Resnick Sandra G, Rosenheck Robert A
New England Mental Illness Research, Education, and Clinical Center, Veterans Integrated Services Network 1, Department of Veterans Affairs, New Haven, CT, USA.
J Rehabil Res Dev. 2008;45(3):427-35. doi: 10.1682/jrrd.2007.06.0093.
Few studies have examined employment outcomes in individuals with a primary diagnosis of posttraumatic stress disorder (PTSD). The current study used multivariate modeling to examine the relationship between PTSD, other aspects of military service, and employment among 5,862 veterans in a national Department of Veterans Affairs (VA) vocational rehabilitation program. Veterans with PTSD were 19% less likely to be employed at discharge (odds ratio = 0.81, p = 0.02) after controlling for potentially confounding variables. Individuals with substance use diagnoses or who were homeless at program entry were more likely to be employed at discharge, while receipt of public support income and severe mental illness decreased the likelihood of being competitively employed. This study supports current VA efforts to expand and improve the effectiveness of vocational rehabilitation services for veterans with PTSD.
很少有研究调查过以创伤后应激障碍（PTSD）为主要诊断的个体的就业结果。本研究使用多变量建模来检验创伤后应激障碍、兵役的其他方面与5862名参与退伍军人事务部（VA）全国职业康复计划的退伍军人就业之间的关系。在控制了潜在的混杂变量后，患有创伤后应激障碍的退伍军人出院时就业的可能性降低了19%（优势比=0.81，p=0.02）。有物质使用诊断或在项目开始时无家可归的个体出院时更有可能就业，而获得公共支持收入和患有严重精神疾病则降低了竞争性就业的可能性。本研究支持退伍军人事务部目前为扩大和提高针对患有创伤后应激障碍的退伍军人的职业康复服务有效性所做的努力。
