title: Prospective prediction of functional difficulties among recently separated veterans.
abstract: Reports of functional problems are common among Veterans who served post-9/11 (more than 25% report functional difficulties in at least one domain). However, little prospective work has examined the risk and protective factors for functional difficulties among Veterans. In a sample of recently separated Marines, we used stepwise logistic and multiple regressions to identify predictors of functional impairment, including work-related problems, financial problems, unlawful behavior, activity limitations due to mental health symptoms, and perceived difficulty reintegrating into civilian life. Posttraumatic stress disorder symptoms assessed both before and after military separation significantly predicted functional difficulties across all domains except unlawful behavior. Certain outcomes, such as unlawful behavior and activity limitations due to mental health symptoms, were predicted by other or additional predictors. Although several forms of functioning were examined, the list was not exhaustive. The results highlight a number of areas where targeted interventions may facilitate the reintegration of military servicemembers into civilian life.
authors.affiliation: Naval Health Research Center, San Diego, CA.
authors.forename: Gerald E
authors.initials: GE
authors.lastname: Larson
authors.forename: Sonya B
authors.initials: SB
authors.lastname: Norman
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D055826:Afghan Campaign 2001-; D019973:Alcohol-Related Disorders / Q000523:psychology; D003415:Crime; D003863:Depression / Q000523:psychology; D004467:Economics; D004651:Employment; D005260:Female; D006801:Humans; D054542:Iraq War, 2003-2011; D008297:Male; D008875:Middle Aged; D008889:Military Personnel / Q000523:psychology*; D015233:Models, Statistical; D009326:Naval Medicine; D010146:Pain / Q000523:psychology; D055500:Resilience, Psychological; D012307:Risk Factors; D012944:Social Support; D029181:Spirituality; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States; D014728:Veterans / Q000523:psychology* / Q000706:statistics & numerical data; D017132:Workplace / Q000523:psychology; D055815:Young Adult
keywords: PTSD; Veterans; financial problems; functional impairment; mental 
  health; military; posttraumatic stress disorder; prospective; reintegration; risk factors; work functioning