Greenawalt David S, Tsan Jack Y, Kimbrel Nathan A, Meyer Eric C, Kruse Marc I, Tharp David F, Gulliver Suzy Bird, Morissette Sandra B
VISN 17 Center of Excellence for Research on Returning War Veterans, Department of Veterans Affairs, Waco, TX 76711, USA.
Depress Res Treat. 2011;2011:192186. doi: 10.1155/2011/192186. Epub 2011 Jul 18.
Although racial/ethnic differences have been found in the use of mental health services for depression in the general population, research among Veterans has produced mixed results. This study examined racial/ethnic differences in the use of mental health services among 148 Operation Enduring/Iraqi Freedom (OEF/OIF) Veterans with high levels of depression and posttraumatic stress disorder (PTSD) symptoms and evaluated whether religious coping affected service use. No differences between African American, Hispanic, and Non-Hispanic white Veterans were found in use of secular mental health services or religious counseling. Women Veterans were more likely than men to seek secular treatment. After controlling for PTSD symptoms, depression symptom level was a significant predictor of psychotherapy attendance but not medication treatment. African American Veterans reported higher levels of religious coping than whites. Religious coping was associated with participation in religious counseling, but not secular mental health services.
尽管在普通人群中，已发现种族/族裔在抑郁症心理健康服务使用方面存在差异，但退伍军人中的研究结果却参差不齐。本研究调查了148名患有严重抑郁症和创伤后应激障碍（PTSD）症状的持久自由行动/伊拉克自由行动（OEF/OIF）退伍军人在心理健康服务使用方面的种族/族裔差异，并评估了宗教应对方式是否会影响服务使用情况。在使用世俗心理健康服务或宗教咨询方面，未发现非裔美国退伍军人、西班牙裔退伍军人和非西班牙裔白人退伍军人之间存在差异。退伍女兵比男兵更有可能寻求世俗治疗。在控制PTSD症状后，抑郁症状水平是心理治疗就诊率的一个重要预测因素，但不是药物治疗的预测因素。非裔美国退伍军人报告的宗教应对水平高于白人。宗教应对与参与宗教咨询有关，但与世俗心理健康服务无关。
