Behavioral Health Adjustment in Reserve Component Soldiers
During a Noncombat Deployment to Africa
Maurice L. Sipos
Walter Reed Army Institute of Research, Silver
Spring, Maryland
Michael D. Wood
U.S. Army Medical Research Unit–Europe,
Sembach, Germany
Lyndon A. Riviere
Walter Reed Army Institute of Research, Silver
Spring, Maryland
Amy B. Adler
U.S. Army Medical Research Unit–Europe,
Sembach, Germany
This study benchmarked rates of mental health problems, adjustment difficulties, and
perceptions of unit climate among 505 U.S. soldiers (primarily National Guard)
deployed to the Horn of Africa in 2012. In addition, the study examined whether
differences across these outcomes exist between combat veterans (n = 239) and
noncombat veterans (n = 242). Rates of mental health problems among soldiers on this
noncombat deployment were lower than rates typically found among soldiers on
combat deployments. Furthermore, soldiers without previous combat experience had
lower rates of mental health problems and aggression than combat veterans. Similar
differences were evident when adjustment difficulties and unit climate variables were
compared. Although combat veterans could be valuable in training new soldiers, the
results of this study indicate that combat veterans may need more targeted resources to
facilitate their adjustment if they are to be optimally utilized.
Keywords: National Guard soldiers, behavioral health, unit climate, attitudes, combat history
Numerous studies have documented the ef-
fects of combat on the mental health and adjust-
ment of soldiers (Hoge et al., 2004). These
studies have shown that combat deployment
and combat experiences are associated with in-
creased rates of posttraumatic stress disorder
(PTSD), depression, and anxiety (Hoge et al.,
2004; Thomas et al., 2010); anger and aggres-
sion (Elbogen et al., 2010; Thomas et al., 2010);
alcohol problems (Wilk et al., 2010); and sleep
problems (Luxton et al., 2011; Seelig et al.,
2010). Furthermore, studies have identified dif-
ficulties with the overall transition home, in-
cluding problems with risky driving, other risk-
taking behaviors (Adler, Britt, Castro, McGurk,
& Bliese, 2011), and relationship difficulties
(Riviere & Merrill, 2011). Soldiers from Army
National Guard units have been found to be at
elevated risk for mental health problems after
deployment (Thomas et al., 2010; Wolfe, Erick-
son, Sharkansky, King, & King, 1999).
Given the potential challenges soldiers face
when returning from combat, the question re-
mains as to whether combat experiences affect
future military service. Although some research
has demonstrated that soldiers returning from
combat deployments are at greater risk for men-
Maurice L. Sipos, Center for Military Psychiatry and
Neuroscience, Walter Reed Army Institute of Research,
Silver Spring, Maryland; Michael D. Wood, U.S. Army
Medical Research Unit–Europe, Walter Reed Army Insti-
tute of Research, Sembach, Germany; Lyndon A. Riviere,
Walter Reed Army Institute of Research; Amy B. Adler,
U.S. Army Medical Research Unit–Europe, Walter Reed
Army Institute of Research.
The views expressed in this article are those of the
authors and do not necessarily represent the views of the
U.S. Army or Department of Defense.
This study was funded by the Military Operational Re-
search Program, U.S. Army Medical Research and Materiel
Command. The authors thank Rachel Eckford, Carla Kreilein,
Angela Salvi, and Paul Kim for their technical assistance.
Correspondence concerning this article should be ad-
dressed to Maurice L. Sipos, Center for Military Psychiatry
and Neuroscience, Walter Reed Army Institute of Research,
503 Robert Grant Avenue, Silver Spring, MD 20910.
E-mail: maurice.l.sipos.mil@mail.mil
This document is copyrighted by the American Psychological Association or one of its allied publishers.
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