Correlates of VA mental health treatment utilization among OEF/OIF/OND veterans

Resilience, stigma, social support, personality, and beliefs about treatment

Dados Bibliográficos

ID17815657
AutoresJason C DeViva (0000-0002-4680-4165, Veterans Health Administration, autor correspondente), Christina M Sheerin (0000-0003-3773-641X), Steven M Southwick (National Center for PTSD), Alicia Roy (National Center for PTSD), Alicia M Roy, Robert H Pietrzak (0000-0002-5561-6414, National Center for PTSD), Ilan Harpaz‐Rotem (0000-0002-6066-9406, National Center for PTSD)
Ano2015
Volume8
Fascículo3
Páginas310-318
Data de publicação2015-08-03
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoPsychological Trauma Theory Research Practice and Policy (JOURNAL)
Identificadores do periódicoISSN: 1942-969X • E-ISSN: 1942-9681
EditoraAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/tra0000075
PMID26237497
OpenAlexW2342733996
IdiomaEN
Citações recebidas13
Referências citadas2

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. (PsycINFO Database Record

MEDLINE · Mental health · Psychiatry · Psychological intervention · Psychological resilience · Psychotherapist · PsycINFO · Social stigma · Social support · Clinical Psychology · Employment and Welfare Studies · Healthcare professionals’ stress and burnout · Medicine · Psychology · Resilience and Mental Health