David P. Graham
Baylor College of Medicine, USA
Title: A synthesis of 5 years of research on the influences of PTSD and TBI on community reintegration in OEF/OIF veterans
Biography
Biography: David P. Graham
Abstract
Statement of the Problem: Community reintegration (CR) describes the process of an individual’s adjustment and return to participation in their major social roles at home, work, and in the community. Estimates suggest of the 2.3 million Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) US service members deployed, over 300,000 have mild TBI and at least 300,000 have PTSD. Negative consequences for CR in Veterans associated with mild TBI have included increased rates of apathy, depression, anger, and disinhibition, and increased risk of being victims of violence and abuse. The negative consequences for CR associated with PTSD have included decreased quality of life, increased self-reported medical and physical symptoms, increased substance use, and suicide. PTSD also has negative economic and interpersonal consequences for Veterans including decreased work performance, increased homelessness, and impaired family relationships.
Methodology & Theoretical Orientation: This talk will be based on a synthesis of the presenter’s work completed over the past five years and will highlight associations and points of clinical relevance among TBI, PTSD, and CR.
Findings: Mild TBI and PTSD are indirectly associated with CR ratings through increases of depression symptoms. These associations are moderated by an individual’s genetics and Ventral Striatum integrity.
Conclusion & Significance: Clinical providers struggle with assisting Veterans in their attempts to successfully reintegrate into their civilian lives. Recommendations will be made how to use the information to better assist Veterans with CR efforts.