A Randomized Controlled Trial of Supported Employment Among Veterans With Posttraumatic Stress Disorder
A Randomized Controlled Trial of Supported Employment Among Veterans With Posttraumatic Stress Disorder
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DOI：
10.1176/appi.ps.201100340
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发表时间：
2012-05-01
影响因子：
3.8
通讯作者：
Drake, Robert E.
中科院分区：
文献类型：
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作者：
Davis, Lori L.;Leon, Andrew C.;Drake, Robert E.
目的：创伤后应激障碍（Posttraumatic stress disorder，PTSD）是一种潜在的致残性精神疾病，可导致职业功能障碍.虽然创伤后应激障碍患者通常会得到职业康复治疗，但标准的职业服务远远不足以帮助他们获得和维持有竞争力的就业。这项研究是第一个检查结果的证据为基础的支持就业的退伍军人与创伤后应激障碍。研究方法：患有PTSD的失业退伍军人被随机分配到个人安置和支持（IFS）支持就业（N=42）或退伍军人健康管理局职业康复计划（VRP）治疗（N=43）。就业率和职业结果被跟踪了12个月。结果如下：在为期12个月的研究中，76%的IFS参与者获得了有竞争力的就业，而VRP参与者只有28%（需要治疗的人数=2.07; chi（2）=19.84，df=1，p
Objective: Posttraumatic stress disorder (PTSD) is a potentially disabling mental illness that can cause occupational dysfunction. Although vocational rehabilitation is often prescribed for patients with PTSD, standard vocational services are far from adequate in helping them obtain and maintain competitive employment. This study is the first to examine the outcome of evidence-based supported employment for veterans with PTSD. Methods: Unemployed veterans with PTSD were randomly assigned to either individual placement and support (IFS) supported employment (N=42) or a Veterans Health Administration Vocational Rehabilitation Program (VRP) treatment as usual (N=43). Employment rates and occupational outcomes were followed for 12 months. Results: During the 12-month study, 76% of the IFS participants gained competitive employment, compared with 28% of the VRP participants (number needed to treat=2.07; chi(2)=19.84, df=1, p