Psychiatric Status and Work Performance of Veterans of Operations Enduring Freedom and Iraqi Freedom

Adler, David A.; Possemato, Kyle; Mavandadi, Shahrzad; Lerner, Debra; Chang, H.; Klaus, J.; Tew, J. D.; Barrett, D.; Ingram, Erin; Oslin, David W.

doi:10.1176/appi.ps.62.1.39

Cited by 93 publications

(64 citation statements)

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“…In one such study, alcohol dependence and drug use were associated with impairments in work output and physical performance, and anger and alienation predicted engagement in more dangerous behaviors [9]. A separate study found that greater pain was associated with impaired physical role functioning among OIF/OEF Veterans presenting to a deployment health clinic, even when controlling for age, sex, and mental health conditions [14].…”

Section: Studies Suggest That Iraq or Afghanistan Veterans (Operationmentioning

confidence: 99%

“…To date, posttraumatic stress disorder (PTSD) is the risk factor for functional difficulties that has received the most attention [9][10][11][12]. In a population-based study of more than 18,000 soldiers, almost all soldiers who reported symptoms consistent with a PTSD diagnosis also reported functional impairment, often at a "very difficult" or "extremely difficult" level [8].…”

Section: Studies Suggest That Iraq or Afghanistan Veterans (Operationmentioning

confidence: 99%

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Prospective prediction of functional difficulties among recently separated Veterans

Larson

Norman

2014

J Rehabil Res Dev

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Abstract-Reports of functional problems are common amongVeterans who served post-9/11 (more than 25% report functional difficulties in at least one domain). However, little prospective work has examined the risk and protective factors for functional difficulties among Veterans. In a sample of recently separated Marines, we used stepwise logistic and multiple regressions to identify predictors of functional impairment, including workrelated problems, financial problems, unlawful behavior, activity limitations due to mental health symptoms, and perceived difficulty reintegrating into civilian life. Posttraumatic stress disorder symptoms assessed both before and after military separation significantly predicted functional difficulties across all domains except unlawful behavior. Certain outcomes, such as unlawful behavior and activity limitations due to mental health symptoms, were predicted by other or additional predictors. Although several forms of functioning were examined, the list was not exhaustive. The results highlight a number of areas where targeted interventions may facilitate the reintegration of military servicemembers into civilian life.

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Section: Studies Suggest That Iraq or Afghanistan Veterans (Operationmentioning

confidence: 99%

Section: Studies Suggest That Iraq or Afghanistan Veterans (Operationmentioning

confidence: 99%

Prospective prediction of functional difficulties among recently separated Veterans

Larson

Norman

2014

J Rehabil Res Dev

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“…Similarly, employed Veterans with mental illness are more likely to be working part-time rather than full-time [10]. Relatedly, the link between PTSD in combat Veterans and work dysfunction is well established [11][12][13][14]. Veterans with PTSD also earn significantly lower wages than Veterans without PTSD [15].…”

Section: Introductionmentioning

confidence: 99%

Mixed methods study examining work reintegration experiences from perspectives of Veterans with mental health disorders

2015

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Abstract-Recent findings have demonstrated that reintegration for Veterans is often challenging. One difficult aspect of reintegration-transitioning into the civilian workplace-has not been fully explored in the literature. To address this gap and examine work reintegration, this mixed methods study examined the perspectives of Veterans with mental health disorders receiving Department of Veterans Affairs healthcare. Forty Veterans rated factors that affect work success; participants also provided narratives on their most and least successful work experiences. We used t-tests and qualitative analysis to compare participants who did and did not serve in combat. Several themes relevant to work reintegration emerged in the narratives, particularly for Veterans who served in combat. An array of work difficulties were reported in the months following military discharge. In addition, Veterans who served in combat reported significantly more work barriers than Veterans who did not serve in combat, particularly health-related barriers. In conclusion, Veterans with mental health disorders who served in combat experienced more work reintegration difficulty than their counterparts who did not serve in combat. The role of being a Veteran affected how combat Veterans formed their self-concept, which also shaped their work success and community reintegration, especially during the early transition period.

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“…Employment, however, appears to improve mood in people with SCI: those who were employed reported less severe depressive symptoms than those who were unemployed [35]. Similarly, employed Veterans are significantly less likely than unemployed Veterans to have major depression [36]. Therefore, vocational services can be integral to an overall strategy for recovery.…”

Section: Depressionmentioning

confidence: 99%

“…Clinical practice guidelines include detailed recommendations on medication choices and management for depression [36]. Despite the high prevalence of depression following SCI, optimal diagnosis and treatment may be lacking [37].…”

Section: Depressionmentioning

confidence: 99%

Optimizing medical care to facilitate and sustain employment after spinal cord injury

Thomas¹,

Goetz²,

Dixon³

et al. 2014

J Rehabil Res Dev

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Psychiatric Status and Work Performance of Veterans of Operations Enduring Freedom and Iraqi Freedom

Cited by 93 publications

References 0 publications

Prospective prediction of functional difficulties among recently separated Veterans

Prospective prediction of functional difficulties among recently separated Veterans

Mixed methods study examining work reintegration experiences from perspectives of Veterans with mental health disorders

Optimizing medical care to facilitate and sustain employment after spinal cord injury

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