Prospective prediction of functional difficulties among recently separated Veterans

Larson, Gerald E.; Norman, Sonya B.

doi:10.1682/jrrd.2013.06.0135

Cited by 28 publications

(22 citation statements)

References 35 publications

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“…In general, PTSD is accompanied by depression, anxiety, and alcohol-use disorders; it causes not only physical and mental disorders, but also social and occupational problems [7,8,9,10,11,12,13,14]. It is characterized by cognitive dysfunction, and it may lead to problems of observation and control of information, which interferes with work performance and leads to the limitations of work demands [15,16,17,18].…”

Section: Introductionmentioning

confidence: 99%

The Association of the Exposure to Work-Related Traumatic Events and Work Limitations among Firefighters: A Cross-Sectional Study

Kim

Jeong

Choi

et al. 2019

IJERPH

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Many firefighters suffering from traumatic events while on duty participate in the work force. However, the impact of work-related traumatic events on work performance is unclear. To address this issue, we administered a work-related traumatic event experience survey, the health-related work limitations questionnaire, the Korea Depression Scale, and the World Health Organization quality of life assessment to firefighters from four cities in Korea. The health-related work limitations questionnaire measured limitations in their ability to perform three specific work demands—physical, psychosocial, and environmental. Of 685 firefighters enrolled in the study, 618 (90.2%) were included in the final analyses. Their mean age ± standard deviation (SD) was 41.1 ± 8.0 years and mean employment period ± SD was 163.0 ± 101.2 months. A large percentage of participants reported they had experienced work-related traumatic events. Among the firefighters, the total work limitation prevalence was 21.5%, 16.8% of them were limited in their abilities to perform physical work demands, 15.5% were limited in performing psychosocial work demands, and 13.8% were limited in their abilities to function without difficulty within the ambient work environment. Based on multivariable logistic regression, with having work-related traumatic event experience of a threat or injury to self, the odds ratio (OR) of having work limitations in physical (OR = 3.32, 95% CI = 1.17–9.41), psychosocial (OR = 3.05, 95% CI = 1.08–8.61), environmental (OR = 4.89, 95% CI = 1.66–14.40) work demands, and total work limitation (OR = 3.73, 95% CI = 1.44–9.68) increased significantly. With experiences of treating fatalities or injured patients, the OR of total work limitation increased significantly (OR = 2.07, 95% CI = 1.09–3.91). We demonstrated a relationship between the firefighters’ exposure to work-related traumatic events and their work limitations. A professional care management system for firefighters to prevent and manage work-related traumatic events should be developed in order to protect and improve their performance ability.

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Section: Introductionmentioning

confidence: 99%

The Association of the Exposure to Work-Related Traumatic Events and Work Limitations among Firefighters: A Cross-Sectional Study

Kim

Jeong

Choi

et al. 2019

IJERPH

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“…Individual challenges and needs reported by MSMVs include physical and psychological health and behaviors (Sayer et al, 2010, 2015; Plach and Sells, 2013; Bloeser et al, 2014; Larson and Norman, 2014; Wilcox et al, 2015), personal identity challenges (Beder et al, 2011), personal spirituality challenges (Sayer et al, 2010), self -care challenges (Plach and Sells, 2013), feelings of isolation (Bloeser et al, 2014), and financial difficulties (Bloeser et al, 2014). Interpersonal challenges reported by MSMVs include difficulties in social engagement (Sayer et al, 2015), social functioning and relationships (Sayer et al, 2010; Beder et al, 2011), lack of social support (Bloeser et al, 2014), and challenges with relationships and family reintegration (Wilcox et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

“…Interpersonal challenges reported by MSMVs include difficulties in social engagement (Sayer et al, 2015), social functioning and relationships (Sayer et al, 2010; Beder et al, 2011), lack of social support (Bloeser et al, 2014), and challenges with relationships and family reintegration (Wilcox et al, 2015). Community challenges reported by MSMVs include difficulties with community involvement and belonging (Sayer et al, 2010), and difficulties with productivity in work or school (Beder et al, 2011; Plach and Sells, 2013; Bloeser et al, 2014; Larson and Norman, 2014; Sayer et al, 2015). Societal challenges reported by MSMVs include unlawful behaviors (Sayer et al, 2010; Larson and Norman, 2014) including risky driving (Sayer et al, 2010), and physical fights (Bloeser et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

“…Community challenges reported by MSMVs include difficulties with community involvement and belonging (Sayer et al, 2010), and difficulties with productivity in work or school (Beder et al, 2011; Plach and Sells, 2013; Bloeser et al, 2014; Larson and Norman, 2014; Sayer et al, 2015). Societal challenges reported by MSMVs include unlawful behaviors (Sayer et al, 2010; Larson and Norman, 2014) including risky driving (Sayer et al, 2010), and physical fights (Bloeser et al, 2014). Approximately 25–56% of post-9/11 MSMVs experience health, economic, and social challenges (Sayer et al, 2010).…”

Section: Resultsmentioning

confidence: 99%

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Military Service Member and Veteran Reintegration: A Conceptual Analysis, Unified Definition, and Key Domains

2017

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Returning military service members and veterans (MSMVs) may experience a variety of stress-related disorders and challenges when reintegrating from the military to the community. Facilitating the reintegration, transition, readjustment and coping, and community integration, of MSMVs is a societal priority. To date, research addressing MSMV reintegration has not identified a comprehensive definition of the term or defined the broader context within which the process of reintegration occurs although both are needed to promote valid and reliable measurement of reintegration and clarify related challenges, processes, and their impact on outcomes. Therefore, this principle-based concept analysis sought to review existing empirical reintegration measurement instruments and identify the problems and needs of MSMV reintegration to provide a unified definition of reintegration to guide future research, clinical practice, and related services. We identified 1,459 articles in the health and social sciences literature, published between 1990 and 2015, by searching multiple electronic databases. Screening of abstracts and full text review based on our inclusion/exclusion criteria, yielded 117 articles for review. Two investigators used constant conceptual comparison to evaluate relevant articles independently. We examined the term reintegration and related terms (i.e., transition, readjustment, community integration) identifying trends in their use over time, analyzed the eight reintegration survey instruments, and synthesized service member and veteran self-reported challenges and needs for reintegration. More reintegration research was published during the last 5 years (n = 373) than in the previous 10 years combined (n = 130). The research suggests coping with life stresses plays an integral role in military service member and veteran post-deployment reintegration. Key domains of reintegration include individual, interpersonal, community organizations, and societal factors that may facilitate or challenge successful reintegration, and results suggest that successful coping with life stressors plays an integral role in post-deployment reintegration. Overall, the literature does not provide a comprehensive representation of reintegration among MSMVs. Although, previous research describes military service member and veteran reintegration challenges, this concept analysis provides a unified definition of the phenomenon and identifies key domains of reintegration that may broaden our understanding and guide reintegration research and practice.

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“…PTSD symptoms predicted problems in all functional domains assessed with increased risk ranging from 1.5 to 3.5 times in all domains except unlawful behavior. A positive alcohol screening increased the risk of engaging in unlawful behavior twofold at pre-separation (baseline) and fourfold at the one year assessment suggesting the need to assess for alcohol use and overuse in veterans (Larson & Norman, 2014).…”

Section: Measurement Of Veteran Transition Challengesmentioning

confidence: 99%

An Exploration of Transition Experiences Shaping Student Veteran Life Flow

Gregg

2017

The American Journal of Occupational Therapy

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Prospective prediction of functional difficulties among recently separated Veterans

Cited by 28 publications

References 35 publications

The Association of the Exposure to Work-Related Traumatic Events and Work Limitations among Firefighters: A Cross-Sectional Study

The Association of the Exposure to Work-Related Traumatic Events and Work Limitations among Firefighters: A Cross-Sectional Study

Military Service Member and Veteran Reintegration: A Conceptual Analysis, Unified Definition, and Key Domains

An Exploration of Transition Experiences Shaping Student Veteran Life Flow

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