Family Relational Health, Psychological Resources, and Health Behaviors: A Dyadic Study of Military Couples

Authors
O'Neal, C. W. Lucier-Greer, M. Mancini, J. A. Ferraro, A. J. Ross, D. B.
Publication year
2016
Citation Title
Family relational health, psychological resources, and health behaviors: A dyadic study of military couples
Journal Name
Military Medicine
Journal Volume
181
Issue Number
2
Page Numbers
152-160
DOI
10.7205/MILMED-D-14-00740
Summary
Military families face unique challenges attributed to military-specific events such as deployment and relocation. Healthy family relationship may serve as a protective factor against these challenges. The relationship between family relational health (i.e., family satisfaction) and healthy behaviors (i.e., sleeping and eating) was examined by surveys. Results showed that family-level resilience was important for military couples' mental well-being and healthy behaviors.


Key Findings
Military families members who viewed their family relationship positively were likely to have better mental health (e.g., less depression and anxiety symptoms, higher level of self-efficacy), and the better mental health, in turn, were related to healthier sleeping and eating behaviors.
Individuals’ healthy behaviors were related to their own perception of relational health, and also were related to their partners’ view of family relational health.
Wives who experienced spousal deployment in the past year had poorer sleeping behaviors compared to wives whose husbands were not recently deployed.
Implications for Program Leaders
Develop curricula that teach military couples about ways to improve family relational health
Offer support groups for civilian spouses that promote healthy behavior and family well-being
Create family activities that allow Service members and their partners to engage with each other and express feelings about deployment
Implications for Policy Makers
Raise awareness of the importance of family relational health for the well-being of Service members and their civilian partners
Recommend professionals who work with military families monitor partners’ and children’s physical and mental health during deployment of the Service member
Continue to offer support to military couples so that they develop healthy relationship, adequate psychological resources (i.e., mental health), and healthy behaviors
Methods
A sample of Army families were recruited via print and radio advertisements.
For each participating family, the husband and wife took a survey in different rooms at the same time.
Couples answered questions regarding their relational health, psychological resources (i.e., mental health), sleeping behaviors, and eating behaviors.
Participants
The sample included 236 couples with husbands who were Active Duty Soldiers, and wives who were civilians; each family had at least one adolescent aged between 11 and 18 years.
Most of the participants were between 31 and 40 years of age (68%), and most of the husbands were enlisted personnel (89%).
Race of the participants were not indicated in the article.
Limitations
Because of the cross-sectional design of the study, it is unclear whether better mental health leads to better family relational health, or vice versa.
The sleeping and eating behaviors were assessed by only three questions each; therefore, the information gleaned from these assessments may be limited.
Other important health behaviors (e.g., sedentary lifestyle, smoking), which may potentially be associated with psychological resources and relational health, were not included in the study.
Avenues for Future Research
Examine mechanisms other than psychological resources that may explain the connection between family relational health and health behaviors
Include other health behaviors into the study to make the results more comprehensive
Design randomized controlled trial study to determine the directionality of the relationships among family relational health, psychological resources, and health behaviors
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
Parents’ early life stressful experiences have lifelong consequences, not only for themselves but also for their children. The current study utilized a sample of military families (n 266) including data from both active-duty and civilian parents and their adolescent children. Hypotheses reflecting principles of persistence, transmission, and proximity as pertaining to parents and their children were examined. The impact of parents’ childhood experiences on their functioning later in life and, consequently, their adolescent children’s well-being were examined. Adults who encountered more stressful childhood experiences, including relatively prevalent and less severe adversities (e.g., verbal conflict between parents) experienced poorer functioning than adults who encountered little early stress. Civilian parents’ current functioning was related to adolescent children’s well-being, whereas the functioning of active-duty parents was generally not related to children’s well-being. Persistence, transmission, and proximity hypotheses were generally supported but with variations attributable to whether an adult was a military member
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