Intimate Relationships Among Returning Soldiers: The Mediating and Moderating Roles of Negative Emotionality, PTSD Symptoms, and Alcohol Problems

Authors
Meis, L. A. Erbes, C. R. Polusny, M. A. Compton, J. S.
Publication year
2010
Citation Title
Intimate relationships among returning soldiers: The mediating and moderating roles of negative emotionality, PTSD symptoms, and alcohol problems.
Journal Name
Journal of Traumatic Stress
Journal Volume
23
Issue Number
5
Page Numbers
564-572
DOI
10.1002/jts.20560
Summary
One of the greatest concerns assessed among Service members relates to the consequences deployment may have on their relationships. This study examined how Service members’ alcohol abuse contributes to the relationship between negative emotionality, posttraumatic stress disorder (PTSD), and relationship quality. Results indicate that negative emotionality predisposes combat-exposed soldiers to more severe PTSD symptoms which, in turn, contributes to poorer intimate relationship quality.
Key Findings
Service members who reported negative emotions experienced more severe PTSD and lower relationship quality.
The high presence of negative emotions experienced by Service members had no direct effect on relationship quality.
When Service members indicated probable alcohol dependence, they tended to have lower relationship quality and more severe PTSD.
Implications for Program Leaders
Enhance curriculum related to healthy coping behaviors that may prevent alcohol abuse
Include modules in workshops that educate on how relationship problems develop and what factors contribute to strengthening or weakening the relationship quality
Offer support groups for Service members with PTSD and their spouses to increase social support and decrease relationship distress
Implications for Policy Makers
Recommend that Service members who are at risk for relationship distress be identified prior to deployment
Continue to support programs for Service members and their families throughout the deployment cycle
Support trainings for professionals who work with military families to better understand how PTSD symptoms are associated with relationship distress
Methods
Participants were drawn from the Readiness and Resilience in National Guard Soldiers project, a study of 522 Army National Guard Soldiers deployed to Iraq.
A survey was sent one month prior to deployment and again two to three months after returning from deployment.
The researchers analyzed the association between negative emotionality, PTSD, and relationship quality and how those associations were affected by the presence or absence of alcohol use.
Participants
The participants in the study were 310 Army National Guard Soldiers deployed to Iraq who were in a romantic relationship.
The average age was 31 years old (SD=9) and the race was primarily White (86%).
Of the 308 qualified respondents, a majority were male (90%).
Limitations
Pre-deployment relationship functioning was not assessed to determine what differences occurred post-deployment.
A small number of female Service members were represented in this study making it difficult to assess gender differences.
Researchers examined PTSD symptom severity, rather than the presence or absence of diagnosis so the findings may not generalize to those with a PTSD diagnosis.
Avenues for Future Research
Assess Soldiers’ relationship functioning prior to deployment to examine changes post-deployment
Expand sample population to include different military branches in order to generalize findings
Examine the impact of gender on the relationship between PTSD, alcohol abuse, and relationship quality
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
National Guard
Target Population
Population Focus
Military Branch
Military Component
Abstract
Research examining relationship quality among combat veterans largely focuses on the role of posttraumatic stress disorder (PTSD), with less attention devoted to other correlates of PTSD and relationship quality, such as personality and problematic drinking. In a sample of combat-exposed National Guard soldiers recently returned from Iraq (N = 308), we examined (a) a meditational pathway from negative emotionality, to elevated postdeployment PTSD symptoms, to poorer relationship quality; and (b) the moderating role of problematic drinking. Moderated mediation regression strategies supported the mediating role of postdeployment PTSD symptoms, but not the moderating role of problematic drinking on soldiers' relationship quality. Findings suggest negative emotionality creates a vulnerability to more severe early postdeployment PTSD symptoms and poorer early postdeployment relationship quality.
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