TY - JOUR PY - 2015// TI - Civilian unemployment and mental health: the moderating impact of alcohol misuse in returning national guard JO - Military medicine A1 - Kintzle, Sara A1 - Oh, Hyunsung A1 - Wilcox, Sherrie A1 - Hassan, Anthony A1 - Ell, Kathy A1 - Castro, Carl SP - 986 EP - 993 VL - 180 IS - 9 N2 - 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.

Language: en

LA - en SN - 0026-4075 UR - http://dx.doi.org/10.7205/MILMED-D-14-00466 ID - ref1 ER -