Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 3, 2014
   Pages 415 — 428

Abstract — Prospective prediction of functional difficulties among recently separated Veterans

Gerald E. Larson, PhD;1 Sonya B. Norman, PhD2*

1Naval Health Research Center, San Diego, CA; 2National Center for PTSD, San Diego, CA; Department of Veterans Affairs Center of Excellence in Stress and Mental Health, San Diego CA; and School of Medicine, University of California, San Diego, San Diego, CA

Abstract — Reports of functional problems are common among Veterans 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 work-related 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.

Key words: financial problems, functional impairment, mental health, military, posttraumatic stress disorder, prospective, PTSD, reintegration, risk factors, Veterans, work functioning.


View HTML ¦ View PDF ¦ Contents Vol. 51, No.3
This article and any supplementary material should be cited as follows:
Larson GE, Norman SB. Prospective prediction of functional difficulties among recently separated Veterans. J Rehabil Res Dev. 2014;51(3):415–28.
http://dx.doi.org/10.1682/JRRD.2013.06.0135
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