Regional Variation and Other Correlates of Department of Veterans Affairs Disability Awards for Patients With Posttraumatic Stress Disorder

@article{Murdoch2005RegionalVA,
  title={Regional Variation and Other Correlates of Department of Veterans Affairs Disability Awards for Patients With Posttraumatic Stress Disorder},
  author={Maureen Murdoch and James Hodges and Diane C. Cowper and Nina A. Sayer},
  journal={Medical Care},
  year={2005},
  volume={43},
  pages={112-121}
}
Background:Minnesota, Minneapolis, Minnesota. Posttraumatic stress disorder (PTSD) is a chronic disabling condition affecting more than 600,000 United States veterans and is the most common psychiatric condition for which veterans seek Veterans Affairs disability benefits. Receipt of such benefits enhances veterans’ access to Veteran Affairs health care and reduces their chance of poverty. Objectives:We sought to determine whether previously identified regional variations in PTSD disability… 

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References

SHOWING 1-10 OF 54 REFERENCES

Racial Disparities in VA Service Connection for Posttraumatic Stress Disorder Disability

TLDR
Whether there are racial discrepancies in the granting of service connection for posttraumatic stress disorder (PTSD) by the Department of Veterans Affairs and, if so, whether these discrepancies could be attributed to appropriate subject characteristics, such as differences in PTSD symptom severity or functional status is investigated.

Time, gender, and regional trends in the application for service-related post-traumatic stress disorder disability benefits, 1980-1998.

TLDR
Instead of a gender bias in claim approval rates for PTSD disability benefits, there may be a "combat injury bias" that disproportionately affects women.

Gender Differences in Service Connection for PTSD

TLDR
Evidence of a combat advantage that disproportionately favored men was found in awards for PTSD service connection, and the appropriateness of this apparent advantage is unclear and needs further investigation.

Assessment of Viet Nam veterans for posttraumatic stress disorder in Veterans Administration disability claims.

TLDR
Efforts in one large program to meet an unprecedented challenge of the adequacy of psychiatric disability evaluation in the VA are described and 12 problems in the diagnostic process are reviewed.

Access to public mental health services: determinants of population coverage.

TLDR
Both per capita funding levels and efficient service delivery were significantly associated with increased access to mental health services, and substitution effects appeared to be diagnosis-specific.

Misplaced rewards: Veterans' Administration system and symptom magnification.

The process of disability determination in the Veterans' Administration system and the maladaptive patterns of behavior that may develop in veterans attempting to qualify for disability benefits have

Outcome of treatment for post-traumatic stress disorder in a primary care unit serving vietnam veterans

TLDR
One year follow-up for veterans diagnosed with PTSD and newly admitted to a comprehensive 90-day inpatient treatment program showed a return to pretreatment levels on the PTSD symptom measures employed in this study.

Comparison of Successful, Unsuccessful, and Relapsed Vietnam Veterans Treated for Posttraumatic Stress Disorder

TLDR
Veterans who had improved following treatment and had maintained a positive adjustment 18 months following treatment were found to have had lower rates of alcohol consumption and greater program participation than those who were unimproved or relapsed.

Physician-diagnosed medical disorders in relation to PTSD symptoms in older male military veterans.

  • P. SchnurrA. SpiroA. Paris
  • Medicine, Psychology
    Health psychology : official journal of the Division of Health Psychology, American Psychological Association
  • 2000
TLDR
There was only weak evidence that PTSD mediated the effects of combat exposure on morbidity, and possible mediators of the relationship between combat exposure, PTSD, and physical morbidity are discussed.

Posttraumatic stress disorder in a national sample of female and male Vietnam veterans: risk factors, war-zone stressors, and resilience-recovery variables.

TLDR
Although war-zone stressors appeared preeminent for PTSD in men, posttrauma resilience-recovery variables were more salient for women, and researchers, policymakers, and clinicians are urged to take a broad view on trauma and its sequelae.
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