{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T01:35:27Z","timestamp":1773970527535,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T00:00:00Z","timestamp":1712102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Little research explores military perspectives on medical disability\u2010related transition. A qualitative study sought to understand transition experiences of United States military Service members found <jats:italic>unfit for duty<\/jats:italic> following medical and physical evaluation boards (MEBs and PEBs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Confidential telephone interviews were conducted with 25 current and prior Service members. Participants were asked to share their experiences before, during, and after the MEB and PEB processes. Interview questions explored (1) health conditions that prompted the medical disability evaluation, (2) reactions to being recommended for separation, (3) transition\u2010related stress and challenges, and (4) coping strategies. Salient themes were identified across chronological narratives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants expressed that debilitating physical (e.g., injury) and\/or mental (e.g., post\u2010traumatic stress disorder) illnesses prompted their medical evaluation. In response to the unfit for duty notice, some participants reported emotional distress (e.g., anxiety, anger) connected to uncertainty about the future. Other participants reported relief connected to a sense of progression toward their medical disability claim status. Transition stress included the length of the MEB\/PEB process, impact of the COVID\u201019 pandemic on the process, financial stress, impact on family life, and compounded effect of these stressors on emotional distress, including depression and suicidal thoughts. Participants reported using adaptive (e.g., psychotherapy) and maladaptive (e.g., excessive drinking) strategies to cope with stress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Preliminary reports of emotional distress and transition stress following unfit for duty notices highlight the need for increased support and interventions to facilitate adaptive coping strategies during this vulnerable period.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23668","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T14:30:32Z","timestamp":1712154632000},"page":"1345-1364","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A qualitative study of military service members undergoing medical separation"],"prefix":"10.1002","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0931-2265","authenticated-orcid":false,"given":"Su Yeon","family":"Lee\u2010Tauler","sequence":"first","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica M.","family":"LaCroix","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tierney K.","family":"Huppert","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amber M.","family":"Winters","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Stivers","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. Penelope","family":"Arellano\u2010Euribe","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Grammer","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Cobb","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn J.","family":"Alvarado","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Boyd","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences Bethesda Maryland USA"},{"name":"Medical Boards Division Walter Reed National Military Medical Center Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee E.","family":"Patterson","sequence":"additional","affiliation":[{"name":"Medical Boards Division Walter Reed National Military Medical Center Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario F.","family":"Golle","sequence":"additional","affiliation":[{"name":"Medical Boards Division Walter Reed National Military Medical Center Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marjan","family":"Ghahramanlou\u2010Holloway","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,3]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0128599"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1201\/9780429258589"},{"issue":"1","key":"e_1_2_16_4_1","first-page":"75","article-title":"Qualitative research: A grounded theory example and evaluation criteria","volume":"23","author":"Bitsch V.","year":"2005","journal-title":"Journal of Agribusiness"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2022.03.017"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.11.015"},{"key":"e_1_2_16_7_1","volume-title":"Qualitative inquiry and research design: Choosing among five traditions","author":"Creswell J. W.","year":"1998"},{"key":"e_1_2_16_8_1","volume-title":"Qualitative inquiry and research design: Choosing among five approaches","author":"Creswell J. W.","year":"2013"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/cfp0000148"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11414-018-9633-8"},{"key":"e_1_2_16_11_1","unstructured":"Disability Evaluation System Analysis and Research. (2022).Annual Report.https:\/\/apps.dtic.mil\/sti\/pdfs\/AD1190001.pdf"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0261634"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1891\/9780826126597.0011"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2018.12.014"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2021.09.038"},{"key":"e_1_2_16_16_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20120107"},{"key":"e_1_2_16_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_2_16_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(14)00118-7"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000257"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.23246"},{"key":"e_1_2_16_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.16261"},{"key":"e_1_2_16_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/001100008100900202"},{"issue":"1","key":"e_1_2_16_23_1","first-page":"26","article-title":"Expanding approaches for research: Understanding and using trustworthiness in qualitative research","volume":"44","author":"Stahl N. A.","year":"2020","journal-title":"Journal of Developmental Education"},{"key":"e_1_2_16_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/46.2.125"},{"key":"e_1_2_16_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrmr.2019.100727"},{"key":"e_1_2_16_26_1","unstructured":"Supporting Disabled Veterans: The State of Claims Processing During and After COVID\u201019 United States Senate Committee on Veterans' Affairs(2021). (Statement of Ryan Gallucci).https:\/\/www.veterans.senate.gov\/imo\/media\/doc\/VFW%20Testimony%2005.12.21.pdf"},{"key":"e_1_2_16_27_1","unstructured":"The White House. (2018).Executive Order 13822\u2014Supporting Our Veterans During Their Transition From Uniformed Service to Civilian Life.https:\/\/www.govinfo.gov\/app\/details\/DCPD-201800015"},{"key":"e_1_2_16_28_1","unstructured":"The White House. (2021).Reducing Military and Veteran Suicide: Advancing a Comprehensive Cross\u2010Sector Evidence\u2010Informed Public Health Strategy.https:\/\/www.whitehouse.gov\/wp-content\/uploads\/2021\/11\/Military-and-Veteran-Suicide-Prevention-Strategy.pdf"},{"key":"e_1_2_16_29_1","volume-title":"Annual Report to Congress: Fiscal Year 2018","author":"U.S. Department of Labor, Veterans' Employment and Training Service","year":"2018"},{"key":"e_1_2_16_30_1","unstructured":"U.S. Senate Committee on Veterans Affairs. (2021).Supporting disabled veterans: The state of claims processing during and after COVID\u201019.Statement of Ryan Gallucci.https:\/\/www.Veterans.senate.gov\/2021\/5\/supporting-disabled-Veterans-the-state-of-claims-processing-during-and-after-covid-19"},{"key":"e_1_2_16_31_1","unstructured":"Walter Reed Army Institute of Research. (2021).Disability evaluation system analysis and research: 2020 Annual Report.Silver Spring.https:\/\/apps.dtic.mil\/sti\/citations\/AD1129345"},{"key":"e_1_2_16_32_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781849209717"}],"container-title":["Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.23668","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T02:41:45Z","timestamp":1731897705000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jclp.23668"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,3]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1002\/jclp.23668"],"URL":"https:\/\/doi.org\/10.1002\/jclp.23668","archive":["Portico"],"relation":{},"ISSN":["0021-9762","1097-4679"],"issn-type":[{"value":"0021-9762","type":"print"},{"value":"1097-4679","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,3]]},"assertion":[{"value":"2023-03-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}