Dekel Rachel, Solomon Zahava, Bleich Avi
School of Social Work, Bar-Ilan University, Ramat Gan, Israel.
Isr J Psychiatry Relat Sci. 2004;41(4):237-47.
Israeli veterans who claim for recognition of their mental disability and compensation undergo multi-professional assessments including a detailed psychosocial evaluation.
To conduct a systematic evaluation of the social disabilities of veterans with PTSD; to examine the relationships between the various aspects of their social disability and their PTSD symptom severity, on the one hand, and the ratings they receive from psychiatrists determining their overall disability, on the other hand.
The study was conducted on 120 veterans with PTSD, all filing for compensation. Data was collected by means of semi-structured interviews that were carried out by social workers in ajoint meeting with the veterans and their spouses and that covered marital, parental and social functioning; from the self-report PTSD questionnaire that the veterans filled out; and from the final disability ratings in the veterans' files.
Findings showed a disturbing picture of impaired marital, parental and social functioning of veterans with PTSD. In addition, they indicate that both PTSD severity and the psychiatrists' disability ratings were correlated with only a quarter or so of the veterans' specific social disabilities in the areas studied.
Several explanations for the pattern of correlations between these two assessments are offered. In addition, we highlight the importance of a sensitive and detailed evaluation of social disability as well as recommending the development of practical guidelines for the determination of disability.
申请认定精神残疾并要求获得赔偿的以色列退伍军人要接受多专业评估，包括详细的社会心理评估。
对创伤后应激障碍（PTSD）退伍军人的社会残疾进行系统评估；一方面考察其社会残疾各方面与PTSD症状严重程度之间的关系，另一方面考察其与确定其整体残疾程度的精神科医生给出的评级之间的关系。
该研究针对120名患有PTSD且均在申请赔偿的退伍军人开展。数据收集方式包括：社会工作者在与退伍军人及其配偶的联席会议上进行的半结构化访谈，内容涵盖婚姻、父母和社会功能；退伍军人填写的PTSD自陈问卷；以及退伍军人档案中的最终残疾评级。
研究结果显示，患有PTSD的退伍军人在婚姻、父母和社会功能方面存在令人不安的受损情况。此外，结果表明，PTSD严重程度和精神科医生的残疾评级仅与所研究领域中约四分之一的退伍军人特定社会残疾相关。
针对这两种评估之间的关联模式给出了几种解释。此外，我们强调了对社会残疾进行敏感且详细评估的重要性，并建议制定确定残疾的实用指南。
