Returning to Civilian Life: Family Reintegration Challenges and Resilience of Women Veterans of the Iraq and Afghanistan Wars

Authors
Leslie, L. A. Koblinsky, S. A.
Publication year
2017
Citation Title
Returning to civilian life: Family reintegration challenges and resilience of women veterans of the Iraq and Afghanistan wars.
Journal Name
Journal of Family Social Work
Journal Volume
20
Issue Number
2
Page Numbers
106-123
DOI
10.1080/10522158.2017.1279577
Summary
Little is known about how the experience of military service in Iraq and Afghanistan has affected female Veterans as they return to family life. This qualitative study assessed the experience of female Veterans as they transition back to family roles and responsibilities following separation from the military. Results indicated that female Veterans drew on their strength and resilience when dealing with family challenges.
Key Findings
Female Veterans reported that their training to be hypervigilant in war zones made it difficult to adjust to the slower pace of family life.
Some female Veterans struggled with PTSD, emotional reactivity, and anger following their return, which made it difficult to reconnect with family members, particularly spouses.
Female Veterans who were able to attribute positive meaning to their military service appeared to be the most successful at the transition back to family life.
Every female Veteran in the sample discussed the benefits of Veteran peer support in readjustment to civilian life.
Implications for Program Leaders
Offer programs for reintegrating female Service members that focus on emotion regulation and transitioning back into civilian life
Provide education to returning Service members and their families regarding the common challenges of reintegration, especially when the deployment has included combat exposure
Offer post-deployment support groups for female Service members and their families
Implications for Policy Makers
Promote the development of support groups that address the unique experience of female Service members who are spouses and/or mothers
Recommend professional development courses for community providers to educate them about how to best help and support female Service members returning from a deployment as they reintegrate back into civilian life
Continue to support programs that address the unique challenges faced by deployed mothers
Methods
Female Veterans who either served in OEF/OIF or who directly supported OEF/OIF (e.g., transporting or treating injured Service members) were recruited to participate in focus groups related to their transition to civilian life.
Focus groups were audio-recorded for accuracy during analysis, and each group was facilitated by a therapist who had previous experience treating Veteran families as well as a former spouse of an Army Veteran.
Participants were asked questions, such as, "How did your military service, including any deployments, affect your relationships with your spouse/partner and/or children when you returned to civilian life?"
Participants
A total of 29 female Veterans participated in five focus groups, which ranged in size from three to 10 women each.
Participants ranged in age from 26 to 56 years or older, and were Black (55%), White (21%), Multiracial (17%), and Asian (7%).
The majority of women represented the Army (65%), with others representing the Navy (17%), Air Force (11%), and Marines (7%).
The majority of the sample were enlisted Service members (71%), while 29% were officers.
Limitations
A small, convenience sample cannot necessarily be generalized to the larger population of women serving in the military.
Conclusions from the focus groups about PTSD and other mental health diagnoses cannot be verified since data about specific diagnoses was not collected.
This study was cross-sectional, therefore no conclusions can be made about changes among participants over time.
Avenues for Future Research
Recruit larger, randomly selected cohorts of female Service members, increasing the ability to generalize a study's findings
Collect detailed information about female Service member's mental health diagnoses in order to gather quantitative data about struggles with mental health during reintegration
Conduct a longitudinal study in order to capture changes in family functioning for female Service members over time
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
Multiple Branches
Population Focus
Military Branch
Military Component
Abstract
The cohort of women who served in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) was the largest group of women in history to serve in the military and be deployed to combat zones. This large cohort is now moving into veteran status as the numbers of deployed service members decreases. Upon separation from the military, many of these women step back into family roles and responsibilities. To date, there has been sparse research on how military service, particularly in Iraq and Afghanistan, has affected the family relationships, family functioning, and parenting of women veterans. In an effort to better understand the experiences of women veterans as they return to their families and civilian life, five focus groups were conducted with 29 veterans. Analysis of focus group transcripts revealed seven common challenges, ranging from adjustments to the civilian pace of life and developmental changes in children’s behavior to managing anger and difficult emotional interactions with family members. Women demonstrated strength and resilience in dealing with family challenges by employing four common strategies, such as making meaning of their military service, accessing veteran social support, and drawing on military-acquired skills. Implications of the findings for social work practice are discussed.
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