Home therapies to improve disability, activity, and quality of life in military personnel with subacute low back pain: Secondary outcome analysis of a randomized controlled trial

Talbot, Laura; Ramirez, Vanessa; Webb, Lee; Morrell, Christopher H.; Metter, E. Jeffrey

doi:10.1016/j.outlook.2022.08.007

Cited by 2 publications

(2 citation statements)

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“…Of note, the literature is rich on the association of increased service utilization in the VA among VWD 30 and the usefulness of adaptive interventions for veterans to improve quality of life, improve perceptions of disability, 26 and provide access to adaptive sporting engagement 31 as well as satisfaction with VA adaptive services. 32 Thus, available evidence suggests that the VA provides a host of services to veterans to mitigate the challenges of living with disability, which could attenuate risk for suicide.…”

Section: Discussionmentioning

confidence: 99%

“…Sensitivity analyses were performed with multiple imputation by chained equations for all missing values to assess bias. A subgroup analysis was performed for individuals with suicide ideation, consistent with the ideation-to-action framework, 23 , 24 , 25 , 26 which suggests risk for suicide is truly most problematic among those with suicidal thoughts. In these analyses, those reporting suicidal ideation only (but not planning or attempt) served as the reference group.…”

Section: Methodsmentioning

confidence: 99%

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Suicide Ideation, Plans, and Attempts Among Military Veterans vs Nonveterans With Disability

Blais,

Xie,

Kirby

et al. 2023

JAMA Netw Open

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ImportancePeople with disability are at heightened risk for suicide ideation, planning, and attempt, with risk growing as the number of disabling limitations increases. Military veterans have higher rates of suicide deaths and disability relative to nonveterans.ObjectiveTo evaluate whether veteran status is associated with greater risk for suicide in those with disability.Design, Setting, and ParticipantsThis survey study used cross-sectional self-reported data from US adults who participated in the 2015-2020 National Survey on Drug Use and Health. Data were weighted to represent the population. Data analysis was conducted from July to August 2022.Main Outcomes and MeasuresSuicide ideation, planning, and attempt served as primary outcomes. Disability status (present or absent) and number of disabling limitations (1, 2, or ≥3) served as factors. Veteran status was determined based on self-report (veteran or nonveteran). Multivariable logistic regression examined suicide ideation, planning, and attempt as a function of veteran status and disability variables.ResultsParticipants included 231 099 US veterans and nonveterans, representing 236 551 727 US adults, of whom 20.03% (weighted n = 47 397 876) reported a disabling limitation, 8.92% were veterans (weighted n = 21 111 727; 16.0% aged 35-49 years; 91.0% men; 6.7% Hispanic; 10.9% non-Hispanic Black; and 78.4% non-Hispanic White) and 91.08% were nonveterans (weighted n = 215 440 000; 25.4% aged 35-49 years; 44.0% male; 16.5% Hispanic; 11.7% non-Hispanic Black; and 63.3% non-Hispanic White). Overall, 4.39% reported suicide ideation, planning, or attempt (weighted n = 10 401 065). Among those with no disability, veteran status was associated with higher risk of suicide planning (adjusted odds ratio [AOR], 1.71; 95% CI, 1.17-2.49). Among those with 1 or 2 disabling limitations, being a veteran was associated with a lower risk of suicide planning (AOR, 0.57; 95% CI, 0.34-0.95) and history of attempt (AOR, 0.46; 95% CI, 0.24-0.88).Conclusions and RelevanceIn this study of how suicide risk differs as a function of disability and veteran status, risk for death by suicide was lower among veterans with disability relative to nonveterans with disability. Veteran status may mitigate risk for suicide given increased receipt of more disability-related care through the Department of Veterans Affairs. Further research would extend this line of inquiry by examining the cause and type of disability as well as perceptions of disability on self-worth. It is possible that physical wounds of war are protective because of the meaning and value of service to one’s country.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Suicide Ideation, Plans, and Attempts Among Military Veterans vs Nonveterans With Disability

Blais,

Xie,

Kirby

et al. 2023

JAMA Netw Open

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The influence of social and individual determinants on the Ukrainian military during wartime

Diachenko,

Brodska,

Serebriakov

et al. 2024

Interpersona

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Considering the impact of social determinants on the capacity and well-being of Ukrainian military personnel is critical in military conflicts. This study aims to investigate the influence of social and individual factors on the activity level, determination, and resilience of Ukrainian military personnel during wartime. A qualitative method was chosen to conduct the study. The study involved 130 military personnel who were divided into two groups: those in active combat zones (n = 50) and those in military hospitals for treatment and rehabilitation (n = 80). According to the study, individuals in active combat zones perceive life as a manifestation of the potential received at birth. It was also observed that military personnel receiving treatment and rehabilitation in a hospital understand “life” as a connection with loved ones and close acquaintances. According to the survey results, many respondents from both groups identified their relatives as the military’s primary vital connection during the war. The military’s understanding of “life” and their associations also play a role in determining their need for assistance. In both groups, it can be observed that social determinants, such as relatives and friends, significantly influence the activity of servicemen and women. Individual determinants, such as attitude towards life and the ability to perform under war conditions, are among the factors that impact the military. The study’s practical significance in developing the socio-humanitarian, educational, and cultural spheres is reflected in the formation of awareness of the military and their psycho-emotional conditions in military operations.

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Home therapies to improve disability, activity, and quality of life in military personnel with subacute low back pain: Secondary outcome analysis of a randomized controlled trial

Cited by 2 publications

References 38 publications

Suicide Ideation, Plans, and Attempts Among Military Veterans vs Nonveterans With Disability

Suicide Ideation, Plans, and Attempts Among Military Veterans vs Nonveterans With Disability

The influence of social and individual determinants on the Ukrainian military during wartime

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