title: An examination of successful soldier postdeployment transition from combat to garrison life.
abstract: Previous studies have shown that combat exposures and deployment-related stressors have negative implications on soldiers' postdeployment health and well-being. The current study aimed to examine the individual and combined effects of organizational and social support on the success of soldiers' postdeployment reintegration. In this study, 2,922 U.S. soldiers were surveyed from a brigade combat team at 90-120 days postdeployment, measuring soldiers' perceptions of postdeployment transition home, occupational and social support, stigma and barriers associated with accessing behavioral health care, and previous behavioral health care. Logistic regression analysis indicated that soldiers reporting a positive postdeployment transition home (n = 1,776; 61%) was significantly associated with leadership perceptions, adjusted odds ratio (AOR) = 1.19, 95% confidence interval (CI) [1.02, 1.39], unit cohesion, AOR = 1.29, 95% CI [1.09, 1.53], personal support, AOR = 1.37, 95% CI [1.23, 1.52], perceived levels of stigma, AOR = 0.73, 95% CI [0.65, 0.82] barriers to accessing care, AOR = 0.86, 95% CI [0.76, 0.97], and previously accessing behavioral health care, AOR = 0.34, 95% CI [0.28, 0.43]. These findings suggest redeploying soldiers may benefit from programs aimed at improving self-efficacy and coping through fostering occupational and social support, with special concern taken to reduce stigma and barriers to care across the Army.
authors.affiliation: Behavioral and Social Health Outcomes Program (BSHOP), U.S. Army Institute of Public Health, U.S. Army Public Health Command, Aberdeen Proving Ground, Maryland, USA.
authors.forename: David S
authors.initials: DS
authors.lastname: Fink
authors.forename: M Shayne
authors.initials: MS
authors.lastname: Gallaway
authors.forename: Amy M
authors.initials: AM
authors.lastname: Millikan
mesh_terms: D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007857:Leadership; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D008605:Mental Health Services; D008889:Military Personnel / Q000523:psychology*; D057545:Social Stigma; D012944:Social Support; D014481:United States