Literature DB >> 26655859

Long-term Outcomes of Military Service in Aging and the Life Course: A Positive Re-envisioning.

Avron Spiro1, Richard A Settersten2, Carolyn M Aldwin3.   

Abstract

Most research on military service focuses on its short-term negative consequences, especially the mental and physical injuries of those deployed in warzones. However, studies of long-term outcomes reveal surprisingly positive effects of military service--both those early in adulthood that grow over time and others that can emerge later in life. These multidomain effects have been found in veterans of World War II and the Korean War and are now being seen in veterans of the Vietnam War. Although some are directly attributable to public policies such as the GI Bill, which facilitate educational and economic gains, there are personal developmental gains as well, including autonomy, emotional maturity and resilience, mastery, and leadership skills, that lead to better health and well-being in later life. These long-term effects vary across persons, change over time within persons, and often reflect processes of cumulative advantage and disadvantage. We propose a life-span model of the effects of military service that provides a perspective for probing both long-term positive and negative outcomes for aging veterans. We further explicate the model by focusing on both sociocultural dynamics and individual processes. We identify public-use data that can be examined to evaluate this model, and offer a set of questions that can be used to assess military service. Finally, we outline an agenda for dedicated inquiry into such effects and consider policy implications for the health and well-being of aging veterans in later life.
© The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  Health; Mental health; Resilience; Veterans; Well-being

Mesh:

Year:  2015        PMID: 26655859      PMCID: PMC4906316          DOI: 10.1093/geront/gnv093

Source DB:  PubMed          Journal:  Gerontologist        ISSN: 0016-9013


  20 in total

1.  The social ecology of resilience: addressing contextual and cultural ambiguity of a nascent construct.

Authors:  Michael Ungar
Journal:  Am J Orthopsychiatry       Date:  2011-01

Review 2.  An evaluation of the effect of military service on mortality: quantifying the healthy soldier effect.

Authors:  Ruth McLaughlin; Lisa Nielsen; Michael Waller
Journal:  Ann Epidemiol       Date:  2008-12       Impact factor: 3.797

3.  Linking combat and physical health: the legacy of World War II in men's lives.

Authors:  G H Elder; M J Shanahan; E C Clipp
Journal:  Am J Psychiatry       Date:  1997-03       Impact factor: 18.112

4.  Men's Appraisals of Their Military Experiences in World War II: A 40-Year Perspective.

Authors:  Richard A Settersten; Jack Day; Glen H Elder; Robert J Waldinger
Journal:  Res Hum Dev       Date:  2012-08-16

5.  Prospective study of posttraumatic stress disorder symptoms and coronary heart disease in the Normative Aging Study.

Authors:  Laura D Kubzansky; Karestan C Koenen; Avron Spiro; Pantel S Vokonas; David Sparrow
Journal:  Arch Gen Psychiatry       Date:  2007-01

6.  Combat-related posttraumatic stress disorder symptoms in older men.

Authors:  A Spiro; P P Schnurr; C M Aldwin
Journal:  Psychol Aging       Date:  1994-03

7.  Physical symptom trajectories following trauma exposure: longitudinal findings from the normative aging study.

Authors:  P P Schnurr; A Spiro; C M Aldwin; T A Stukel
Journal:  J Nerv Ment Dis       Date:  1998-09       Impact factor: 2.254

8.  Pathways to posttraumatic growth versus posttraumatic stress: coping and emotional reactions following the September 11, 2001, terrorist attacks.

Authors:  Crystal L Park; Carolyn M Aldwin; Juliane R Fenster; Leslie B Snyder
Journal:  Am J Orthopsychiatry       Date:  2008-07

9.  Reward circuitry in resilience to severe trauma: an fMRI investigation of resilient special forces soldiers.

Authors:  Meena Vythilingam; Eric E Nelson; Matthew Scaramozza; Tracy Waldeck; Gary Hazlett; Steven M Southwick; Daniel S Pine; Wayne Drevets; Dennis S Charney; Monique Ernst
Journal:  Psychiatry Res       Date:  2009-02-24       Impact factor: 3.222

Review 10.  From Late-Onset Stress Symptomatology to Later-Adulthood Trauma Reengagement in Aging Combat Veterans: Taking a Broader View.

Authors:  Eve H Davison; Anica Pless Kaiser; Avron Spiro; Jennifer Moye; Lynda A King; Daniel W King
Journal:  Gerontologist       Date:  2015-11-09
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  19 in total

1.  A Life-span Perspective on Combat Exposure and PTSD Symptoms in Later Life: Findings From the VA Normative Aging Study.

Authors:  Sungrok Kang; Carolyn M Aldwin; Soyoung Choun; Avron Spiro
Journal:  Gerontologist       Date:  2015-08-30

2.  Prior Military Service, Identity Stigma, and Mental Health Among Transgender Older Adults.

Authors:  Charles P Hoy-Ellis; Chengshi Shiu; Kathleen M Sullivan; Hyun-Jun Kim; Allison M Sturges; Karen I Fredriksen-Goldsen
Journal:  Gerontologist       Date:  2017-02

3.  US Military Service and Racial/Ethnic Differences in Cardiovascular Disease: An Analysis of the 2011-2016 Behavioral Risk Factor Surveillance System.

Authors:  Lauren E Walker; Eduard Poltavskiy; Jud C Janak; Carl A Beyer; Ian J Stewart; Jeffrey T Howard
Journal:  Ethn Dis       Date:  2019-07-18       Impact factor: 1.847

4.  Late-onset stress symptomatology (LOSS) scale - short form: development and validation.

Authors:  Christopher B Brady; Anica Pless Kaiser; Avron Spiro; Eve Davison; Daniel King; Lynda King
Journal:  Aging Ment Health       Date:  2018-05-23       Impact factor: 3.658

5.  Military service and crime: new evidence.

Authors:  David L Snowden; Sehun Oh; Christopher P Salas-Wright; Michael G Vaughn; Erika King
Journal:  Soc Psychiatry Psychiatr Epidemiol       Date:  2017-03-03       Impact factor: 4.328

6.  The Unfolding of LGBT Lives: Key Events Associated With Health and Well-being in Later Life.

Authors:  Karen I Fredriksen-Goldsen; Amanda E B Bryan; Sarah Jen; Jayn Goldsen; Hyun-Jun Kim; Anna Muraco
Journal:  Gerontologist       Date:  2017-02

7.  The Impacts of Service Related Exposures on Trajectories of Mental Health Among Aging Veterans.

Authors:  Stephanie Ureña; Miles G Taylor; Ben Lennox Kail
Journal:  J Gerontol B Psychol Sci Soc Sci       Date:  2018-10-10       Impact factor: 4.077

8.  Does combat exposure affect well-being in later life? The VA Normative Aging Study.

Authors:  Hyunyup Lee; Carolyn M Aldwin; Soyoung Choun; Avron Spiro
Journal:  Psychol Trauma       Date:  2017-04-27

Review 9.  Posttraumatic Stress Disorder in Older Adults: A Conceptual Review.

Authors:  Anica Pless Kaiser; Joan M Cook; Debra M Glick; Jennifer Moye
Journal:  Clin Gerontol       Date:  2018-11-13       Impact factor: 2.619

10.  Making meaning of cancer: A qualitative analysis of oral-digestive cancer survivors' reflections.

Authors:  Jennifer Moye; Allison Jahn; Rebecca Norris-Bell; Levi I Herman; Jeffrey Gosian; Aanand D Naik
Journal:  J Health Psychol       Date:  2018-01-22
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