Mental Health Service Use amongst Veterans in a Peer-Mentor Intervention: An Analysis of Barriers to Treatment

Q2 Social Sciences
Ariana Dichiara, David Brandwein, D. Marks, Emily R. Edwards, Joseph C. Geraci
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引用次数: 2

Abstract

Abstract Many returning Operation Enduring Freedom/Operation Iraqi Freedom veterans may benefit from psychological services as recent estimates suggest high rates of suicide, trauma, and psychopathology within this population. However, only a small portion of veterans ever seek mental health services, presumably due to various barriers to treatment. A better understanding of barriers to treatment may ensure that these populations seek the services they require. Data from a randomized controlled trial (RCT) of a peer-mentor program was examined to assess the extent to which common barriers to treatment precluded veterans from requesting medical or mental health assistance. The relationship between elevated scores on posttraumatic stress disorder (PTSD) and alcohol misuse measures was examined as they relate to veterans’ choices to seek assistance with health care, along with score profiles on a variety of measures (including quality of life, somatization, combat exposure, and demographic variables). Results indicated that having PTSD was a significant predictor of health service seeking, although this relationship was no longer significant once quality of life was added into analyses. Alcohol misuse and combat exposure were not significantly predictive of seeking health services, while elevated somatic symptoms were. Cumulative disadvantage theory is used to explore these findings and treatment implications.
退伍军人在同伴导师干预中的心理健康服务使用:治疗障碍的分析
许多长期自由行动/伊拉克自由行动退伍军人可能受益于心理服务,因为最近的估计表明,这一人群中自杀、创伤和精神病理的发生率很高。然而,只有一小部分退伍军人曾经寻求心理健康服务,大概是由于各种治疗障碍。更好地了解治疗障碍可以确保这些人群寻求他们所需的服务。研究人员检查了一项同伴导师项目的随机对照试验(RCT)数据,以评估在多大程度上常见的治疗障碍阻碍了退伍军人请求医疗或心理健康援助。研究了创伤后应激障碍(PTSD)得分升高与酒精滥用措施之间的关系,因为它们与退伍军人寻求医疗援助的选择有关,以及各种措施(包括生活质量、躯体化、战斗暴露和人口变量)的得分概况。结果表明,患有PTSD是寻求医疗服务的重要预测因素,尽管一旦将生活质量加入分析中,这种关系就不再显著。酒精滥用和战斗暴露对寻求医疗服务没有显著的预测作用,而躯体症状的升高是。累积劣势理论用于探讨这些发现和治疗意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Military Behavioral Health
Military Behavioral Health Social Sciences-Social Sciences (miscellaneous)
CiteScore
1.60
自引率
0.00%
发文量
26
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