Financial Well-Being and Post-Deployment Adjustment Among Iraq and Afghanistan War Veterans

Authors
Elbogen, E. B. Johnson, S. C. Wagner, H. R. Newton, V. M. Beckham, J. C.
Publication year
2012
Citation Title
Financial well-being and post-deployment adjustment among Iraq and Afghanistan war veterans.
Journal Name
Military Medicine
Journal Volume
177
Issue Number
6
Page Numbers
669-675
DOI
10.7205/MILMED-D-11-00388
Summary
Service members can have difficulties in many different areas of functioning post-deployment, including emotional, interpersonal, and financial, among others. This study examined the relationship between financial well-being and post-deployment adjustment among OEF/OIF Veterans, with particular attention to Veterans with post traumatic stress disorder (PTSD), major depressive disorder (MDD), and traumatic brain injury (TBI). Results suggest that Veterans with greater financial difficulties significantly have more post-deployment adjustment problems.
Key Findings
There was a significant positive association between post-deployment adjustment and financial well-being for OEF/OIF Veterans.
Veterans with PTSD, MDD, or TBI had lower income and experienced more unemployment than other Veterans.
When Veterans lacked the money needed to meet basic needs, they were more likely to experience post-deployment adjustment problems, regardless of diagnosis.
Veterans with higher income who utilized poor money management skills and those with lower income who had good money management skills experienced similar levels of post-deployment adjustment problems.
Implications for Program Leaders
Provide education for Service members to increase positive money management skills
Consider targeting Service members with psychiatric diagnose to increase their awareness of financial resources
Facilitate networking for Service members that will assist them in finding secure employment
Implications for Policy Makers
Continue supporting the provision of a range of mental health services for Service members after homecoming from deployment
Recommend that all Service members leaving the military are provided with information that will increase financial literacy
Encourage the integration of money management education into existing service delivery systems for military families
Methods
This study utilized data from the National Post-Deployment Adjustment Survey, in which 3,000 randomly selected Veterans who served in the military after September 11, 2001 were invited to participate. The response rate was 56%, which created a sample size of 1,388.
Veterans completed questionnaires regarding demographics, military experiences, financial well-being, post-deployment adjustment problems, and clinical outcomes (including MDD, PTSD, and TBI).
Data were analyzed to determine predictors of financial well-being and post-deployment adjustment problems.
Participants
Participants were 1,388 OEF/OIF Veterans, with an average age of 36 years.
This study included Veterans from all military branches (52% Army, 18% Air Force, 16% Navy, 13% Marines, and 1% Coast Guard).
The race/ethnicity of participants is reported to mirror the current breakdown in the military, with 70% of participants being White and 30% being Black, Latino, or another race/ethnicity.
Limitations
The researchers relied upon self-report to measure the variables included in the analyses, which may have biased the data collected.
The data are cross-sectional, which does not allow for interpretations of causal relationships.
The measure for a probable TBI did not include measurement of any related symptoms, which did not allow analysis of the relationships among severity of TBI symptoms, financial well-being, and post-deployment adjustment problems.
Avenues for Future Research
Examine the possible effects of both civilian employment and participation in Veteran’s Administration (VA) disability compensation on post-deployment adjustment
Explore the relationship between the severity of TBI symptoms and financial well-being in Veterans
Further analyze the reciprocal relationship between financial well-being and psychiatric diagnoses
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 Component
Abstract
Research has yet to examine the relationship between financial well-being and community reintegration of veterans. To address this, we analyzed data from n = 1,388 Iraq and Afghanistan War Era Veterans who completed a national survey on postdeployment adjustment. The results indicated that probable major depressive disorder, post-traumatic stress disorder, and traumatic brain injury were associated with financial difficulties. However, regardless of diagnosis, veterans who reported having money to cover basic needs were significantly less likely to have postdeployment adjustment problems such as criminal arrest, homelessness, substance abuse, suicidal behavior, and aggression. Statistical analyses also indicated that poor money management (e.g., incurring significant debt or writing bad checks) was related to maladjustment, even among veterans at higher income levels. Given these findings, efforts aimed at enhancing financial literacy and promoting meaningful employment may have promise to enhance outcomes and improve quality of life among returning veterans.
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