Allison M Conforte, Jennifer L Bakalar, Lisa M Shank, Jeffrey Quinlan, Mark B Stephens, Tracy Sbrocco, Marian Tanofsky-Kraff
Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
Department of Family Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
Mil Med. 2017 Sep;182(9):e1871-e1878. doi: 10.7205/MILMED-D-17-00016.
The emotional, cognitive, and behavioral health of the nearly two million children of military service members in the United States is important as these children play an integral role in the operational readiness of the armed forces. For example, when a service member's child experiences psychosocial difficulties, these difficulties often impact the service member's personal well-being and ability to focus at work, impairing the service member's ability to focus on the mission. Although military service members and their families (e.g., children and spouses) face many of the same stressors as their civilian counterparts, they also experience additional stressors related to being a military family, including frequent relocation, unpredictable schedule changes, short- and long-term family separation, and threats to service members' safety. Psychosocial functioning and resilience to stress may be influenced by a variety of factors. One important factor that influences parent and child functioning is community support. Community support may be especially important for military families because of the increased significance of social support during stress such as deployment and geographic relocation. Research is promising regarding the protective effects of community support in civilian populations. However, there is a comparable dearth in the literature regarding military families and no validated measures designed specifically to assess the construct of community support in military families. We therefore aimed to develop and examine a new measure, the Community Assessment of Military Perceived Support (CAMPS) and examine its potential relationship with the psychosocial functioning of military parents and their children.
The CAMPS was developed and initially tested with both quantitative and qualitative methods. The CAMPS was then used to examine the relationships among perceived community support and child/parent psychosocial symptoms. This cross-sectional correlational study was conducted in a sample of military parents with children between the ages of 2 and 18 years of age who completed an online, anonymous survey.
One hundred and fifty-seven military parents completed the CAMPS. Internal consistency was excellent (α = 0.94). More community support as measured by the CAMPS was associated with fewer child and parent psychosocial symptoms (p < 0.01) and the relationship between perceived military community support and child well-being was mediated by parent well-being (95% confidence interval [-0.19, -0.04]). Together, parent psychosocial functioning and perceived military community support explained 24% of the variance in child psychosocial functioning.
The CAMPS is an internally consistent measure that appears to be associated with military parent and child psychosocial functioning. Given the importance of military community support, the CAMPS may have potential as a tool for outcome research and program evaluation. Future research is required to validate the CAMPS in a larger, more diverse military sample. Moreover, longitudinal studies are needed to determine the directionality of the relationship between community military support and psychosocial functioning.
美国近两百万军人子女的情绪、认知和行为健康至关重要,因为这些孩子在武装部队的作战准备中发挥着不可或缺的作用。例如,当军人的孩子经历心理社会困难时,这些困难往往会影响军人的个人幸福感和工作时的专注能力,削弱军人专注于任务的能力。虽然军人及其家属(如子女和配偶)面临着许多与平民相同的压力源,但他们也会经历与军人家庭相关的额外压力源,包括频繁搬迁、不可预测的日程变化、短期和长期的家庭分离以及对军人安全的威胁。心理社会功能和对压力的恢复力可能受到多种因素的影响。影响父母和孩子功能的一个重要因素是社区支持。由于在部署和地理迁移等压力期间社会支持的重要性增加,社区支持对军人家庭可能尤为重要。关于社区支持对平民人口的保护作用的研究很有前景。然而,关于军人家庭的文献中存在类似的不足,并且没有专门设计用于评估军人家庭社区支持结构的经过验证的措施。因此,我们旨在开发并检验一种新的测量工具,即军人感知社区支持评估量表(CAMPS),并检验其与军人父母及其子女的心理社会功能之间的潜在关系。
CAMPS通过定量和定性方法进行开发和初步测试。然后使用CAMPS来检验感知到的社区支持与儿童/父母心理社会症状之间的关系。这项横断面相关性研究是在有2至18岁子女的军人父母样本中进行的,他们完成了一项在线匿名调查。
157名军人父母完成了CAMPS。内部一致性非常好(α = 0.94)。CAMPS测量的更多社区支持与更少的儿童和父母心理社会症状相关(p < 0.01),并且感知到的军人社区支持与儿童幸福感之间的关系由父母幸福感介导(95%置信区间[-0.19, -0.04])。父母的心理社会功能和感知到的军人社区支持共同解释了儿童心理社会功能变异的24%。
CAMPS是一种内部一致性测量工具,似乎与军人父母和子女的心理社会功能相关。鉴于军人社区支持的重要性,CAMPS可能有潜力作为结果研究和项目评估的工具。未来需要在更大、更多样化的军人样本中验证CAMPS。此外,需要进行纵向研究以确定社区军事支持与心理社会功能之间关系的方向性。