The present study aimed to describe patterns of risk and protective factors affecting U.S. Army families and their association with mental health diagnoses among military-connected children. Wartime military service is associated with increased adverse outcomes for military-connected youth, but few studies have explored the impact of concurrent risk and access to protective factors. Using big data methods to link existing datasets, protective factors (e.g., marital and family functioning) were drawn from a voluntary survey completed by 1,630 US Army spouses. Risk factors (e.g., parent mental health, family moves, deployment) were drawn from Department of Defense (DoD) archival data. Rates of mental health diagnoses among youth were derived from DoD healthcare records. Using the three-step method of latent profile analysis, five profiles emerged with variability across risk and protective factors. The largest group (40% of the sample) had considerable protective factors and limited risk exposure. Statistically significant differences in the prevalence of mental health diagnoses among military-connected youth were observed across profiles (χ² = 30.067, df = 4, p < .001), with the highest rates (31.1% and 30.5%) observed in the two profiles with the lowest protective factors. Findings suggest most military families are faring well and highlight the importance of a thorough assessment that evaluates both the stressors military families face and the strengths they possess.

中文翻译：

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与军事相关的青年的风险和复原力相关的心理健康结果

本研究旨在描述影响美国陆军家庭的风险和保护因素模式及其与与军队有关的儿童的心理健康诊断的关系。战时服兵役与与军队有关的青年的不良后果增加有关，但很少有研究探讨并发风险和获得保护因素的影响。使用大数据方法链接现有数据集，保护因素（例如，婚姻和家庭功能）来自 1,630 名美国陆军配偶完成的自愿调查。风险因素（例如，父母心理健康、家庭搬迁、部署）来自国防部 (DoD) 档案数据。青少年心理健康诊断率来自国防部医疗记录。使用潜在轮廓分析的三步法，出现了五种不同的风险和保护因素的概况。最大的一组（占样本的 40%）具有相当大的保护因素和有限的风险暴露。在不同档案中观察到与军队有关的青年的心理健康诊断流行率存在统计学显着差异（χ²  = 30.067, df  = 4, p  < .001)，在保护因素最低的两个配置文件中观察到的比率最高（31.1% 和 30.5%）。调查结果表明，大多数军人家庭都过得很好，并强调了全面评估军人家庭面临的压力源和他们拥有的优势的重要性。