TY  - JOUR
PY  - 2020//
TI  - Aspects of executive dysfunction and racial/ethnic minority status are associated with unemployment duration in veterans with a history of mild-to-moderate traumatic brain injury
JO  - Archives of physical medicine and rehabilitation
A1  - Clark, Jillian M. R.
A1  - Seewald, P. Michelle
A1  - Wu, Kevin
A1  - Jak, Amy J.
A1  - Twamley, Elizabeth W.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To examine demographic, psychiatric symptom, and neuropsychological performance factors associated with duration of unemployment in Iraq/Afghanistan Veterans with a history of mild-to-moderate traumatic brain injury (TBI).     DESIGN: Cross-sectional, secondary data analysis of baseline measures in a supported employment study.     SETTING: VA medical center.     PARTICIPANTS: Participants (n=50) were Veterans with a history of mild-to-moderate TBI who were unemployed, stating a goal of returning to work, and had documented impairment in at least one neuropsychological domain. Participants were referred from VA vocational and assessment-based clinics.     INTERVENTIONS: Not applicable.     MAIN MEASURES: Duration of unemployment, neuropsychological and psychiatric symptom assessments.     RESULTS: Bivariate correlations revealed that longer duration of unemployment was associated with greater PTSD (p<.10) and depressive (p<.05) symptom severity, worse executive functioning (p<.05), and racial/ethnic minority status (p<.05). A multiple linear regression analysis including these independent variables explained 26.5% of the variance in duration of unemployment. Worse executive functioning, specifically reasoning and set-shifting, and minority status were each associated with longer duration of unemployment, in the context of multiple independent variables.     CONCLUSION: Our results underscore the importance of objective assessment of cognitive functioning in job-seeking Veterans with TBI histories. It may be useful to target aspects of executive functioning in vocational rehabilitation interventions and to provide additional assistance to Veterans from racial/ethnic minority groups.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-9993
UR  - http://dx.doi.org/10.1016/j.apmr.2020.04.008
ID  - ref1
ER  -