Civilian Unemployment and Mental Health: The Moderating Impact of Alcohol Misuse in Returning National Guard

Mil Med. 2015 Sep;180(9):986-93. doi: 10.7205/MILMED-D-14-00466.

Abstract

Postdeployment civilian unemployment has become a common problem and source of additional stress for National Guard (NG) personnel. This study evaluated 126 California NG members, exploring the relationship between immediate postdeployment employment status and self-reported mental health symptoms, including evidence of alcohol misuse. Participants were recruited from a NG unit within the first 3 months after returning home in August 2011. Over one-third of participants reported being unemployed beyond the part-time NG commitment. Mental health symptoms were greater in those participants without civilian employment. Additionally, those participants with comorbid alcohol misuse with either depression or post-traumatic stress disorder were significantly more likely to lack civilian employment. Interaction testing revealed a significant interaction between employment status and alcohol misuse for both depression and post-traumatic stress disorder. Alcohol use was concluded to moderate the relationship between civilian unemployment and mental health symptoms. Results suggest that the part-time employment provided through NG service may serve as a protective factor in the development of negative psychological outcomes, except for cases where alcohol misuse is present.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Alcohol-Related Disorders / epidemiology*
  • California / epidemiology
  • Depression / epidemiology*
  • Diagnosis, Dual (Psychiatry) / psychology
  • Female
  • Humans
  • Male
  • Mental Health*
  • Middle Aged
  • Military Personnel / psychology*
  • Pilot Projects
  • Prevalence
  • Protective Factors
  • Self Report
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Unemployment / psychology*
  • Warfare
  • Young Adult