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31-08-2023 | Original Paper

Development and Validation of the AMSM for Military-Connected Adolescents

Auteurs: Tamika D. Gilreath, Kathrine Sullivan, Francisco A. Montiel-Ishino, Titilayo Okoror

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 10/2023

Abstract

Military-connected adolescents are at increased risk of adverse behavioral and mental health outcomes compared to civilian peers, a finding which may be explained by exposure to unique military-specific stressors. Existing measures of adolescent stress fail to account for these stressors, potentially underestimating stress experienced by these youth. To fill this gap, the present study describes the development of the Adolescent Military Stress Measure (AMSM) and examines its psychometric properties. Qualitative data from individual Life History Calendar interviews (n = 24) and a focus group (n = 5) informed AMSM item development. Focus group cognitive interviews (n = 17) and advisory board input were used to refine the measure, which was piloted on the California Health Kids Survey with military-connected youth (n = 410) in one school district. Exploratory and confirmatory factor analysis indicated a four-factor structure (deployment, relocation, social support, ongoing socioecological stressors). Cronbach’s alphas for the 23-item scale (0.86) and four subscales (0.69 - 0.83) provided evidence of good reliability. Logistic regression suggested each additional stressor on the AMSM was associated with an increase of 7% in feeling sad/hopeless (OR = 1.07, 95% CI = 1.01-1.12) and 6% in suicidal thoughts (OR = 1.06, CI = 1.03-1.12). In a structural equation model, the ongoing sociological stressors subscale significantly predicted suicidality (b = 0.67, p = 0.05). The AMSM has sound psychometric properties and may be used to identify common combinations of stressors as well as risk behaviors associated with stress, which may inform school- and community-based supports around military-related stressors to improve the quality of research with this population.

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Acion, L., Ramirez, M. R., Jorge, R. E., & Arndt, S. (2013). Increased risk of aclohol and drug use among children from deployed military families. Addiction, 108(8), 1418–1425.CrossRefPubMed

Austin, G., & Duerr, M. (2011). Guidebook for the California Healthy Kids Survey. Part I: Administration. San Francisco, CA: WestEd.

Baptist, J., Barros, P., Cafferky, B., & Johannes, E. (2015). Resilience building among adolescents from National Guard families: applying a developmental contextual model. Journal of Adolescent Research, 30, 306–334. https://doi.org/10.1177/0743558414558592.CrossRef

Beautrais, A. L. (2000). Risk factors for suicide and attempted suicide among young people. Australian & New Zealand Journal of Psychiatry, 34(3), 420–436. http://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=2000054265&site=ehost-live.CrossRef

Bello-Utu, C. F., & DeSocio, J. E. (2015). Military deployment and reintegration: a systematic review of child coping. Journal of Child and Adolescent Psychiatric Nursing, 28(1), 23–34. https://doi.org/10.1111/jcap.12099.CrossRefPubMed

Brent, D. A. (1995). Risk factors for adolescent suicide and suicidal behavior: mental and substance abuse disorders, family environmental factors, and life stress. Suicide and Life-Threatening Behavior, 25, 52–63. https://doi.org/10.1111/j.1943-278X.1995.tb00490.x.CrossRefPubMed

Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard university press. Cambridge, Massachusetts.

Byrne, D. G., Davenport, S. C., & Mazanov, J. (2007). Profiles of adolescent stress: the development of the adolescent stress questionnaire (ASQ). Journal of Adolescence, 30(3), 393–416. https://doi.org/10.1016/j.adolescence.2006.04.004.CrossRefPubMed

Card, N. A., Bosch, L., Casper, D. M., Wiggs, C. B., Hawkins, S. A., Schlomer, G. L., & Borden, L. M. (2011). A meta-analytic review of internalizing, externalizing, and academic adjustment among children of deployed military service members. Journal of Family Psychology, 25(4), 508–520. https://doi.org/10.1037/a0024395.CrossRefPubMed

Cederbaum, J. A., Gilreath, T. D., Benbenishty, R., Astor, R. A., Pineda, D., DePedro, K. T., Esqueda, M. C., & Atuel, H. (2014). Well-being and suicidal ideation of secondary school students from military families. Journal of Adolescent Health, 54(6), 672–677. https://doi.org/10.1016/j.jadohealth.2013.09.006.CrossRef

Chandra, A., Lara-Cinisomo, S., Jaycox, L. H., Tanielian, T., Burns, R. M., Ruder, T., & Han, B. (2010). Children on the homefront: the experience of children from military families. Pediatrics, 125(1), 16–25. https://doi.org/10.1542/peds.2009-1180.CrossRefPubMed

Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Sage Publications. Thousand Oaks, California.

Compas, B. E., Davis, G. E., Forsythe, C. J., & Wagner, B. M. (1987). Assessment of major and daily stressful events during adolescence: the Adolescent Perceived Events Scale. Journal of Consulting and Clinical Psychology, 55(4), 534–541. https://doi.org/10.1037/0003-066x.40.7.770. 10.1016/0022-3999(72)90018-9.1974-11441-00110.1016/0022-3999(72)90018-9.CrossRefPubMed

Cozza, S. J. (2011). Children of military service members: Raising national awareness of the family health consequences of combat deployment. Archives of Pediatric and Adolescent Medicine, 165(11), 1044–1046.CrossRef

Cramm, H., McColl, M. A., Aiken, A. B., & Williams, A. (2019). The mental health of military-connected children: a scoping review. Journal of Child and Family Studies, 28(7), 1725–1735. https://doi.org/10.1007/s10826-019-01402-y.CrossRef

Creech, S. K., & Misca, G. (2017). Parenting with PTSD: a review of research on the influence of PTSD on parent-child functioning in military and veteran families [mini review]. Frontiers in Psychology, 8(1101). https://doi.org/10.3389/fpsyg.2017.01101.

Davis, B. E., Blaschke, G. S., & Stafford, E. M. (2012). Military children, families, and communities: supporting those who serve. Pediatrics, 129, S3–S10.CrossRefPubMed

Department of Defense. (2020). 2020 Demographics profile of the military community. https://download.militaryonesource.mil/12038/MOS/Reports/2020-demographics-report.pdf.

DePedro, K., Astor, R. A., Benbenishty, R., Estrada, J. N., Smith, G. A., & Esqueda, M. (2011). The children of military service members: challenges, resources, and future educational research. Review of Educational Research, 84(4), 566–618.CrossRef

Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Ross, J., Hawkins, J., Harris, W. A., Lowry, R., McManus, T., Chyen, D., Lim, C., Whittle, L., Brener, N. D., & Wechsler, H. (2010). Youth risk behavior surveillance - United States, 2009. Morbidity and Mortality Weekly Report Surveillance Summary, 59(5), 1–142. ss5905a1.

Faber, A. J., Willerton, E., Clymer, S. R., Macdemid, S. M., & Weiss, H. M. (2008). Ambiguous absence, ambiguous presence: a qualitative study of military reserve families in wartime. Journal of Family Psychology, 22(2), 222–230.CrossRefPubMed

Flake, E. M., Davis, M. E., Johnson, P. L., & Middleton, L. S. (2009). The psychosocial effects of deployment on military children. Journal of Developmental & Behavioral Pediatrics, 30(4), 271–278.CrossRef

Freedman, D., Thornton, A., Camburn, D., Alwin, D., & Young-DeMarco, L. (1988). The life history calendar: a technique for collecting retrospective data. Sociological Methodology, 18, 37–68.CrossRefPubMed

Gilreath, T. D., Astor, R.A., Cederbaum, J. A., Atuel, H., & Benbenishty, R. (2014a). Prevalence and correlates of victimization and weapon carrying among military- and nonmilitary-connected youth in Southern California. Preventive Medicine, 60, 21–26. https://doi.org/10.1016/j.ypmed.2013.12.002.CrossRefPubMed

Gilreath, T. D., Astor, R. A., Estrada, J. N., Benbenishty, R. & Unger, J. B. (2014). School victimization and substance use among adolescents in California. Prevention Science, 15(6), 897–906. https://doi.org/10.1007/s11121-013-0449-8.CrossRefPubMedPubMedCentral

Gilreath, T. D., Cederbaum, J. A., Astor, R. A., Benbenishty, R., Pineda, D., & Atuel, H. (2013). Substance use among military-connected youth: the California Healthy Kids Survey. American Journal of Preventive Medicine, 44(2), 150–153.CrossRefPubMed

Glaser, B., & Strauss, A. (1967). The discovery of grounded theory: Strategies for qualitative research. Sociology Press. New Brunswick, New Jersey.

Gould, M. S., Fisher, P., Parides, M., Flory, M., & Shaffer, D. (1996). PSychosocial risk factors of child and adolescent completed suicide. Archives of General Psychiatry, 53(12), 1155–1162. https://doi.org/10.1001/archpsyc.1996.01830120095016.CrossRefPubMed

Grant, K. E., Compas, B. E., Stuhlmacher, A. F., Thurm, A. E., McMahon, S. D., & Halpert, J. A. (2003). Stressors and child and adolescent psychopathology: moving from markers to mechanisms of risk. Psychological Bulletin, 129(3), 447–466. https://doi.org/10.1016/0163-6383(95)90003-9.CrossRefPubMed

Harrison, D., & Albanese, P. (2012). The “parentification” phenomenon as applied to adolescents living through parental military deployments. Canadian Journal of Family and Youth/Le Journal Canadien de Famille et de la Jeunesse, 4(1), 1–27.CrossRef

Hoffmann, J. P., Cerbone, F. G., & Su, S. S. (2000). A growth curve analysis of stress and adolescent drug use. Substance Use & Misuse, 35(5), 687–716. https://doi.org/10.3109/10826080009148417.CrossRef

Hooper, L. M., Moore, H. M., & Smith, A. K. (2014). Parentification in military families: overlapping constructs and theoretical explorations in family, clinical, and military psychology. Children and Youth Services Review, 39, 123–134. https://doi.org/10.1016/j.childyouth.2014.02.003.CrossRef

Huebner, A. J., & Mancini, J. A. (2005). Adjustment among adolescents in military families when a parent is deployed: A final report submitted to the Military Family Research Institute and the Department of Defense Quality of Life Office. Falls Church, Virginia:Virginia Tech, Department of Human Development.

Huebner, A. J., Mancini, J. A., Wilcox, R. M., Grass, S. R., & Grass, G. A. (2007). Parental deployment and youth in military families: exploring uncertainty and ambiguous loss. Family Relations, 56, 112–122.CrossRef

Institute of Medicine (2010). Returning home from Iraq and Afghanistan: preliminary assessment of readjustment needs of veterans, service members, and their families. Washington, DC: National Academies Press.

Irwin, Jr, C. E., Burg, S. J., & Cart, C. U. (2002). America’s adolescents: where have we been, where are we going? Journal of Adolescent Health, 31(6, Suppl 1), 91–121.CrossRef

Jessor, R. (1991). Risk behavior in adolescence: a psychosocial framework for understanding and action. Journal of Adolescent Health, 12(8), 597–605. 1054-139X(91)90007-K.CrossRef

Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2006). Monitoring the Future national survey results on drug use, 1975-2005: Volume I, Secondary school students (NIH Publication No. 06-5883). Bethesda, MD.

Kaeppler, C., & Lucier-Greer, M. (2020). Examining impacts of cumulative risk on military-connected youth and the role of family in coping. Child and Youth Care Forum, 49, 581–602.CrossRef

Larson, R., & Lampman-Petraitis, C. (1989). Daily emotional states as reported by children and adolescents. Child Development, 60, 1250–1260.CrossRefPubMed

Lazarus, R. S. (1966). Psychological stress and the coping process. McGraw-Hill. New York, NY.

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer publishing company. New York, NY.

Lester, P., Aralis, H., Sinclair, M., Kiff, C., Lee, K.-H., Mustillo, S., & Wadsworth, S. M. (2016). The Impact of Deployment on Parental, Family and Child Adjustment in Military Families. Child Psychiatry & Human Development, 47(6), 938–949. https://doi.org/10.1007/s10578-016-0624-9.CrossRef

Lester, P., & Flake, E. (2013). How wartime military service affects children and families. Future Child, 23(2), 121–141. https://doi.org/10.1353/foc.2013.0015.CrossRefPubMed

Lester, P., Leskin, G., Woodward, K., Saltzman, W., Nash, W., Mogil, C., Paley, B., & Beardslee, W. (2011). Wartime deployment and military children: Applying prevention science to enhance family resilience. In S. Macdermid & D. Riggs (Eds.), Risk and resilience in U.S. military families (pp. 149–173). Springer. New York, NY.

Lucier-Greer, M., O’Neal, C. W., Arnold, A. L., Mancini, J. A., & Wickrama, K. K. (2014). Adolescent mental health and academic functioning: empirical support for contrasting models of risk and vulnerability. Military Medicine, 179(11), 1279–1287.CrossRefPubMed

Meadows, S. O., Tanielian, T., & Karney, B. R. (Eds.). (2016). The deployment life study: Longitudinal analysis of military families across the deployment cycle. RAND. Santa Monica, CA.

Mmari, K., Bradshaw, C., Sudhinaraset, M., & Blum, R. (2010). Exploring the role of social connectedness among military youth: perceptions from youth, parents, and school personnel. Child and Youth Care Forum, 39(5), 351–366. https://doi.org/10.1007/s10566-010-9109-3.CrossRef

Mmari, K., Roche, K. M., Sudhinaraset, M., & Blum, R. (2009). When a parent goes off to war: exploring the issues faced by adolescents and their families. Youth & Society, 40, 455–475. https://doi.org/10.1177/0044118X08327873.CrossRef

National Academies of Sciences, E., and Medicine. (2019). Strengthening the Military Family Readiness System for a Changing American Society. The National Academies Press. https://doi.org/10.17226/25380.

Newcomb, M. D., Scheier, L. M., & Bentler, P. M. (1997). Effects of adolescent drug use on adult mental health: A prospective study of a community sample. In G. A. Marlatt & G. R. VandenBos (Eds.), Addictive behaviors: Readings on etiology, prevention, and treatment. (pp. 169–211). American Psychological Association. Washington, DC.

Pfefferbaum, B., Houston, J. B., Sherman, M. D., & Melson, A. G. (2011). Children of National Guard troops deployed in the global war on terrorism. Journal of Loss and Trauma, 16(4), 291–305.CrossRef

Reed, S. C., Bell, J. F., & Edwards, T. C. (2011). Adolescent well-being in Washington state military families. American Journal of Public Health, 101, 1676–1682.CrossRefPubMedPubMedCentral

Reed, S. C., Bell, J. F., & Edwards, T. C. (2014). Weapon carrying, physical fighting and gang membership among youth in washington state military families. Maternal and Child Health Journal, 18(8), 1863–1872. https://doi.org/10.1007/s10995-014-1430-2.CrossRefPubMed

Rodriguez, A. J., & Margolin, G. (2011). Siblings of military servicemembers: a qualitative exploration of individual and family systems reactions. Professional Psychology: Research and Practice, 42(4), 316.CrossRefPubMed

Ruff, S. G., & Keim, M. A. (2014). Revolving doors: the impact of multiple school transitions on military children. Professional Counselor, 4(2), 103–113.CrossRef

Schmitt, T. A. (2011). Current methodological considerations in exploratory and confirmatory factor analysis. Journal of Psychoeducational Assessment, 29(4), 304–321. https://doi.org/10.1177/0734282911406653.CrossRef

Silk, J. S., Steinberg, L., & Morris, A. S. (2003). Adolescents’ emotion regulation in daily life: links to depressive symptoms and problem behavior. Child Development, 74(6), 1869–1880. https://doi.org/10.1046/j.1467-8624.2003.00643.x.CrossRefPubMed

Sinha, R. (2008). Chronic stress, drug use, and vulnerability to addiction. Annals of the New York Academy of Sciences, 1141(1), 105–130. https://doi.org/10.1196/annals.1441.030.CrossRefPubMedPubMedCentral

Sullivan, K., Capp, G., Gilreath, T. D., Benbenishty, R., Roziner, I., & Astor, R. A. (2015). Substance abuse and other adverse outcomes for military-connected youth in California: results from a Large-Scale Normative Population Survey. JAMA Pediatrics, 169(10), 922–928. https://doi.org/10.1001/jamapediatrics.2015.1413.CrossRefPubMed

Sullivan, K. S., Capp, G., & Gilreath, T. D. (2018). The association of parentification indicators with substance use patterns among military-connected adolescents. Am J Orthopsychiatry. https://doi.org/10.1037/ort0000331.

Sullivan, K. S., Hawkins, S. A., Gilreath, T. D., & Castro, C. A. (2021). Mental health outcomes associated with risk and resilience among military-connected youth. Fam Process, 60(2), 507–522. https://doi.org/10.1111/famp.12596.CrossRefPubMed

Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). Pearson Education. Boston, MA.

van Jaarsveld, C. H. M., Fidler, J. A., Steptoe, A., Boniface, D., & Wardle, J. (2009). Perceived stress and weight gain in adolescence: a longitudinal analysis. Obesity, 17(12), 2155–2161. https://doi.org/10.1038/oby.2009.183.CrossRefPubMed

Wadsworth, S. M., Cardin, J.-F., Christ, S., Willerton, E., O’Grady, A. F., Topp, D., Coppola, E., Lester, P., & Mustillo, S. (2016). Accumulation of risk and promotive factors among young children in US military families. American Journal of Community Psychology, 57(1-2), 190–202. https://doi.org/10.1002/ajcp.12025.CrossRefPubMed

White, C. J., de Burgh, H. T., Fear, N. T., & Iversen, A. C. (2011). The impact of deployment to Iraq or Afghanistan on military children: a review of the literature. International Review of Psychiatry, 23(2), 210–217. https://doi.org/10.3109/09540261.2011.560143.CrossRefPubMed

Williamson, V., Stevelink, S. A., Da Silva, E., & Fear, N. T. (2018). A systematic review of wellbeing in children: a comparison of military and civilian families. Child and adolescent psychiatry and mental health, 12(1), 1–11.CrossRef

Titel: Development and Validation of the AMSM for Military-Connected Adolescents
Auteurs: Tamika D. Gilreath
Kathrine Sullivan
Francisco A. Montiel-Ishino
Titilayo Okoror
Publicatiedatum: 31-08-2023
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 10/2023
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-023-02661-6

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