Identity Adjustment Among Afghanistan and Iraq War Veterans With Reintegration Difficulty

Authors
Orazem, R. J. Frazier, P. A. Schnurr, P. P. Oleson, H. E. Litz, B. T. Sayer, N. A.
Publication year
2017
Citation Title
Identity adjustment among Afghanistan and Iraq war veterans with reintegration difficulty.
Journal Name
Psychological Trauma
Journal Volume
9
Issue Number
1
Page Numbers
4-11
DOI
10.1037/tra0000225
Summary
Written data from a larger study were used to examine identity adjustment difficulties during reintegration among OIF/OEF/OND Veterans. Identity adjustment difficulties were examined based on gender and military component (i.e., Reserve or Guard, Active Duty). Both Active Duty and Reserve or Guard members reported reintegration difficulties, although these difficulties varied based on military component.
Key Findings
The majority of participants (65%) randomly selected for analysis wrote about at least one identity adjustment difficulty.
Analysis of the written data identified five main themes: (1) Veterans felt like they didn't belong in the civilian world, (2) Veterans missed the structure and predictability of the military, (3) Veterans had negative views of civilians who lacked personal attributes valued in the military, (4) Veterans felt left behind by family and friends, and (5) Veterans had difficulty finding meaning or a purpose in civilian life.
Compared to Veterans deployed from the Reserves or Guard, Veterans deployed from Active Duty were more likely to talk about feeling like they did not belong in the civilian world or lacked the skills needed for civilian life.
Compared to Veterans deployed from Active Duty, Veterans deployed from the Reserve or Guard were more likely to write about their difficulty returning to their civilian identities because they missed important life events in friends and families lives while deployed.
Implications for Program Leaders
Provide workshops that help Service members and their families prepare for reintegration and retirement role changes
Continue to work with Service members to help them identify jobs in the civilian sector that utilize their unique skill sets and find employment outside of the military that provides a sense of purpose
Tailor reintegration programs for Active Duty members and Reserve and Guard members to help reduce identity adjustment difficulties
Implications for Policy Makers
Continue to support programs that provide employment services for Service members retiring from the military
Encourage the development and continuation of programs that help Service members and their families cope with role changes during reintegration and upon retirement from the military
Encourage collaboration among DoD programs and community-based programs to support a smooth transition for Service members and their families during reintegration
Methods
Veterans were eligible to participate in an online randomized control trial if they expressed difficulty during reintegration, had valid contact information, had internet access, and did not screen positive for severe depression.
A total of 404 participants submitted written text on up to four occasions about their reintegration difficulties.
One hundred of the 404 writing samples were randomly selected for analysis for the current study.
Participants
Among 100 participants who submitted a writing sample, 42% of participants were women, 62% were White, and the average age was 36.39 years.
Sixty percent of participants had deployed from Active Duty, 36% from the Reserves or Guard, and 4% reported "other" pre-deployment military status.
Sixty percent of participants served in the Army, 16% in the Air Force, 13% in the Navy, and 11% in the Marine Corps.
Eighty-five percent of participants had been enlisted personnel and 18% had been officers or warrant officers.
Limitations
Results were based on 500-word written responses that did not allow the researchers to ask clarifying questions or probe for more information.
Data were taken from a larger study about reintegration difficulties and not adjustment difficulties specifically; therefore, it is inaccurate to conclude that those who did not write about adjustment difficulties did not experience them.
The severity of adjustment difficulties was not assessed making it difficult to know how much these difficulties influenced Service members reintegration experiences.
Avenues for Future Research
Explore the severity of adjustment difficulties for Service members during reintegration
Examine the effectiveness of programs that help Service members during reintegration and retirement from the military
Gather data on the relationship between identity issues and psychological well-being of Service members during reintegration and following retirement
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
Target Population
Population Focus
Military Branch
Military Component
Abstract
Objective: To examine perceptions of identity adjustment in a diverse, national sample of U.S. veterans of the wars in Afghanistan and Iraq. Method: The authors conducted a planned thematic analysis of text written by Afghanistan and Iraq war veterans when they were asked to describe their reintegration difficulties as part of a randomized controlled trial (RCT) of online expressive writing (Sayer et al., 2015). Participants were 100 randomly selected veterans from the larger study (42 women and 58 men, 60 active duty and 38 reserves or National Guard). Results: Nearly 2/3s of participants wrote about their identity adjustment. The 5 interrelated areas of identity adjustment difficulty were (a) feeling like one does not belong in civilian society, (b) missing the military’s culture and structured lifestyle, (c) holding negative views of civilian society, (d) feeling left behind compared to civilian counterparts due to military service, and (e) having difficulty finding meaning in the civilian world. The authors did not observe differences by gender. However, those deployed from active duty were particularly likely to feel as if they did not belong in civilian society and that they had not acquired needed skills, whereas those deployed from the reserves or National Guard experienced difficulty in reestablishing former civilian identities. Conclusions: Identity adjustment is a critical yet understudied aspect of veteran reintegration into community life following combat deployment.
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