Adverse Childhood Experiences, Family Functioning, and Resilience in Military Families: A Pattern-Based Approach

Authors
Oshiri, A. Lucier-Greer, M. O'Neal, C. W. Arnold, A. Mancini, J. A. Ford, J. L.
Publication year
2015
Citation Title
Adverse childhood experiences, family functioning, and resilience in military families: A pattern-based approach
Journal Name
Family Relations
Journal Volume
64
Issue Number
1
Page Numbers
44-63
DOI
10.1111/fare.12108
Summary
Negative childhood experiences may be related to long-term, negative consequences in adulthood. Results from this study found that there are specific types of families who may be vulnerable to experiencing negative consequences as a result of adverse childhood experiences. However, there are also certain types of families with a history of adverse childhood experiences who are likely to be resilient.


Key Findings
Four types of family profiles were found based on participants’ responses: balanced (40%), unbalanced (13%), midrange (44%), and rigidly balanced (3%).
Balanced family profile represents families with high levels of positive functioning and low levels of negative functioning; unbalanced family profile represents the opposite. Midrange family profile represents moderate levels of positive and negative functioning. Rigidly balanced family profile represents high levels of both positive and negative functioning.
Families classified as unbalanced had military parents with the most positive health outcomes, but partners had the poorest health outcomes.
Implications for Program Leaders
Develop initiatives to educate more military parents about the impact of adverse childhood experiences on youth and adult outcomes
Host support groups for military parents with a history of adverse childhood experiences to learn ways to maintain their well-being despite negative experiences in childhood
Teach military families skills to address their coping and family functioning to improve their resilience
Implications for Policy Makers
Support collaborations between professionals who work with military families and community organizations to provide services and resources to military parents with a history of childhood trauma
Recommend additional programming centered around well-being for military parents and their civilian partners who experienced adverse childhood experiences
Encourage further research that focuses on how histories of childhood trauma impact military readiness among Service members
Methods
Families with at least one Active Duty Service member and at least one adolescent between 11-18 years of age were recruited.
Parents and one adolescent completed the surveys separately (if there were more than one adolescent in the family, the older adolescent was chosen to participate in the study).
Participants completed measures of demographic information, adverse childhood experiences, family functioning, and parenting practices. Parents also completed measures of physical health, health behaviors, depression, and well-being.
Participants
Participants were 273 Active Duty Army families. Among the sample of Soldiers, 88% were enlisted and 90% experienced at least one deployment. No information on ethnic composition was presented.
Of the sample of Soldiers, 86% were male and 73% were between 31 to 40 years old. Of the sample of spouses, 94% were female and 79% were between 31 to 40 years old.
Among the adolescents, 51% were female and 60% were between 11 to 14 years old.
Limitations
Parents’ reports of adverse childhood experiences were not separated in the analyses, which limits understanding of which specific experiences are related to which outcomes.
No data about race/ethnicity were collected, which limits the ability to understand and apply the results to racially and ethnically diverse populations.
The sample was not randomly recruited and consisted only of Army Active Duty Service members and their families which may limit the generalizability of these findings.
Avenues for Future Research
Collect data on cultural factors to test whether those factors buffer the impact of adverse childhood experiences on adults’ functioning among military samples
Develop a similar study with different Service branches and with families who have younger children
Conduct studies on adverse childhood experiences that test relationships between adults’ functioning and certain subtypes of adverse experiences
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
Army
Population Focus
Military Branch
Military Component
Abstract
Linkages between adverse childhood experiences and long-term consequences in servicemen and servicewomen were examined in relation to family-level resiliency processes predicted to mitigate this link. Using a pattern-based, multi-informant approach, resilience was explored through a systemic lens in relation to family-level processes. Latent family profiles were identified using diverse dimensions of family functioning guided by the circumplex model. Data were collected from parents and their adolescents, age 11 to 18, living in the continental United States (N = 273 military families). Variations in adverse childhood experiences among servicemembers and their partners were related to heterogeneous family functioning typologies (profiles). One adaptive family functioning typology illustrated that a select group of families with higher levels of early adverse experiences evinced adaptive functioning outcomes in multiple domains in adulthood. Implications for examining individual resilience via a family-level process and applications to educational and clinical contexts are discussed in relation to military and nonmilitary families.
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