Psychosocial factors associated with psychological distress and functional difficulties in recently transitioned and current serving regular Australian Defence Force members
Open accessAbstract
The transition period from military-to-civilian life can be one of the most significant and stressful periods in the military life cycle. We explore the psychosocial factors associated with psychological distress and functional impairment among those who recently transitioned from the Australian Defence Force (ADF) and those currently serving in 2015. Using data from the Transition and Wellbeing Research Programme, multinomial logistic regression models were used to analyze the associations between a combined measure of psychological distress and functional impairment (K10/SDS) with various psychosocial, lifestyle, and physical health factors. There were 10,210 in the final analytic cohort (Transitioned=3,254; Regular 2015 ADF=6,956). Overall, the odds of belonging to the highly distressed/impaired group were greatest among those with insomnia (Odds Ratio 18.53), low resilience (OR 7.67), physical health symptoms (OR 7.16), and alcohol risk (OR 4.67). Other factors included pain (OR 3.36), financial issues (OR 2.38), and social strain (OR 1.98). The associations with insomnia and physical health symptoms were stronger among the Transitioned compared to the Regular 2015 ADF. Results of this research highlights the importance of taking a multi-dimensional perspective of symptoms in military populations, particularly in those recently transitioned from permanent service, as predictors of future risk of disorder.
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An evidence-based adjustment and reintegration program has the potential to lessen the substantial burden of negative psychosocial outcomes in the veteran community that have been associated with transition out of military service.
“An evidence-based adjustment and reintegration program has the potential to lessen the substantial burden of negative psychosocial outcomes in the veteran community that have been associated with transition out of military service [15, 17, 18, 61].”
From Feasibility, acceptability, and initial outcomes of a psychological adjustment and reintegration program for transitioned military veterans (2024) · cites this paper as [61]
The Introduction links transition out of military service to psychosocial adjustment problems, and the Discussion says screening and interventions during transition may modify the emerging risk of disorder. The paper does not assess an evidence-based adjustment and reintegration program or establish that such a program could lessen the broader burden of negative psychosocial outcomes. Page numbers are unavailable in our copy. (LLM, conf=0.84)
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“An evidence-based adjustment and reintegration program has the potential to lessen the substantial burden of negative psychosocial outcomes in the veteran community that have been associated with transition out of military service [15, 17, 18, 61].”
BackgroundA temporal analysis of mental health symptoms relative to separation from the military
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- Authors
- Hansen, C., McFarlane, A., Iannos, M., Sadler, N., Benassi, H., Lawrence-Wood, E., Hodson, S., Searle, A., & Van Hooff, M.
- Affiliations
- The University of Adelaide (AU)
- Department of Defence (AU)
- Australian National University (AU)
- Department of Veterans Affairs (AU)
- Corresponding author
- Hansen, Craig
- ORCID
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2020-04
- Volume
- 286
- Pages
- 112860
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W3006351582
- Cited by
- 7
- References
- 65
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 1 · 2022: 3
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- ANU Open Research (Australian National University) (submittedVersion, cc-by-nc-nd)
- Funders
- Department of Veterans' Affairs, Australian Government
- Department of Defence, Australian Government
- Topics
- Social Sciences › Education › Education and Military Integration
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Performance
- Keywords
- military-to-civilian transition, psychological distress, functional disability, psychosocial factors, Australian Defence Force, resilience, insomnia, somatic symptoms, alcohol risk, pain, financial stress, social strain, Kessler K10
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