Does compensation status influence treatment participation and course of recovery from post-traumatic stress disorder?
We reviewed the empirical literature to examine how seeking compensation and/or being awarded compensation for posttraumatic stress disorder-related disability are associated with participation in mental health treatment and course of recovery. The search for relevant literature was conducted using the PubMed, PsycINFO, Medline, and PILOTS databases and yielded seven studies on veterans and five on motor vehicle accident survivors. The literature indicates that veterans who are seeking or have been awarded compensation participate in treatment at similar or higher rates than do their non-compensation-seeking counterparts. Veteran treatment outcome studies produced either null or mixed findings, with no consistent evidence that compensation-seeking predicts worse outcomes. Studies of motor vehicle accident survivors found no association between compensation status and course of recovery. Recommendations to strengthen future research in this area are provided, including using clear and consistent definitions of compensation status that differentiate compensation-seeking status from award status.
Laffaye
Charlene
C
VA HSR&D, 795 Willow Road (152-MPD), Menlo Park, CA 94025, USA.
Rosen
Craig S
CS
Schnurr
Paula P
PP
Friedman
Matthew J
MJ
D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D006297:Health Services Accessibility; D006801:Humans; D007182:Income; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010358:Patient Participation / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012923:Social Class; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D014481:United States; D014493:United States Department of Veterans Affairs