Kathleen F. Carlson is now at the Portland Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Portland VA Medical Center
Version of Record online: 7 DEC 2011
Published 2011. This article is a US Government work and is in the public domain in the USA.
Journal of Traumatic Stress
Volume 24, Issue 6, pages 660–670, December 2011
How to Cite
Sayer, N. A., Frazier, P., Orazem, R. J., Murdoch, M., Gravely, A., Carlson, K. F., Hintz, S. and Noorbaloochi, S. (2011), Military to civilian questionnaire: A measure of postdeployment community reintegration difficulty among veterans using Department of Veterans Affairs medical care. J. Traum. Stress, 24: 660–670. doi: 10.1002/jts.20706
This research was supported by the U.S. Department of Veterans Affairs (VA), Veterans Health Administration, Health Services Research and Development Service (HSR & D) (Grant no. RRP 07-315). The content of this manuscript presents the findings and conclusions of the authors and does not necessarily represent the VA or HSR & D. The authors report no competing interests.
- Issue online: 19 DEC 2011
- Version of Record online: 7 DEC 2011
The primary objective of this study was to describe the development, reliability, and construct validity of scores on the Military to Civilian Questionnaire (M2C-Q), a 16-item self-report measure of postdeployment community reintegration difficulty. We surveyed a national, stratified sample of 1,226 Iraq and Afghanistan veterans who used U.S. Department of Veterans Affairs (VA) medical care; 745 completed the M2C-Q and validated mental health screening measures. All analyses were based on weighted estimates. The internal consistency of the M2C-Q was .95 in this sample. Factor analyses indicated a single total score was the best-fitting model. Total scores were associated with measures theoretically related to reintegration difficulties including perception of overall difficulty readjusting back into civilian life (R2 = .49), probable PTSD (d = 1.07), probable problem drug or alcohol use (d = 0.34), and overall mental health (r = −.83). Subgroup analyses revealed a similar pattern of findings in those who screened negative for PTSD. Nonwhite and unemployed veterans reported greater community reintegration difficulty (d = 0.20 and 0.45, respectively). Findings offer preliminary support for the reliability and construct validity of M2C-Q scores.