Department of Psychology,George Mason University, Fairfax, VA 22030, USA.
J Fam Psychol. 2011 Aug;25(4):497-507. doi: 10.1037/a0024534.
The United States military force includes over 2.2 million volunteer service members. Three out of five service members who are deployed or are preparing for deployment have spouses and/or children. Stressors associated with the deployment cycle can lead to depression, anxiety, and behavior problems in children, as well as psychological distress in the military spouse. Further, the emotional and behavioral health of family members can affect the psychological functioning of the military service member during the deployment and reintegration periods. Despite widespread acknowledgment of the need for emotional and behavioral health services for youth from military families, many professionals in a position to serve them struggle with how to best respond and select appropriate interventions. The purpose of this paper is to provide an empirically based and theoretically informed review to guide service provision and the development of evidence based treatments for military youth in particular. This review includes an overview of stressors associated with the deployment cycle, emotional and behavioral health consequences of deployment on youth and their caretaking parent, and existing preventative and treatment services for youth from military families. It concludes with treatment recommendations for older children and adolescents experiencing emotional and behavioral health symptoms associated with the deployment cycle.
美国军事力量包括超过 220 万名志愿兵。五分之三的现役或即将部署的军人有配偶和/或子女。与部署周期相关的压力源会导致儿童抑郁、焦虑和行为问题,以及军人配偶的心理困扰。此外,家庭成员的情绪和行为健康会影响军人在部署和重新融入期间的心理功能。尽管人们普遍认识到需要为军人家庭的青年提供情绪和行为健康服务,但许多有能力为他们服务的专业人员在如何做出最佳反应和选择适当的干预措施方面存在困难。本文的目的是提供一个基于经验和理论的综述,以指导为军人青年提供服务和制定基于证据的治疗方法。这篇综述包括与部署周期相关的压力源概述、部署对青年及其照顾父母的情绪和行为健康后果,以及针对军人家庭青年的现有预防和治疗服务。最后提出了针对经历与部署周期相关的情绪和行为健康症状的大龄儿童和青少年的治疗建议。