@article{ref1,
title="Civilian unemployment and mental health: the moderating impact of alcohol misuse in returning national guard",
journal="Military medicine",
year="2015",
author="Kintzle, Sara and Oh, Hyunsung and Wilcox, Sherrie and Hassan, Anthony and Ell, Kathy and Castro, Carl",
volume="180",
number="9",
pages="986-993",
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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0026-4075",
doi="10.7205/MILMED-D-14-00466",
url="http://dx.doi.org/10.7205/MILMED-D-14-00466"
}