Neuropsychological functioning, neurobehavioral symptoms, and community reintegration in unstably housed veterans with mental health conditions

被引:1
|
作者
Keller, Amber V. [1 ,2 ]
Muller-Cohn, Chantal M. [2 ,3 ]
Austin, Tara A. [4 ,7 ]
Jak, Amy J. [5 ,6 ,7 ]
Twamley, Elizabeth W. [2 ,6 ,7 ,8 ]
机构
[1] UC San Diego Joint Doctoral Program Clin Psychol, SDSU, San Diego, CA USA
[2] VA San Diego Healthcare Syst, Res Serv, San Diego, CA USA
[3] Alliant Int Univ, Calif Sch Profess Psychol, Alhambra, CA USA
[4] VISN 17 Ctr Excellence Res Returning War Vet, Waco, TX USA
[5] VA San Diego Healthcare Syst, Mental Hlth Serv, San Diego, CA USA
[6] Univ Calif San Diego, Dept Psychiat, San Diego, CA USA
[7] VA San Diego Healthcare Syst, Ctr Excellence Stress & Mental Hlth, San Diego, CA USA
[8] VA san Diego Healthcare Syst, 3350 La Jolla Village Dr 116A, San Diego, CA 92161 USA
关键词
Everyday functioning; neuropsychological assessment; psychiatric illness; homelessness; TRAUMATIC BRAIN-INJURY; POSTTRAUMATIC-STRESS-DISORDER; POSTCONCUSSIVE SYMPTOMS; COGNITIVE IMPAIRMENT; OLDER-ADULTS; PERFORMANCE; CAPACITY; DISABILITY; HOMELESS; VALIDITY;
D O I
10.1080/13854046.2023.2176364
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: Returning Veterans often have conditions (e.g. posttraumatic stress disorder [PTSD], depression, and history of traumatic brain injury [TBI]) associated with cognitive dysfunction and problems with work, school, housing, and relationships. Rehabilitative efforts in Veterans aim to promote community reintegration, or successful adjustment in one's home, community, and desired social roles. We examined associations between neuropsychological performance, neurobehavioral symptoms, and community reintegration in Veterans. Method: 89 Iraq/Afghanistan Veterans at risk for homelessness and receiving residential mental healthcare completed a neuropsychological assessment and the Community Reintegration for Service Members-Computer Adaptive Test (CRIS-CAT). Neuropsychological components were derived using Principal Component Analysis. Bivariate Pearson correlations between neuropsychological variables, neurobehavioral symptoms, and CRIS-CAT scales (Extent of Participation, Perceived Limitations, and Satisfaction) were used to determine significant correlates of community reintegration. Regression models were used to examine associations between bivariate-significant neuropsychological components, neurobehavioral symptoms, and CRIS-CAT scales. Results: Bivariate analyses revealed that better community reintegration was associated with better performance in attention/executive functioning and fewer neurobehavioral symptoms. Three regression models examining predictors of variance in Extent of Participation, Perceived Limitations, and Satisfaction in community reintegration were statistically significant overall, with only fewer affective symptoms emerging as significantly and uniquely associated with greater participation and greater satisfaction in community functioning. Conclusions: Veterans with fewer affective symptoms reported greater participation and satisfaction with community functioning. Future longitudinal research examining associations between neurobehavioral symptoms, cognition, and risk factors of poorer community reintegration in unstably housed Veterans is warranted.
引用
收藏
页码:1728 / 1744
页数:17
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