Iraq and Afghanistan War Veterans with Reintegration Problems: Differences by Veterans Affairs Healthcare User Status
Open accessAbstract
We studied 1,292 Iraq and Afghanistan War veterans who participated in a clinical trial of expressive writing to estimate the prevalence of perceived reintegration difficulty and compare Veterans Affairs (VA) healthcare users to nonusers in terms of demographic and clinical characteristics. About half of participants perceived reintegration difficulty. VA users and nonusers differed in age and military background. Levels of mental and physical problems were higher in VA users. In multivariate analysis, military service variables and probable traumatic brain injury independently predicted VA use. Findings demonstrate the importance of research comparing VA users to nonusers to understand veteran healthcare needs.
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A high proportion of veterans continue to experience reintegration and adjustment problems up to eight years after separating from service if not supported.
“Difficulties with reintegration and adjustment also appear to persist long-term if the veteran is not supported, with research demonstrating a high proportion of veterans continue to experience problems up to eight years after separating from service [4, 6].”
From Feasibility, acceptability, and initial outcomes of a psychological adjustment and reintegration program for transitioned military veterans (2024) · cites this paper as [6]
The Discussion (page unavailable) estimates that about half of Iraq and Afghanistan veterans perceived at least a little reintegration difficulty; among those with difficulty, the average time since discharge was almost six years. It says problems may not resolve without intervention, but does not establish that a high proportion still had problems eight years after separation or that lack of support caused their persistence. (LLM, conf=0.88)
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References 40 · Cited by 70
Research works printed but not linked: 1
- Derogatis LR Brief symptom inventory (BSI) 18: Administration, scoring, and procedures manual 2000 Minneapolis, MN NCS Pearson
- Authors
- Sayer, N. A., Orazem, R. J., Noorbaloochi, S., Gravely, A., Frazier, P., Carlson, K. F., Schnurr, P. P., & Oleson, H.
- Affiliations
- University of Minnesota (US)
- Minneapolis VA Health Care System (US)
- Oregon Health & Science University (US)
- Dartmouth College (US)
- Corresponding author
- Sayer, Nina A.
- ORCID
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2014-06-11
- Volume
- 42
- Issue
- 4
- Pages
- 493-503
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- PMC
- PMC4452614
- OpenAlex
- W2112864975
- Cited by
- 70
- References
- 40
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 9 · 2023: 8 · 2022: 5 · 2021: 5 · 2020: 14 · 2019: 5 · 2018: 4 · 2017: 3 · 2016: 6 · 2015: 3
- FWCI
- 20.57
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Defense (08-2-0045)
- U.S. Department of Veterans Affairs (08-2-0045, DHI-07-150)
- Health Services Research and Development
- Topics
- Social Sciences › Education › Education and Military Integration
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- Iraq War veterans, Afghanistan War veterans, expressive writing, traumatic brain injury, military service, veterans' mental health, health care utilization
- MeSH terms
- Brain Injuries, Traumatic, Adult, Anger, Female, Health Services, Hostility, Humans, Male, Mental Health Services, Personal Satisfaction, Risk Factors, Smoking, Social Adjustment, Social Support, Stress Disorders, Post-Traumatic, United States, United States Department of Veterans Affairs, Veterans, Prevalence, Multivariate Analysis, Logistic Models, Iraq War, 2003-2011, Young Adult, Afghan Campaign 2001-, Binge Drinking
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