Impact of social challenges on gaining employment for veterans with posttraumatic stress disorder: An exploratory moderator analysis
Abstract
OBJECTIVE: To explore whether psychosocial challenges impact effects of vocational rehabilitation in Veterans with Posttraumatic Stress Disorder (PTSD). METHODS: A post hoc exploratory analysis of possible moderators of treatment was conducted on outcomes from a randomized, controlled trial of Individual Placement and Support in Veterans with PTSD. RESULTS: When examining groups within each moderator, there was a greater IPS supportive employment benefit in gaining competitive employment for those with inadequate transportation (number needed to treat [NNT] = 1.5) and inadequate housing (NNT = 1.5) compared with the main finding of the pilot study (NNT = 2.07). Compared with the main finding of the pilot study, there was no greater advantage of IPS for those with adequate transportation (NNT = 2.4) or adequate housing (NNT = 2.4). Compared with the main finding in the pilot study, those without a family care burden had a greater benefit from IPS (NNT = 1.4) and those with family care burden had a reduced treatment effect (NNT = 3.3). CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: These results are exploratory and are not intended to guide clinical decision-making, but rather offer a potentially useful strategy in the design of larger trials of IPS.
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Work on PTSD and veterans found that SE/IPS was better than treatment as usual.
“There is also work done on PTSD and veterans, which also found that SE/IPS was better than TAU [55].”
From Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support (2019) · cites this paper as [55]
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Sorted by citations
Frederick, D. E., & VanderWeele, T. J. (2019) · PLOS ONE · doi:10.1371/journal.pone.0212208 · Cited by 219 · see citing works
Suijkerbuijk, Y. B., Schaafsma, F. G., van Mechelen, J., Ojajärvi, A., Corbière, M., & Anema, J. R. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011867.pub2 · Cited by 215 · see citing works
Who benefits from individual placement and support? A meta-analysis
de Winter, L., Couwenbergh, C., van Weeghel, J., Sanches, S. A., Michon, H. W. C., & Bond, G. R. (2022) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796022000300 · Cited by 88 · see citing works
Kukla, M., Rattray, N. A., & Salyers, M. P. (2015) · The Journal of Rehabilitation Research and Development · doi:10.1682/jrrd.2014.11.0289 · Cited by 51 · see citing works
Introduction to the special issue on individual placement and support.
Drake, R. E., & Bond, G. R. (2014) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000083 · Cited by 39 · see citing works
Supported Employment for Veterans With Traumatic Brain Injury: Provider Perspectives
Pogoda, T. K., Carlson, K. F., Gormley, K. E., & Resnick, S. G. (2017) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2017.06.029 · Cited by 24 · see citing works
What I have changed my mind about and why
Yehuda, R., Spiegel, D., Southwick, S. M., Davis, L. L., Neylan, T. C., & Krystal, J. H. (2016) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v7.33768 · Cited by 22 · see citing works
“This is why, for the last decade, Dr. Davis has turned her attention to providing supported employment to veterans with a diagnosis PTSD because she now prioritizes improvement of functional outcomes, such as work, over merely reducing PTSD symptoms (Davis et al., 2014).”
BackgroundInfluentialSelf-citationSupported Employment for Veterans With Traumatic Brain Injury: Patient Perspectives
Carlson, K. F., Pogoda, T. K., Gilbert, T. A., Resnick, S. G., Twamley, E. W., O'Neil, M. E., & Sayer, N. A. (2017) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2017.06.027 · Cited by 18 · see citing works
Dillahunt-Aspillaga, C. J., Haun, J. N., Lind, J. D., Patel, N., Antinori, N., & Luther, S. L. (2019) · Rehabilitation Research Policy and Education · doi:10.1891/2168-6653.33.1.24
“Veterans with combat-related PTSD are significantly less likely to be employed compared to those without PTSD and may experience decreased HRQOL (Davis et al., 2012, 2014; Magruder et al., 2004; Sayer et al., 2010, 2014; Schnurr & Lunney, 2011; Tundia, 2013; Resnick & Rosenheck, 2008).”
Background
- Authors
- Davis, L. L., Pilkinton, P., Poddar, S., Blansett, C., Toscano, R., & Parker, P. E.
- ORCID
- Davis, Lori L.
- Venue
- Psychiatric Rehabilitation Journal
- Published
- 2014
- Volume
- 37
- Issue
- 2
- Pages
- 107-109
- ISSN
- 1095-158X (ISSN-L)
- 1559-3126
- OpenAlex
- W2325505298
- Cited by
- 9
- References
- 0
- Citations by year
- 2022: 1 · 2019: 2 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 1
- FWCI
- 5.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Rehabilitation Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Department of Veterans Affairs Rehabilitation Research and Development
- Topics
- Social Sciences › Safety Research › Disability Education and Employment
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Education › Education and Military Integration
- Keywords
- post-traumatic stress disorder, veterans, Individual Placement and Support, vocational rehabilitation, employment effects, transportation, housing, psychosocial problems, treatment moderators
- MeSH terms
- Employment, Housing, Humans, Pilot Projects, Rehabilitation, Vocational, Stress Disorders, Post-Traumatic, Transportation, Veterans, Employment, Supported
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