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Yale study tracks association between PTSD treatment utilization and compensation exams

January 14, 2019

Veterans who sought compensation for service-related post-traumatic stress disorder (PTSD) were more likely to attend PTSD-related treatment sessions before their compensation exams than after, but only if the veterans had strong beliefs about a treatment-compensation connection, according to a new study by Yale Department of Psychiatry researchers.

The study, published by PLOS One and featured on its special Veterans Disability & Rehabilitation Research Channel, examined electronic health records for 307 post-9/11-era veterans who sought compensation for PTSD suffered during military service.

Researchers found that the majority of veterans believed they would be as or more likely to receive service-connected PTSD benefits if they attended mental health treatment.

Veterans with more positive beliefs about the effect of treatment on their benefits award were more likely to use PTSD treatment before their PTSD compensation and pension exam than after, according to the study.

The study was funded by the Department of Veterans Affairs Health Services Research and Development Service. The VA is expected to use the information in its efforts to increase the numbers of veterans who seek and receive treatment for service-related afflictions.

“Understanding veterans’ beliefs about the relationship between treatment use and disability claims outcomes could provide further insight into individual differences in treatment utilization patterns among veterans with compensation claims,” the authors wrote. “Maintaining veterans in PTSD treatment may be more successful if veterans’ motivations for service-connection are addressed in ongoing PTSD treatment.”

The study’s first author was Anne C. Black, PhD, Research Analyst at Yale and Health Science Specialist at the VA Connecticut Healthcare System in West Haven. Other contributors from Yale and the VA were Sarah Meshberg-Cohen, PhD; Andric C. Perez-Ortiz, MD, MPH; Thomas A. Thornhill IV, MPH candidate; and senior author Marc I. Rosen, MD.

Submitted by Christopher Gardner on January 15, 2019