Health-Related Impact of Deployment Extensions on Spouses of Active Duty Army Personnel

Authors
SteelFisher, G. K. Zaslavsky, A.M. Blendon, R. J.
Publication year
2008
Citation Title
Health-related impact of deployment extensions on spouses of active duty Army personnel.
Journal Name
Military Medicine
Journal Volume
173
Issue Number
3
Page Numbers
221-229
DOI
10.7205/MILMED.173.3.221
Summary
Survey data from Army spouses were used to evaluate the association between Army deployment extensions and spouses’ health and well-being (e.g., depression, anxiety), deployment-induced difficulties with daily life operations (e.g., house maintenance, childcare), and perceptions of the Army during deployment. Deployment extensions negatively affected spouses’ well-being and daily life operations, as well as their perceptions of the Army.
Key Findings
Extensions of deployment had a negative impact on spouses' mental health, including increased feelings of loneliness, depression, and anxiety.
Extensions of deployment were also associated with difficulties in daily operations at home for the spouses, such as problems with household and car maintenance, having to quit their job or work fewer hours, and difficulty effectively communicating with their Service member.
Spouses’ assessments of Army support during deployment were significantly worse if they experienced an extension.
Implications for Program Leaders
Provide workshops to help deployed military members' spouses learn about available supportive services to cope with the increased household responsibilities
Disseminate information to military families about how to prepare for deployment extensions
Offer support groups for spouses of deployed Service members to help alleviate anxiety, depression, and loneliness during extended deployment
Implications for Policy Makers
Recommend education for military leaders and service providers regarding the negative impact of deployment extensions on military spouses’ mental health
Encourage the development and continuation of programs that support military families during deployment, particularly during deployment extensions
Encourage collaboration between military leaders and family readiness groups to accurately keep military families informed regarding deployment extensions
Methods
Survey data were collected via telephone using a random-digit dialing design between January and February 2004.
Participants included spouses of Active Duty Army personnel who were either currently deployed or recently redeployed.
Data from spouses of Active Duty Army personnel who were either currently deployed or recently redeployed and had experienced an extension of deployment were compared to spouses who had not experienced an extension.
Participants
A total of 798 spouses completed the survey; 355 spouses experienced an extension to their Service members’ deployment.
About 61% of spouses who experienced an extension of deployment were White, while 65% of spouses who did not experience an extension of deployment were White.

The mean age of spouses who experienced an extension of deployment was 31.2 years, while the mean ages of spouse who did not experience an extension of deployment was 29.8 years.
Limitations
Spouses’ functioning prior to deployment and the deployment extension was not assessed, making it difficult to understand the impact of deployment and deployment extension on spousal functioning
This study only used data from Army spouses and may not be generalizable to other branches of the military.
Data were self-report, collected via the telephone, and with health screening measures which could bias results.
Avenues for Future Research
Examine the impact of a deployment extentions on retention rates in the military
Assess spouses’ mental health prior to deployment and during deployment extensions
Examine ways to promote support service utilization among spouses of Service members during deployment
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
3 Stars - The definitions and measurement of variables is done thoroughly and without any bias and conclusions are drawn directly 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
Target Population
Population Focus
Military Branch
Military Component
Abstract
This study examined problems pertaining to the health and well-being of Army spouses during deployment, comparing those whose experienced extensions of their partners' deployments with those whose partners returned home on time or early. It used data from a 2004 survey of 798 spouses of active duty personnel. Controlling for demographic and deployment characteristics, spouses who experienced extensions fared worse on an array of measures, including mental well-being (e.g., feelings of depression), household strains (e.g., problems with household and car maintenance), and some areas of their jobs (having to stop work or to work fewer hours). There were no statistically significant differences regarding problems pertaining to their overall health, marriage, other work issues, finances, relationships with Army families, or safety. However, spouses who experienced extensions were more likely to perceive the Army negatively during deployment. These findings suggest that deployment extensions may exacerbate certain problems and frustrations for Army spouses.
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