Sayer Nina A, Clothier Barbara, Spoont Michele, Nelson David B
Center for Chronic Disease Outcomes Research, VA Medical Center, Minneapolis, MN 55417, USA.
J Trauma Stress. 2007 Feb;20(1):15-25. doi: 10.1002/jts.20182.
This study examines predictors of current mental health service use in a sample of 154 veterans filing claims for Veterans Affairs (VA) disability benefits based on Posttraumatic Stress Disorder (PTSD). Our conceptual framework was the behavioral model that classifies predictors of service utilization into predisposing (background), enabling (e.g., insurance) and need (e.g., symptoms) factors. Slightly more than half of the PTSD claimants were receiving mental health treatment at the time of claim initiation. Mean symptom levels were clinically significant in both users and nonusers of mental health treatment. In a multivariate logistic regression analysis, mental health treatment use was associated with younger age, marriage, and dependence on public insurance. Implications for future research are discussed.
本研究调查了154名基于创伤后应激障碍（PTSD）申请退伍军人事务部（VA）残疾福利的退伍军人样本中当前使用心理健康服务的预测因素。我们的概念框架是行为模型，该模型将服务利用的预测因素分为易患因素（背景）、促成因素（如保险）和需求因素（如症状）。略多于一半的PTSD索赔人在索赔开始时正在接受心理健康治疗。心理健康治疗使用者和非使用者的平均症状水平在临床上都很显著。在多变量逻辑回归分析中，心理健康治疗的使用与年龄较小、已婚以及依赖公共保险有关。文中讨论了对未来研究的启示。
