S. Army Reserve soldiers. , 2010, Military medicine.

[61]  A. Blow,et al.  National Guard families after combat: mental health, use of mental health services, and perceived treatment barriers. , 2011, Psychiatric services.

[62]  R. Slatcher,et al.  Marital quality and health: a meta-analytic review. , 2014, Psychological bulletin.

[63]  B R Karney,et al.  Neuroticism, marital interaction, and the trajectory of marital satisfaction. , 1997, Journal of personality and social psychology.

[64]  H. Mccubbin,et al.  The Family Stress Process: The Double ABCX Model of Adjustment and Adaptation , 1983 .

[65]  J. Varni,et al.  The PedsQL: measurement model for the pediatric quality of life inventory. , 1999, Medical care.

[66]  Neil Greenberg,et al.  Mental health of UK military personnel while on deployment in Iraq , 2010, British Journal of Psychiatry.

[67]  B R Karney,et al.  The longitudinal course of marital quality and stability: a review of theory, method, and research. , 1995, Psychological bulletin.

[68]  Tracy Simpson,et al.  Health and health behavior differences: U.S. Military, veteran, and civilian men. , 2012, American journal of preventive medicine.

[69]  Edward Kim,et al.  Agitation, aggression, and disinhibition syndromes after traumatic brain injury. , 2002, NeuroRehabilitation.

[70]  Keith D. Renshaw,et al.  Spousal Communication During Military Deployments , 2016 .

[71]  D. Watts,et al.  The psychological impact of deployment on OEF/OIF healthcare providers. , 2011, Journal of traumatic stress.

[72]  Besa Smith,et al.  Posttraumatic stress disorder and depression among U.S. military health care professionals deployed in support of operations in Iraq and Afghanistan. , 2012, Journal of traumatic stress.

[73]  Jennifer M. Kavanagh,et al.  How Deployments Affect Service Members , 2006 .

[74]  Robert M Bray,et al.  Prevalence of perceived stress and mental health indicators among reserve-component and active-duty military personnel. , 2012, American journal of public health.

[75]  Lawrence M. Hanser,et al.  Year of the Air Force Family: 2009 Survey of Active-Duty Spouses , 2011 .

[76]  Shannon M. Kehle,et al.  Relationship adjustment, PTSD symptoms, and treatment utilization among coupled National Guard soldiers deployed to Iraq. , 2010, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[77]  Han-Joo Lee,et al.  Emotional reactivity to a single inhalation of 35% carbon dioxide and its association with later symptoms of posttraumatic stress disorder and anxiety in soldiers deployed to Iraq. , 2012, Archives of general psychiatry.

[78]  Richard M. Lerner,et al.  Military Children and Families: Introducing the Issue , 2015, The Future of children.

[79]  Shira Maguen,et al.  Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002-2008. , 2009, American journal of public health.

[80]  Reuben Hill,et al.  Families under Stress: Adjustment to the Crises of War Separation and Reunion , 1971 .

[81]  Elizabeth A Heron,et al.  Military Mental Health: The Role of Daily Hassles While Deployed , 2013, The Journal of nervous and mental disease.

[82]  Laura L. Miller,et al.  Deployment, Stress, and Intention to Stay in the Military , 2006 .

[83]  Mady Wechsler Segal,et al.  Conceptual Model of Military Career and Family Life Course Events, Intersections, and Effects on Well-Being , 2015 .

[84]  Cale D. Palmer,et al.  A Theory of Risk and Resilience Factors in Military Families , 2008 .

[85]  C. Engel,et al.  Managing future Gulf War Syndromes: international lessons and new models of care , 2006, Philosophical Transactions of the Royal Society B: Biological Sciences.

[86]  Jennifer A. Chatman,et al.  Culture as social control: Corporations, cults, and commitment. , 1996 .

[87]  Galena K. Rhoades,et al.  Relationships between soldiers' PTSD symptoms and spousal communication during deployment. , 2011, Journal of traumatic stress.

[88]  David P. Farrington,et al.  Multiple risk factors for multiproblem boys: Co-occurrence of delinquency, substance use, attention deficit, conduct problems, physical aggression, covert behavior, depressed mood, and shy/withdrawn behavior. , 1998 .

[89]  Nicola T Fear,et al.  The impact of deployment to Iraq or Afghanistan on military children: A review of the literature , 2011, International review of psychiatry.

[90]  Christopher Dandeker,et al.  How communication with families can both help and hinder service members' mental health and occupational effectiveness on deployment. , 2010, Military medicine.

[91]  P. Amato,et al.  Marital Happiness, Marital Duration, and the U-Shaped Curve: Evidence from a Five-Wave Panel Study , 2001 .

[92]  Shira Maguen,et al.  Gender differences in military sexual trauma and mental health diagnoses among Iraq and Afghanistan veterans with posttraumatic stress disorder. , 2012, Women's health issues : official publication of the Jacobs Institute of Women's Health.

[93]  Scot Hickey,et al.  Impact of Teen Depression on Academic, Social, and Physical Functioning , 2009, Pediatrics.

[94]  C. Hoge,et al.  Combat duty in Iraq and Afghanistan, mental health problems and barriers to care. , 2004, U.S. Army Medical Department journal.

[95]  Linda O. Nichols,et al.  Feasibility of Telephone Support Groups for Spouses of Returning Iraq and Afghanistan Service Members , 2014 .

[96]  Robyn M Highfill-McRoy,et al.  Correlates of posttraumatic stress disorder symptoms in Marines back from war. , 2010, Journal of traumatic stress.

[97]  Brian Borsari,et al.  The Impact of Military Deployment and Reintegration on Children and Parenting: A Systematic Review. , 2014, Professional psychology, research and practice.

[98]  K. Renshaw,et al.  Combat veterans' symptoms of PTSD and partners' distress: the role of partners' perceptions of veterans' deployment experiences. , 2011, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[99]  N. Greenberg Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences and Services to Assist Recovery , 2009 .

[100]  Alan Simmons,et al.  Trauma exposure, branch of service, and physical injury in relation to mental health among U.S. veterans returning from Iraq and Afghanistan. , 2009, Military medicine.

[101]  Dennis K Orthner,et al.  Family Impacts on the Retention of Military Personnel , 1990 .

[102]  Paul D Bliese,et al.  The impact of deployment length and experience on the well-being of male and female soldiers. , 2005, Journal of occupational health psychology.

[103]  K. Lorig Outcome measures for health education and other health care interventions , 1996 .

[104]  Leora N. Rosen,et al.  Matching the Support to the Stressor: Implications for the Buffering Hypothesis , 1990 .

[105]  David S. Lyle,et al.  Military deployments and children's academic achievement: Evidence from Department of Defense Education Activity Schools , 2010 .

[106]  Ashley Fisher,et al.  Review of mobile health technology for military mental health. , 2014, Military medicine.

[107]  Chris Bourg,et al.  The Impact of Family Supportive Policies and Practices on Organizational Commitment to the Army , 1999 .

[108]  Laura F. White,et al.  Effect of parents' wartime deployment on the behavior of young children in military families. , 2008, Archives of pediatrics & adolescent medicine.

[109]  Neil Greenberg,et al.  Mental health consequences of overstretch in the UK armed forces: first phase of a cohort study , 2007, BMJ : British Medical Journal.

[110]  Gail Powell-Cope,et al.  Health outcomes associated with military deployment: mild traumatic brain injury, blast, trauma, and combat associations in the Florida National Guard. , 2012, Archives of physical medicine and rehabilitation.

[111]  Alyssa J Mansfield,et al.  Deployment and the use of mental health services among U.S. Army wives. , 2010, The New England journal of medicine.

[112]  G. Levinger,et al.  A social psychological perspective on marital dissolution. , 1976 .

[113]  Mark W. Hoglund,et al.  Mental health in deployed and nondeployed veteran men and women in comparison with their civilian counterparts. , 2014, Military medicine.

[114]  Eric M. Flake,et al.  Psychosocial screening in children with wartime-deployed parents. , 2011, Military medicine.

[115]  Keith D. Renshaw,et al.  Psychological symptoms and marital satisfaction in spouses of Operation Iraqi Freedom veterans: relationships with spouses' perceptions of veterans' experiences and symptoms. , 2008, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[116]  M. Johnson,et al.  An Integrative Review of the Mental Health of Partners of Veterans With Combat-Related Posttraumatic Stress Disorder , 2014, Journal of the American Psychiatric Nurses Association.

[117]  James Hosek,et al.  How Have Deployments During the War on Terrorism Affected Reenlistment , 2009 .

[118]  Gregory H Gorman,et al.  Wartime Military Deployment and Increased Pediatric Mental and Behavioral Health Complaints , 2010, Pediatrics.

[119]  Mady Wechsler Segal,et al.  The Military And the Family As Greedy Institutions , 1986 .

[120]  Jennifer Hickes Lundquist,et al.  The Black–White Gap in Marital Dissolution among Young Adults: What Can a Counterfactual Scenario Tell Us? , 2006 .

[121]  Christina Balderrama-Durbin,et al.  Intimate partner communication from the war zone: a prospective study of relationship functioning, communication frequency, and combat effectiveness. , 2014, Journal of marital and family therapy.

[122]  Benjamin R. Karney,et al.  Couples and Stress: How Demands Outside a Relationship Affect Intimacy within the Relationship , 2013 .

[123]  Charles Figley,et al.  Gender differences in combat medic mental health services utilization, barriers, and stigma. , 2013, Military medicine.

[124]  Daniela Golinelli,et al.  Family Resilience in the Military: Definitions, Models, and Policies. , 2015, Rand health quarterly.

[125]  Shira Maguen,et al.  Gender differences in mental health diagnoses among Iraq and Afghanistan veterans enrolled in veterans affairs health care. , 2010, American journal of public health.

[126]  Rachel M. Burns,et al.  Children on the Homefront: The Experience of Children From Military Families , 2010, Pediatrics.

[127]  Ryan Kelty The Millennial Generation and National Defense: Attitudes of Future Military and Civilian Leaders , 2014 .

[128]  Thomas E. Trail,et al.  Patterns of Vulnerabilities and Resources in U.S. Military Families , 2017 .

[129]  James A Cranford,et al.  Stress-buffering or stress-exacerbation? Social support and social undermining as moderators of the relationship between perceived stress and depressive symptoms among married people. , 2004, Personal Relationships.

[130]  Doreen Rosenthal,et al.  The Influence of Perceived Family and Personal Factors on Self-Reported School Performance of Chinese and Western High School Students , 1991 .

[131]  Michael D. Matthews,et al.  The Millennial Generation and National Defense: Attitudes of Future Military and Civilian Leaders , 2013 .

[132]  Alan Apter,et al.  The Military Life Scale: a measure of perceived stress and support in the Israeli Defense Force. , 2004, The Israel journal of psychiatry and related sciences.

[133]  A. D. Trice,et al.  The Origins of Children's Career Aspirations: IV. Testing Hypotheses from Four Theories , 1995 .

[134]  E. Mazur,et al.  Parent and Adolescent Positive and Negative Disability-Related Events and Their Relation to Adjustment , 2011 .

[135]  Madhavi K. Reddy,et al.  Risk factors for post-deployment posttraumatic stress disorder in national guard/reserve service members , 2013, Psychiatry Research.

[136]  Jennifer A. Theiss,et al.  Experiences of U.S. military couples during the post-deployment transition , 2012 .

[137]  Steven M. Southwick,et al.  Subsyndromal posttraumatic stress disorder is associated with health and psychosocial difficulties in veterans of Operations Enduring Freedom and Iraqi Freedom , 2009, Depression and anxiety.

[138]  L. Goodwin,et al.  What explains post-traumatic stress disorder (PTSD) in UK service personnel: deployment or something else? , 2012, Psychological Medicine.

[139]  Ronald D. Rogge,et al.  Till violence does us part: the differing roles of communication and aggression in predicting adverse marital outcomes. , 1999, Journal of consulting and clinical psychology.

[140]  Laura Werber,et al.  Deployment Experiences of Guard and Reserve Families , 2008 .

[141]  Anita Chandra,et al.  The impact of parental deployment on child social and emotional functioning: perspectives of school staff. , 2010, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[142]  M. Sherman,et al.  Welcoming Them Home: Supporting Service Members and Their Families in Navigating the Tasks of Reintegration , 2008 .

[143]  Nansook Park,et al.  Military children and families: strengths and challenges during peace and war. , 2011, The American psychologist.

[144]  E. Thompson Development and Validation of an Internationally Reliable Short-Form of the Positive and Negative Affect Schedule (PANAS) , 2007 .

[145]  Charles W Hoge,et al.  Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. , 2007, JAMA.

[146]  Jane Stafford,et al.  Posttraumatic stress disorder and intimate relationship problems: a meta-analysis. , 2011, Journal of consulting and clinical psychology.

[147]  Han K. Kang,et al.  Are Iraq and Afghanistan veterans using mental health services? New data from a national random-sample survey. , 2013, Psychiatric services.

[148]  Shira Maguen,et al.  ASSOCIATION OF MENTAL HEALTH PROBLEMS WITH GASTROINTESTINAL DISORDERS IN IRAQ AND AFGHANISTAN VETERANS , 2014, Depression and anxiety.

[149]  Jessica M Sharkey,et al.  Assessment of changes in mental health conditions among sailors and marines during postdeployment phase. , 2011, Military medicine.

[150]  Manon Andres,et al.  Distress, support, and relationship satisfaction during military-induced separations: a longitudinal study among spouses of Dutch deployed military personnel. , 2014, Psychological services.

[151]  Jeffrey Knight,et al.  Deployment Risk and Resilience Inventory: A Collection of Measures for Studying Deployment-Related Experiences of Military Personnel and Veterans , 2006 .

[152]  Christina Balderrama-Durbin,et al.  Coming home: A prospective study of family reintegration following deployment to a war zone. , 2015, Psychological services.

[153]  Reuben Hill,et al.  Families under Stress , 1950 .

[154]  Maureen Perry-Jenkins,et al.  Work and Family Through Time and Space: Revisiting Old Themes and Charting New Directions , 2013 .

[155]  Charles L. Hulin,et al.  A competitive test of the prediction of reenlistment by several models , 1981 .

[156]  J. Hosek,et al.  Gone to war: have deployments increased divorces? , 2014 .

[157]  Christopher R. Erbes,et al.  Psychiatric distress among spouses of National Guard soldiers prior to combat deployment. , 2012, Mental health in family medicine.

[158]  Nicola T. Fear,et al.  The impact of deployment to Iraq or Afghanistan on partners and wives of military personnel , 2011, International review of psychiatry.

[159]  Paul T. Bartone,et al.  The Protective Value of Hardiness on Military Posttraumatic Stress Symptoms , 2013 .

[160]  B. Compas,et al.  Coping with chronic illness in childhood and adolescence. , 2012, Annual review of clinical psychology.

[161]  Anita Chandra,et al.  The Deployment Life Study: Methodological Overview and Baseline Sample Description , 2014 .

[162]  D. Watson,et al.  Development and validation of brief measures of positive and negative affect: the PANAS scales. , 1988, Journal of personality and social psychology.

[163]  Terence R. Mitchell,et al.  An Alternative Approach: The Unfolding Model of Voluntary Employee Turnover , 1994 .

[164]  Hilary J Aralis,et al.  Do sleep problems mediate the relationship between traumatic brain injury and development of mental health symptoms after deployment? , 2013, Sleep.

[165]  T. J. Guthrie,et al.  Career Intentions and Behavior of Army Officers: A Model Testing Approach , 1992 .

[166]  A. Fathi-Ashtiani,et al.  Original paper Sexual dysfunctions and marital adjustment in veterans with PTSD , 2006 .

[167]  Chris R Brewin,et al.  Systematic review of screening instruments for adults at risk of PTSD. , 2005, Journal of traumatic stress.

[168]  Geoffrey W. Sutton,et al.  Marital Satisfaction before and after Deployments Associated with the Global War on Terror , 2008, Psychological reports.

[169]  M. Whisman,et al.  The association between depression and marital dissatisfaction. , 2001 .

[170]  Charles W Hoge,et al.  Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. , 2006, JAMA.

[171]  Benjamin R. Karney,et al.  Families Under Stress , 2007 .

[172]  Albert D. Farrell,et al.  The Structure of Self-Reported Aggression, Drug Use, and Delinquent Behaviors During Early Adolescence , 2000, Journal of clinical child psychology.

[173]  B. Birmaher,et al.  Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): a replication study. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[174]  Charles W Hoge,et al.  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. , 2008, Military medicine.

[175]  Kathleen M. Wright,et al.  Timing of postcombat mental health assessments. , 2007 .

[176]  Sandra M. Neer,et al.  The Screen for Child Anxiety Related Emotional Disorders (SCARED): scale construction and psychometric characteristics. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.