It is projected that by 2020 there will be 8.7 million veterans over the age of 65 years, more than half (64%) of whom served during the Vietnam War. The effects of military service on mental health and well-being may be more pronounced later in life among those who served in Vietnam than prior cohorts of veterans. Many veterans confront and rework their wartime memories later in life in an attempt to find meaning and coherence, engaging in a process referred to as Later-Adulthood Trauma Reengagement (LATR). LATR often occurs in the context of other stressors that are a normative part of aging, such as role transitions (e.g., retirement), declines in physical health, and the death of close others (e.g., spouses), perhaps because these events trigger reminiscence. Importantly, LATR may result in either positive (e.g., acceptance) or negative (e.g., distress) psychological outcomes. It has been suggested that the presence of social/environmental resources, including socioemotional support, may aid veterans in successfully navigating LATR. We, therefore, review relevant areas of research to delineate the role that various layers of social context may play in -helping – or hindering – aging Vietnam veterans as they navigate LATR in the context of normative late-life stressors. We conclude by offering fruitful directions for future research and applied implications for intervention efforts.

1.
Wilmoth
JM
,
London
AS
. Aging veterans: Needs and provisions. In:
Settersten
R
,
Angel
J
, editors
.
Handbook of sociology of aging
.
New York (NY)
:
Springer
;
2011
. pp.
445
61
.
2.
Cohany
SR
.
Labor force status of Vietnam-era veterans
.
Mon Labor Rev
.
1987
;
110
:
11
7
.0098-1818
3.
Marmar
CR
,
Schlenger
W
,
Henn-Haase
C
,
Qian
M
,
Purchia
E
,
Li
M
, et al.
Course of posttraumatic stress disorder 40 years after the Vietnam War: Findings from the National Vietnam Veterans Longitudinal Study
.
JAMA Psychiatry
.
2015
Sep
;
72
(
9
):
875
81
.
[PubMed]
2168-622X
4.
Card
JJ
.
Lives after Vietnam: The personal impact of military service
.
Lexington (MA)
:
Lexington Books
;
1983
.
5.
London
AS
. Veterans and the life course. In:
Harrington Meyer
M
,
Daniele
EA
, editors
.
Gerontology: Changes, challenges, and solutions
.
Volume 1
.
Santa Barbara (CA)
:
Praeger
;
2016
. pp.
191
219
.
6.
Wilmoth
JM
,
London
AS
,
Parker
WM
.
Military service and men’s health trajectories in later life
.
J Gerontol B Psychol Sci Soc Sci
.
2010
Nov
;
65
(
6
):
744
55
.
[PubMed]
1079-5014
7.
Davison
EH
,
Kaiser
AP
,
Spiro
A
 3rd
,
Moye
J
,
King
LA
,
King
DW
.
From late-onset stress symptomatology to later-adulthood trauma reengagement in aging combat veterans: taking a broader view
.
Gerontologist
.
2016
Feb
;
56
(
1
):
14
21
.
[PubMed]
0016-9013
8.
Elder
GH
 Jr
,
Clipp
EC
.
Combat experience and emotional health: impairment and resilience in later life
.
J Pers
.
1989
Jun
;
57
(
2
):
311
41
.
[PubMed]
0022-3506
9.
Anderson
MC
,
Reinholz
J
,
Kuhl
BA
,
Mayr
U
.
Intentional suppression of unwanted memories grows more difficult as we age
.
Psychol Aging
.
2011
Jun
;
26
(
2
):
397
405
.
[PubMed]
0882-7974
10.
Davison
EH
,
Pless
AP
,
Gugliucci
MR
,
King
LA
,
King
DW
,
Salgado
DM
, et al.
Late-life emergence of early-life trauma: the phenomenon of late-onset stress symptomatology among aging combat veterans
.
Res Aging
.
2006
;
28
(
1
):
84
114
. 0164-0275
11.
King
LA
,
King
DW
,
Vickers
K
,
Davison
EH
,
Spiro
A
 3rd
.
Assessing late-onset stress symptomatology among aging male combat veterans
.
Aging Ment Health
.
2007
Mar
;
11
(
2
):
175
91
.
[PubMed]
1360-7863
12.
Pless Kaiser
A
,
Cook
JM
,
Glick
DM
,
Moye
J
.
Posttraumatic stress disorder in older adults: A conceptual review
.
Clin Gerontol
.
2019
Jul-Sep
;
42
(
4
):
359
76
.
[PubMed]
0731-7115
13.
Krause
N
.
Lifetime trauma, emotional support, and life satisfaction among older adults
.
Gerontologist
.
2004
Oct
;
44
(
5
):
615
23
.
[PubMed]
0016-9013
14.
King
DW
,
King
LA
,
Foy
DW
,
Keane
TM
,
Fairbank
JA
.
Posttraumatic stress disorder in a national sample of female and male Vietnam veterans: risk factors, war-zone stressors, and resilience-recovery variables
.
J Abnorm Psychol
.
1999
Feb
;
108
(
1
):
164
70
.
[PubMed]
0021-843X
15.
Schnur
JB
,
Valdimarsdottir
HB
,
Montgomery
GH
,
Nevid
JS
,
Bovbjerg
DH
.
Social constraints and distress among women at familial risk for breast cancer
.
Ann Behav Med
.
2004
Oct
;
28
(
2
):
142
8
.
[PubMed]
0883-6612
16.
Steenkamp
MM
,
Schlenger
WE
,
Corry
N
,
Henn-Haase
C
,
Qian
M
,
Li
M
, et al.
Predictors of PTSD 40 years after combat: findings from the National Vietnam Veterans longitudinal study
.
Depress Anxiety
.
2017
Aug
;
34
(
8
):
711
22
.
[PubMed]
1091-4269
17.
Burnell
KJ
,
Coleman
PG
,
Hunt
N
.
Coping with traumatic memories: second World War veterans’ experiences of social support in relation to the narrative coherence of war memories
.
Ageing Soc
.
2010
;
30
(
1
):
57
78
. 0144-686X
18.
Kang
S
,
Aldwin
CM
,
Choun
S
,
Spiro
A
 3rd
.
A life-span perspective on combat exposure and PTSD symptoms in later life: Findings from the VA Normative Aging Study
.
Gerontologist
.
2016
Feb
;
56
(
1
):
22
32
.
[PubMed]
0016-9013
19.
Badr
H
,
Barker
TM
,
Milbury
K
. Couples’ psychosocial adaptation to combat wounds and injuries. In:
MacDermid Wadsworth
S
,
Riggs
D
, editors
.
Risk and resilience in U.S. military families
.
New York (NY)
:
Springer
;
2010
. pp.
213
34
.
20.
Bodenmann
G
. Dyadic coping and its significance for marital functioning. In:
Revenson
TA
,
Kayser
K
,
Bodenmann
G
, editors
.
Couples coping with stress: Emerging perspectives on dyadic coping
.
Washington (DC)
:
American Psychological Association
;
2005
. pp.
33
49
.
21.
Reis
HT
,
Shaver
P
. Intimacy as an interpersonal process. In:
Duck
SW
,
Hay
DF
,
Hobfoll
SE
,
Ickes
W
,
Montgomery
BM
, editors
.
Handbook of personal relationships: Theory, research and interventions
.
Oxford, England
:
John Wiley & Sons
;
1988
. pp.
367
89
.
22.
Campbell
SB
,
Renshaw
KD
.
PTSD symptoms, disclosure, and relationship distress: explorations of mediation and associations over time
.
J Anxiety Disord
.
2013
Jun
;
27
(
5
):
494
502
.
[PubMed]
0887-6185
23.
Nelson Goff
BS
,
Hartman
K
,
Perkins
D
,
Summers
K
,
Walker
L
,
Monk
JK
.
Talk to me: disclosure of past trauma experiences to spouses in military couples
.
Journal of Veterans Studies
.
2016
;
1
(
1
):
98
128
.
24.
Carter
SP
,
Renshaw
KD
,
Curby
TW
,
Allen
ES
,
Markman
HJ
,
Stanley
SM
.
Protective buffering by service members during military deployments: associations with psychological distress and relationship functioning
.
Fam Process
.
2019
Jan
; ;
Advance online publication
.
[PubMed]
0014-7370
25.
Marini
CM
,
MacDermid Wadsworth
S
,
Franks
MM
,
Wilson
SR
,
Christ
SL
.
Military spouses’ self- and partner-directed minimization in the context of deployment
.
Mil Behav Health
.
2019
Jul
;
7
(
3
):
245
56
. 2163-5781
26.
Balderrama-Durbin
C
,
Snyder
DK
,
Cigrang
J
,
Talcott
GW
,
Tatum
J
,
Baker
M
, et al.
Combat disclosure in intimate relationships: mediating the impact of partner support on posttraumatic stress
.
J Fam Psychol
.
2013
Aug
;
27
(
4
):
560
8
.
[PubMed]
0893-3200
27.
Perlick
DA
,
Sautter
FJ
,
Becker-Cretu
JJ
,
Schultz
D
,
Grier
SC
,
Libin
AV
, et al.
The incorporation of emotion-regulation skills into couple- and family-based treatments for post-traumatic stress disorder
.
Mil Med Res
.
2017
Jun
;
4
(
1
):
21
30
.
[PubMed]
2095-7467
28.
Burnell
KJ
,
Coleman
PG
,
Hunt
N
.
Falklands War veterans’ perceptions of social support and the reconciliation of traumatic memories
.
Aging Ment Health
.
2006
May
;
10
(
3
):
282
9
.
[PubMed]
1360-7863
29.
Burland
D
,
Lundquist
JH
. The best years of our lives: Military service and family relationships – A life-course perspective. In:
Wilmoth
JM
,
London
AS
, editors
.
Life course perspectives on military service
.
New York
:
Routledge
;
2013
. pp.
165
84
.
30.
Sheffler
JL
,
Rushing
NC
,
Stanley
IH
,
Sachs-Ericsson
NJ
.
The long-term impact of combat exposure on health, interpersonal, and economic domains of functioning
.
Aging Ment Health
.
2016
Nov
;
20
(
11
):
1202
12
.
[PubMed]
1360-7863
31.
Jahn
AL
,
Herman
L
,
Schuster
J
,
Naik
A
,
Moye
J
.
Distress and resilience after cancer in veterans
.
Res Hum Dev
.
2012
;
9
(
3
):
229
47
.
[PubMed]
1542-7609
32.
Danoff-Burg
S
,
Revenson
TA
,
Trudeau
KJ
,
Paget
SA
.
Unmitigated communion, social constraints, and psychological distress among women with rheumatoid arthritis
.
J Pers
.
2004
Feb
;
72
(
1
):
29
46
.
[PubMed]
0022-3506
33.
Fekete
EM
,
Stephens
MA
,
Mickelson
KD
,
Druley
JA
.
Couples’ support provision during illness: the role of perceived emotional responsiveness
.
Fam Syst Health
.
2007
;
25
(
2
):
204
17
. 1091-7527
34.
Antonucci
TC
,
Fiori
KL
,
Birditt
K
,
Jackey
LM
. Convoys of social relations: Integrating life span and life course perspectives. In:
Freund
AF
,
Lamb
ML
,
Lerner
RM
, editors
.
Handbook of lifespan development
.
Hoboken (NJ)
:
John Wiley and Sons
;
2010
. pp.
434
73
.
35.
Lang
FR
.
Endings and continuity of social relationships: maximizing intrinsic benefits within personal networks when feeling near to death
.
J Soc Pers Relat
.
2000
;
17
(
2
):
155
82
. 0265-4075
36.
Wrzus
C
,
Hänel
M
,
Wagner
J
,
Neyer
FJ
.
Social network changes and life events across the life span: a meta-analysis
.
Psychol Bull
.
2013
Jan
;
139
(
1
):
53
80
.
[PubMed]
0033-2909
37.
Carstensen
LL
.
Evidence for a life-span theory of socioemotional selectivity
.
Curr Dir Psychol Sci
.
1995
;
4
(
5
):
151
6
. 0963-7214
38.
Burnell
K
,
Needs
A
,
Gordon
K
.
Exploring the suitability and acceptability of peer support for older veterans
.
Qual Ageing Older Adults
.
2017
;
18
(
2
):
120
30
. 2044-1827
39.
Fingerman
KL
.
Consequential strangers and peripheral ties: the importance of unimportant relationships
.
J Fam Theory Rev
.
2009
;
1
(
2
):
69
86
. 1756-2570
40.
Sixsmith
J
,
Sixsmith
A
,
Callender
M
,
Corr
S
.
Wartime experiences and their implications for the everyday lives of older people
.
Ageing Soc
.
2014
;
34
(
9
):
1457
81
. 0144-686X
41.
Hunt
N
,
Robbins
I
.
World war II veterans, social support, and veterans’ associations
.
Aging Ment Health
.
2001
May
;
5
(
2
):
175
82
.
[PubMed]
1360-7863
42.
Leedahl
SN
,
Koenig
TL
,
Ekerdt
DJ
.
Perceived benefits of VFW post participation for older adults
.
J Gerontol Soc Work
.
2011
Oct
;
54
(
7
):
712
30
.
[PubMed]
0163-4372
43.
Cappeliez
P
,
O’Rourke
N
.
Empirical validation of a model of reminiscence and health in later life
.
J Gerontol B Psychol Sci Soc Sci
.
2006
Jul
;
61
(
4
):
237
44
.
[PubMed]
1079-5014
44.
Fiori
KL
,
Antonucci
TC
,
Cortina
KS
.
Social network typologies and mental health among older adults
.
J Gerontol B Psychol Sci Soc Sci
.
2006
Jan
;
61
(
1
):
25
32
.
[PubMed]
1079-5014
45.
Carr
D
.
Golden years? Social inequality in later life
.
New York (NY)
:
Russell Sage Foundation
;
2019
.
46.
Abbott
KH
,
Stoller
EP
,
Rose
JH
.
The structure and function of frail male veterans’ informal networks
.
J Aging Health
.
2007
Oct
;
19
(
5
):
757
77
.
[PubMed]
0898-2643
47.
Li
T
,
Zhang
Y
.
Social network types and the health of older adults: exploring reciprocal associations
.
Soc Sci Med
.
2015
Apr
;
130
:
59
68
.
[PubMed]
0277-9536
48.
Hogan
DP
.
Transitions and social change: The early lives of American men
.
New York
:
Academic Press
;
1981
.
49.
Wilmoth
JM
,
London
AS
. The influence of military service on aging. In:
George
LK
,
Ferraro
KF
, editors
.
Handbook of aging and the social sciences
. 8th ed.
New York
:
Academic Press
;
2016
. pp.
227
50
.
50.
Kelty
R
,
Segal
DR
. The military as a transforming influence: Integration into or isolation from normal adult roles? In:
Wilmoth
JM
,
London
AS
, editors
.
Life course perspectives on military service
.
New York
:
Routledge
;
2013
. pp.
19
47
.
51.
Keane
TM
,
Scott
WO
,
Chavoya
GA
,
Lamparski
DM
,
Fairbank
JA
.
Social support in Vietnam veterans with posttraumatic stress disorder: a comparative analysis
.
J Consult Clin Psychol
.
1985
Feb
;
53
(
1
):
95
102
.
[PubMed]
0022-006X
52.
Brady
CB
,
Pless Kaiser
A
,
Spiro
A
 3rd
,
Davison
E
,
King
D
,
King
L
.
Late-onset stress symptomatology (LOSS) scale - short form: development and validation
.
Aging Ment Health
.
2019
Aug
;
23
(
8
):
952
60
.
[PubMed]
1360-7863
53.
Cotten
SR
,
Skinner
KM
,
Sullivan
LM
.
Social support among women veterans
.
J Women Aging
.
2000
;
12
(
1-2
):
39
62
.
[PubMed]
0895-2841
54.
Brown
MT
. Military service and lesbian, gay, bisexual, and transgender lives. In:
Wilmoth
J
,
London
AS
, editors
.
Life course perspectives on military service
.
New York
:
Routledge
;
2013
. pp.
97
118
.
55.
Brennan-Ing
M
,
Seidel
L
,
Larson
B
,
Karpiak
SE
.
Social care networks and older LGBT adults: challenges for the future
.
J Homosex
.
2014
;
61
(
1
):
21
52
.
[PubMed]
0091-8369
56.
Mays
VM
,
Cochran
SD
.
Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States
.
Am J Public Health
.
2001
Nov
;
91
(
11
):
1869
76
.
[PubMed]
0090-0036
57.
Sherman
MD
,
Kauth
MR
,
Shipherd
JC
,
Street
RL
 Jr
.
Communication between VA providers and sexual and gender minority veterans: a pilot study
.
Psychol Serv
.
2014
May
;
11
(
2
):
235
42
.
[PubMed]
1541-1559
58.
Kawachi
I
,
Berkman
LF
.
Social ties and mental health
.
J Urban Health
.
2001
Sep
;
78
(
3
):
458
67
.
[PubMed]
1099-3460
59.
Wolf
DA
,
Wing
C
,
Lopoo
LL
. Methodological problems in determining the consequences of military service. In:
Wilmoth
J
,
London
AS
, editors
.
Life course perspectives on military service
.
New York
:
Routledge
;
2013
. pp.
254
74
.
60.
Teachman
J
. Setting an agenda for future research on military service and the life course. In:
Wilmoth
J
,
London
AS
, editors
.
Life course perspectives on military service
.
New York
:
Routledge
;
2013
. pp.
275
90
.
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