“…Research studies have shown that PTSD and TBI can negatively affect functional performance and quality of life (Carlson et al, 2011;Devitt et al, 2006;Lopez, 2011;Phipps & Richardson, 2007;Plach & Sells, 2013). Additionally, several studies have found that both actual participation and self-perceived satisfaction with participation in meaningful occupations are associated with increased psychological health and subjective well-being (Bejerholm & Eklund, 2007;Christiansen, Backman, Little, & Nguyen, 1999;Eklund & Leufstadius, 2007;Iannelli & Wildin, 2007).…”