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Association between cumulative risk and protective factors with mental distress among female military spouses

Bibliographic Data

ID9054783
AuthorsKathrine Sullivan (0000-0002-5269-7351, New York University), Yangjin Park (0000-0002-2303-9659, New York University), Charles M Cleland (0000-0002-6931-9904, New York University), Julie C Merrill (0000-0001-6236-3171, Walter Reed Army Institute of Research), Kristina Clarke-Walper (0000-0002-9136-4306, Walter Reed Army Institute of Research), Lyndon A Riviere (0000-0002-5322-0627, Walter Reed Army Institute of Research)
Year2021
Volume91
Issue6
Pages789-799
Publication date2021-01-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Orthopsychiatry (JOURNAL)
Journal identifiersISSN: 0002-9432 • E-ISSN: 1939-0025
PublisherAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/ort0000579
PMID34351195
OpenAlexW3190842850
LanguageEN
Citations received3

OBJECTIVE: Guided by a resilience framework, this study examines the accumulation of risk and protective factors, as well as the potential buffering effects of protective factors on mental distress among female military spouses. BACKGROUND: Most research with this population has focused on individual risk factors affecting military spouses. Less frequently have the effects of cumulative risk, risk factors not specifically associated with military service, or protective factors been examined, though there is evidence for their importance. METHOD: This study used secondary survey data from 334 female Army spouses collected in 2012 as part of the Land Combat Study 2. Cumulative risk and protective factor scores as well as scores within risk (intrapersonal, family, and military-specific) and protective (individual and environmental) factor domains were calculated. Four structural equation models were run to examine main and interaction effects on mental distress, a latent variable representing depression, anxiety, and trauma symptoms. RESULTS: In cumulative risk and protective factor models, cumulative risk was directly, positively associated with mental distress. This relationship was moderated by cumulative protection. In domain-specific models, only family risk was directly associated with mental distress. This relationship was moderated by environmental protective factors. CONCLUSION: Findings indicate mental distress among military spouses is associated with exposure to cumulative risk and attenuated by the presence of certain domains of protective factors. Family risk factors including marital distress and work-family conflict may be particularly pernicious stressors, but informal and structural supports may be important targets for prevention and intervention efforts. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Association (psychology) · Distress · Mental distress · Mental health · Psychiatry · Psychotherapist · Clinical Psychology · Demography · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Posttraumatic Stress Disorder Research · Psychology · Resilience and Mental Health

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Citations per year1
Citation span2023 - 2025 (3)
Highly citedNo

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