Research Department, Combat Stress, Leatherhead, UK.
Psychology Department, Queen's University Belfast, Belfast, UK.
BMJ Mil Health. 2022 Feb;168(1):9-14. doi: 10.1136/bmjmilitary-2020-001412. Epub 2020 May 14.
Many veterans do well reintegrating to civilian life following military service. Yet, many face difficulties in finding and securing work. Veterans are more likely than civilians to experience work difficulties, but there remains little research investigating contributing factors, particularly among samples of treatment-seeking veterans. As such, the study examines predictors of not working among UK treatment-seeking veterans.
The study employed a cross-sectional design.
Of 667 treatment-seeking UK veterans, 403 ( =50.94) provided information on a range of demographic variables, military-related experiences, the total number of physical health conditions and mental health outcomes. Work status was categorised as not working due to illness ( =48.15), not working due to other reasons ( =61.92) and currently working ( = 46.13).
Prevalence rates of not working was 69%. Not working was predicted by a greater number of physical health problems as well as more years since leaving the military. Not working due to poor health was independently predicted by symptoms of post-traumatic stress disorder (PTSD) and younger age, while not working due to other reasons was predicted by older age.
The study revealed that treatment-seeking veterans of younger age with a high number of physical health difficulties, symptoms of PTSD and more years since leaving the military are most at risk of not working due to ill health. The findings have important implications for identifying veterans most at risk of not working and offer the opportunity to tailor rehabilitation programmes to promote successful veteran reintegration into civilian life.
许多退伍军人在服兵役后很好地重新融入了平民生活。然而,许多人在找工作和保住工作方面都面临困难。退伍军人比平民更有可能遇到工作困难,但几乎没有研究调查导致这种情况的因素,尤其是在接受治疗的退伍军人样本中。因此,该研究调查了英国寻求治疗的退伍军人中不工作的预测因素。
本研究采用了横断面设计。
在 667 名寻求英国治疗的退伍军人中,有 403 名(=50.94)提供了一系列人口统计学变量、与军事相关的经历、身体总体健康状况和心理健康结果的信息。工作状况分为因病不工作(=48.15)、因其他原因不工作(=61.92)和目前工作(=46.13)。
不工作的患病率为 69%。身体健康问题较多以及离开军队时间较长的退伍军人更有可能不工作。由于健康状况不佳而不工作与创伤后应激障碍(PTSD)症状和年龄较小有关,而由于其他原因不工作与年龄较大有关。
该研究表明,年轻、身体有较多健康问题、患有 PTSD 症状和离开军队时间较长的寻求治疗的退伍军人,由于健康不佳而不工作的风险最高。这些发现对识别最有可能不工作的退伍军人具有重要意义,并为量身定制康复计划以促进退伍军人成功重新融入平民生活提供了机会。