Comparison of attitudes towards the service connection claims process among veterans filing for PTSD and veterans filing for musculoskeletal disorders.
Comparison of attitudes towards the service connection claims process among veterans filing for PTSD and veterans filing for musculoskeletal disorders.
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DOI：
10.1097/md.0000000000027068
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发表时间：
2021-09-03
期刊：
影响因子：
1.6
通讯作者：
Rosen MI
中科院分区：
文献类型：
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作者：
Spinola S;Fenton BT;Meshberg-Cohen S;Black AC;Rosen MI
许多退伍军人对创伤后应激障碍(PTSD)的服务连接索赔流程持负面看法，这可能会影响提交服务连接索赔、重新提交索赔和使用退伍军人医疗保健管理局护理的意愿。然而，退伍军人报告说，创伤后应激障碍的索赔对他们来说很重要，因为经济利益，对先前经验和伤害的确认，以及自我其他问题，如取悦重要的另一半。目前尚不清楚报道的态度是否针对创伤后应激障碍索赔人，或者是否类似于那些提交其他疾病索赔的人，如肌肉骨骼疾病。因此，这项研究的目的是比较退伍军人对服务连接过程的态度和信念，这些退伍军人提交了创伤后应激障碍和肌肉骨骼疾病的服务连接索赔。参与者是持久自由行动、伊拉克自由行动和新黎明行动退伍军人，他们提交了创伤后应激障碍(n = 218)或肌肉骨骼疾病(n = 257)的服务联系索赔，他们完成了修改后的残疾申请评估表。采用多元回归模型进行二次数据分析，检验了人口统计学、临床特征和索赔类型对5个残疾申请评估量表的影响：对服务联系索赔的知识、对流程的负面期望、经济利益的重要性、对退伍军人经验/状况确认的重要性、自我其他态度的重要性。创伤后应激障碍组对经济利益的重视程度明显低于肌肉骨骼疾病组。此外，没有抑郁的创伤后应激障碍组的亚组比没有抑郁的肌肉骨骼疾病患者有更多的负面期望。在创伤后应激障碍和患有抑郁症的肌肉骨骼疾病组之间，负面预期没有差别。抑郁与负面期望、经济利益的重要性和确认的重要性显著正相关。关于寻求服务联系的大多数看法并不是创伤后应激障碍索赔人特有的。抑郁与对服务连接索赔的负面期望和提交索赔的动机有关。在补偿和养老金过程中解决抑郁和负面预期可能会帮助退伍军人在这个与退伍军人医疗保健管理局服务联系的重要时间点。
Many veterans have negative views about the service connection claims process for posttraumatic stress disorder (PTSD), which likely impacts willingness to file service connection claims, re-file claims, and use Veterans Healthcare Administration care. Nevertheless, veterans have reported that PTSD claims are important to them for the financial benefits, validation of prior experience and harm, and self-other issues such as pleasing a significant other. It is unknown if reported attitudes are specific to PTSD claimants or if they would be similar to those submitting claims for other disorders, such as musculoskeletal disorders. Therefore, the purpose of this study was to compare attitudes and beliefs about service connection processes between veterans submitting service connection claims for PTSD and musculoskeletal disorders. Participants were Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn veterans filing service connection claims for PTSD (n = 218) or musculoskeletal disorder (n = 257) who completed a modified Disability Application Appraisal Inventory. This secondary data analysis using multiple regression models tested the effect of demographics, clinical characteristics, and claim type on 5 Disability Application Appraisal Inventory subscales: Knowledge about service connection claims, Negative Expectations about the process, and importance of Financial Benefits, importance of Validation of veteran's experience/condition, and importance of Self-Other attitudes. The PTSD group assigned significantly less importance to financial benefits than the musculoskeletal disorder group. In addition, the subset of the PTSD group without depression had significantly more Negative Expectations than musculoskeletal disorder claimants without depression. Negative Expectations did not differ between the PTSD and musculoskeletal disorder groups with depression. Depression was significantly positively associated with Negative Expectations, importance of Financial Benefits, and importance of Validation. Most perceptions around seeking service connection are not specific to PTSD claimants. Depression is associated with having negative expectations about service connection claims and motivations to file claims. Addressing depression and negative expectations during the compensation and pension process might help veterans at this important point of contact with Veterans Healthcare Administration services.
影响因子：
--
作者：
Sakr CJ;Black AC;Slade MD;Calfo J;Rosen MI
通讯作者：
Rosen MI