Employment outcomes and PTSD symptom severity.
A diagnosis of chronic war-related posttraumatic stress disorder (PTSD) has been linked consistently to poor employment outcomes. This study investigates the relation further, analyzing how symptom severity correlates with work status, occupation type, and earnings. Study participants were male Vietnam veterans with severe or very severe PTSD who received treatment in the Department of Veterans Affairs system (N = 325). Veterans with more severe symptoms were more likely to work part-time or not at all. Among workers, more severe symptoms were weakly associated with having a sales or clerical position. Conditional on employment and occupation category, there was no significant relation between PTSD symptom level and earnings. Alternative PTSD symptom measures produced similar results. Our findings suggest that even modest reductions in PTSD symptoms may lead to employment gains, even if the overall symptom level remains severe.
Smith
Mark W
MW
Cooperative Studies Program and Health Services Research & Development Service, VA Palo Alto Health Care System, Menlo Park, California 94025, USA. mark.smith9@med.va.gov
Schnurr
Paula P
PP
Rosenheck
Robert A
RA
D000328:Adult; D002321:Career Choice; D003130:Combat Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D004651:Employment / Q000706:statistics & numerical data; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009790:Occupations / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D010555:Personality Inventory / Q000706:statistics & numerical data; D011336:Probability; D011594:Psychometrics; D011615:Psychotherapy, Group / Q000379:methods; D016032:Randomized Controlled Trials as Topic; D012050:Rehabilitation, Vocational / Q000706:statistics & numerical data*; D013223:Statistics as Topic; D014481:United States; D014728:Veterans / Q000523:psychology* / Q000706:statistics & numerical data; D047829:Vietnam Conflict