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Titre : | Aspects of Executive Dysfunction and Racial/Ethnic Minority Status Are Associated With Unemployment Duration in Veterans With a History of Mild-to-Moderate Traumatic Brain Injury (2020) |
Auteurs : | Jillian M.R. Clark ; Michelle P. Seewald ; Kevin Wu ; Amy J. Jak ; Elizabeth W. Twamley |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 8, 2020) |
Article en page(s) : | p. 1383-1388 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.04.008 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cognition ; Dépression ; Emploi ; Réadaptation ; Tests neuropsychologiques ; Troubles de stress post-traumatique |
Résumé : |
Objective
To examine demographic, psychiatric symptom, and neuropsychological performance factors associated with duration of unemployment in Iraq/Afghanistan Veterans with a history of mild-to-moderate traumatic brain injury (TBI). Design Cross-sectional, secondary data analysis of baseline measures in a supported employment study. Setting VA medical center. Participants Participants (N=50) were veterans with a history of mild-to-moderate TBI who were unemployed, stating a goal of returning to work, and had documented impairment in at least 1 neuropsychological domain. Participants were referred from VA vocational and assessment-based clinics. Interventions Not applicable. Main Outcome Measures Duration of unemployment, neuropsychological, and psychiatric symptom assessments. Results Bivariate correlations revealed that longer duration of unemployment was associated with greater posttraumatic stress disorder (P<.10 and depressive symptom severity worse executive functioning racial minority status a multiple linear regression analysis including these independent variables explained of the variance in duration unemployment. specifically reasoning set-shifting were each associated with longer unemployment context variables.> Conclusions Our results underscore the importance of objective assessment of cognitive functioning in job-seeking Veterans with TBI histories. It may be useful to target aspects of executive functioning in vocational rehabilitation interventions and to provide additional assistance to Veterans from racial/ethnic minority groups. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320302707#! |