Citation

Church HR, Seewald PM, Clark JMR, Jak AJ, Twamley EW. NeuroRehabilitation 2019; 44(3): 333-339.

Affiliation

Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.

Copyright

(Copyright © 2019, IOS Press)

DOI

10.3233/NRE-182631

PMID

31177239

Abstract

BACKGROUNDThe effects of traumatic brain injury (TBI) on return to work have been the focus of many clinical studies in recent years. Veterans with a history of TBI may be at increased risk of unemployment.

OBJECTIVEWe sought to understand predictors of work outcomes for Veterans with a history of TBI who received evidence-based supported employment.

METHODSFifty unemployed Veterans with a history of mild-to-moderate TBI and current neuropsychological impairment participated in a 12-month supported employment intervention. Demographic data and baseline assessments of neuropsychological impairment, functional capacity, and psychiatric and post-concussive symptom severity were investigated as predictors of work outcomes (job attainment, weeks worked, and wages earned).

RESULTSBivariate analyses showed that lower disability ratings, more recent work history, more months worked in the past 5 years, lower PTSD symptom severity, worse verbal memory, and better cognitive flexibility were all associated with better work outcomes. In multivariate regression analyses, better cognitive flexibility and worse verbal memory performance predicted better work outcomes.

CONCLUSIONSFurther research is needed to determine how treatment of cognitive impairments and psychiatric symptoms is related to return to work in Veterans with a history of TBI.

Language: en

Keywords

Brain injuries; cognition; mental disorders; neuropsychological tests; return to work; unemployment