Correlates of VA Mental Health Treatment Utilization Among OEF/OIF/OND Veterans: Resilience, Stigma, Social Support, Personality, and Beliefs About Treatment

被引：72
作者：
DeViva, Jason C. [1 ,2 ]
Sheerin, Christina M. [3 ]
Southwick, Steven M. [4 ,5 ]
Roy, Alicia M. [4 ,5 ]
Pietrzak, Robert H. [4 ,5 ]
Harpaz-Rotem, Ilan [4 ,5 ]
机构：
[1] VA Connecticut Hlth Care Syst, 116 B,950 Campbell Ave, West Haven, CT 06516 USA
[2] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT 06520 USA
[3] Hunter Holmes McGuire Vet Affairs Med Ctr, Richmond, VA USA
[4] Natl Ctr PTSD, West Haven, CT USA
[5] Yale Univ, Sch Med, New Haven, CT 06520 USA
来源：
PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY | 2016年 / 8卷 / 03期
关键词：
posttraumatic stress disorder; resilience; stigma; treatment utilization; veteran; POSTTRAUMATIC-STRESS; SERVICE MEMBERS; AFGHANISTAN VETERANS; PERCEIVED STIGMA; ACTIVE-DUTY; CARE; IRAQ; BARRIERS; PTSD; PSYCHOTHERAPY;
D O I：
10.1037/tra0000075
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Veterans of Operations Iraqi Freedom/Enduring Freedom/New Dawn (OEF/OIF/OND) tend not to engage in mental health care. Identifying modifiable factors related to mental health service utilization could facilitate development of interventions to increase utilization. The current study examined the relationship between mental health care utilization and measures of PTSD symptoms, resilience, stigma, beliefs about mental health care, perceived barriers to mental health care, posttraumatic growth and meaning, social support, and personality factors in a sample of 100 OEF/OIF/OND veterans with PTSD symptoms referred to VA mental health care. Participants who received psychotherapy and pharmacotherapy (PP) scored higher on measures of PTSD symptoms, stigma, and adaptive beliefs about mental health treatment, and lower on measures of resilience, postdeployment social support, emotional stability, and conscientiousness, than participants who received no treatment (NT). Participants who received psychotherapy only (PT) scored higher on a measure of PTSD symptoms than NT participants. PT participants scored higher on an emotional stability measure and lower on measures of PTSD symptoms and stigma than PP participants. Multinomial logistic regression including all variables significantly related to treatment utilization indicated that PTSD symptoms and adaptive beliefs about psychotherapy and pharmacotherapy were higher in the PT and PP groups than in the NT group, and concerns about discrimination were higher in the PP group than the NT group. Interventions targeting beliefs about mental health care could increase mental health treatment utilization among OEF/OIF/OND veterans. Concerns about stigma may affect the utilization process differently at different decision points.
引用
收藏
页码：310 / 318
页数：9
相关论文
共 48 条
[1]   Elaboration on the association between trauma, PTSD and posttraumatic growth: The role of trait resilience [J].
Bensimon, Moshe .
PERSONALITY AND INDIVIDUAL DIFFERENCES, 2012, 52 (07) :782-787
[2]   Unique PTSD Clusters Predict Intention to Seek Mental Health Care and Subsequent Utilization in US Veterans with PTSD Symptoms [J].
Blais, Rebecca K. ;
Hoerster, Katherine D. ;
Malte, Carol ;
Hunt, Stephen ;
Jakupcak, Matthew .
JOURNAL OF TRAUMATIC STRESS, 2014, 27 (02) :168-174
[3]   Posttraumatic Stress and Stigma in Active-Duty Service Members Relate to Lower Likelihood of Seeking Support [J].
Blais, Rebecca K. ;
Renshaw, Keith D. ;
Jakupcak, Matthew .
JOURNAL OF TRAUMATIC STRESS, 2014, 27 (01) :116-119
[4]   Stigma and Demographic Correlates of Help-Seeking Intentions in Returning Service Members [J].
Blais, Rebecca K. ;
Renshaw, Keith D. .
JOURNAL OF TRAUMATIC STRESS, 2013, 26 (01) :77-85
[5]   Trajectories of trauma symptoms and resilience in deployed US military service members: prospective cohort study [J].
Bonanno, George A. ;
Mancini, Anthony D. ;
Horton, Jaime L. ;
Powell, Teresa M. ;
LeardMann, Cynthia A. ;
Boyko, Edward J. ;
Wells, Timothy S. ;
Hooper, Tomoko I. ;
Gackstetter, Gary D. ;
Smith, Tyler C. .
BRITISH JOURNAL OF PSYCHIATRY, 2012, 200 (04) :317-323
[6]   Perceived stigma and barriers to care for psychological treatment: Implications for reactions to stressors in different contexts [J].
Britt, Thomas W. ;
Greene-Shortridge, Tiffany M. ;
Brink, Sarah ;
Nguyen, Quyen B. ;
Rath, Jaclyn ;
Cox, Anthony L. ;
Hoge, Charles W. ;
Castro, Carl Andrew .
JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY, 2008, 27 (04) :317-335
[7]   Assessment of beliefs about psychotropic medication and psychotherapy: development of a measure for patients with anxiety disorders [J].
Bystritsky, A ;
Wagner, AW ;
Russo, JE ;
Stein, MB ;
Sherbourne, CD ;
Craske, MG ;
Roy-Byrne, PP .
GENERAL HOSPITAL PSYCHIATRY, 2005, 27 (05) :313-318
[8]   Development of a new resilience scale: The Connor-Davidson Resilience scale (CD-RISC) [J].
Connor, KM ;
Davidson, JRT .
DEPRESSION AND ANXIETY, 2003, 18 (02) :76-82
[9]   Treatment Utilization Among OEF/OIF Veterans Referred for Psychotherapy for PTSD [J].
DeViva, Jason C. .
PSYCHOLOGICAL SERVICES, 2014, 11 (02) :179-184
[10]   Perceived need for alcohol, drug, and mental health treatment [J].
Edlund, Mark J. ;
Unutzer, Jurgen ;
Curran, Geoffrey M. .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2006, 41 (06) :480-487
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