Iraq and Afghanistan War Veterans with Reintegration Problems: Differences by Veterans Affairs Healthcare User Status

Nina A. Sayer, Robert J. Orazem, Siamak Noorbaloochi, Amy Gravely, Patricia Frazier, Kathleen F. Carlson, Paula P. Schnurr, Heather Oleson

Research output: Contribution to journalArticle

16 Scopus citations


We studied 1,292 Iraq and Afghanistan War veterans who participated in a clinical trial of expressive writing to estimate the prevalence of perceived reintegration difficulty and compare Veterans Affairs (VA) healthcare users to nonusers in terms of demographic and clinical characteristics. About half of participants perceived reintegration difficulty. VA users and nonusers differed in age and military background. Levels of mental and physical problems were higher in VA users. In multivariate analysis, military service variables and probable traumatic brain injury independently predicted VA use. Findings demonstrate the importance of research comparing VA users to nonusers to understand veteran healthcare needs.

Original languageEnglish (US)
Pages (from-to)493-503
Number of pages11
JournalAdministration and Policy in Mental Health
Issue number4
Publication statusPublished - Jul 1 2015
Externally publishedYes


ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this