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A qualitative study of military service members undergoing medical separation.

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Title: A qualitative study of military service members undergoing medical separation.
Authors: Lee‐Tauler, Su Yeon (AUTHOR), LaCroix, Jessica M. (AUTHOR), Huppert, Tierney K. (AUTHOR), Winters, Amber M. (AUTHOR), Stivers, Max (AUTHOR), Arellano‐Euribe, A. Penelope (AUTHOR), Grammer, Joseph (AUTHOR), Cobb, Erin (AUTHOR), Alvarado, Kathryn J. (AUTHOR), Boyd, David (AUTHOR), Patterson, Lee E. (AUTHOR), Golle, Mario F. (AUTHOR), Ghahramanlou‐Holloway, Marjan (AUTHOR)
Source: Journal of Clinical Psychology. Jun2024, Vol. 80 Issue 6, p1345-1364. 20p.
Subjects: Military personnel, United States armed forces, Psychological distress, Disability insurance claims, Financial stress
Geographic Terms: United States
Abstract: Objective: Little research explores military perspectives on medical disability‐related transition. A qualitative study sought to understand transition experiences of United States military Service members found unfit for duty following medical and physical evaluation boards (MEBs and PEBs). Methods: Confidential telephone interviews were conducted with 25 current and prior Service members. Participants were asked to share their experiences before, during, and after the MEB and PEB processes. Interview questions explored (1) health conditions that prompted the medical disability evaluation, (2) reactions to being recommended for separation, (3) transition‐related stress and challenges, and (4) coping strategies. Salient themes were identified across chronological narratives. Results: Participants expressed that debilitating physical (e.g., injury) and/or mental (e.g., post‐traumatic stress disorder) illnesses prompted their medical evaluation. In response to the unfit for duty notice, some participants reported emotional distress (e.g., anxiety, anger) connected to uncertainty about the future. Other participants reported relief connected to a sense of progression toward their medical disability claim status. Transition stress included the length of the MEB/PEB process, impact of the COVID‐19 pandemic on the process, financial stress, impact on family life, and compounded effect of these stressors on emotional distress, including depression and suicidal thoughts. Participants reported using adaptive (e.g., psychotherapy) and maladaptive (e.g., excessive drinking) strategies to cope with stress. Conclusion: Preliminary reports of emotional distress and transition stress following unfit for duty notices highlight the need for increased support and interventions to facilitate adaptive coping strategies during this vulnerable period. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A qualitative study of military service members undergoing medical separation.
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  Data: <searchLink fieldCode="AR" term="%22Lee‐Tauler%2C+Su+Yeon%22">Lee‐Tauler, Su Yeon</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22LaCroix%2C+Jessica+M%2E%22">LaCroix, Jessica M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huppert%2C+Tierney+K%2E%22">Huppert, Tierney K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Winters%2C+Amber+M%2E%22">Winters, Amber M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stivers%2C+Max%22">Stivers, Max</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Arellano‐Euribe%2C+A%2E+Penelope%22">Arellano‐Euribe, A. Penelope</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grammer%2C+Joseph%22">Grammer, Joseph</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cobb%2C+Erin%22">Cobb, Erin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alvarado%2C+Kathryn+J%2E%22">Alvarado, Kathryn J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Boyd%2C+David%22">Boyd, David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Patterson%2C+Lee+E%2E%22">Patterson, Lee E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Golle%2C+Mario+F%2E%22">Golle, Mario F.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ghahramanlou‐Holloway%2C+Marjan%22">Ghahramanlou‐Holloway, Marjan</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Psychology%22">Journal of Clinical Psychology</searchLink>. Jun2024, Vol. 80 Issue 6, p1345-1364. 20p.
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  Data: <searchLink fieldCode="DE" term="%22Military+personnel%22">Military personnel</searchLink><br /><searchLink fieldCode="DE" term="%22United+States+armed+forces%22">United States armed forces</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink><br /><searchLink fieldCode="DE" term="%22Disability+insurance+claims%22">Disability insurance claims</searchLink><br /><searchLink fieldCode="DE" term="%22Financial+stress%22">Financial stress</searchLink>
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  Data: Objective: Little research explores military perspectives on medical disability‐related transition. A qualitative study sought to understand transition experiences of United States military Service members found unfit for duty following medical and physical evaluation boards (MEBs and PEBs). Methods: Confidential telephone interviews were conducted with 25 current and prior Service members. Participants were asked to share their experiences before, during, and after the MEB and PEB processes. Interview questions explored (1) health conditions that prompted the medical disability evaluation, (2) reactions to being recommended for separation, (3) transition‐related stress and challenges, and (4) coping strategies. Salient themes were identified across chronological narratives. Results: Participants expressed that debilitating physical (e.g., injury) and/or mental (e.g., post‐traumatic stress disorder) illnesses prompted their medical evaluation. In response to the unfit for duty notice, some participants reported emotional distress (e.g., anxiety, anger) connected to uncertainty about the future. Other participants reported relief connected to a sense of progression toward their medical disability claim status. Transition stress included the length of the MEB/PEB process, impact of the COVID‐19 pandemic on the process, financial stress, impact on family life, and compounded effect of these stressors on emotional distress, including depression and suicidal thoughts. Participants reported using adaptive (e.g., psychotherapy) and maladaptive (e.g., excessive drinking) strategies to cope with stress. Conclusion: Preliminary reports of emotional distress and transition stress following unfit for duty notices highlight the need for increased support and interventions to facilitate adaptive coping strategies during this vulnerable period. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/jclp.23668
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        Text: English
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        PageCount: 20
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      – SubjectFull: Military personnel
        Type: general
      – SubjectFull: United States armed forces
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      – SubjectFull: Psychological distress
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      – SubjectFull: Disability insurance claims
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              Text: Jun2024
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