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伊拉克和阿富汗退伍军人的感知障碍与退伍军人事务部精神保健使用意向的关联。

Association of perceived barriers with prospective use of VA mental health care among Iraq and Afghanistan veterans.

机构信息

US Department of Veterans Affairs Puget Sound Healthcare System, Seattle Division, 1660 South Columbian Way S-116, Seattle, WA 98108, USA.

出版信息

Psychiatr Serv. 2012 Apr;63(4):380-2. doi: 10.1176/appi.ps.201100187.

DOI:10.1176/appi.ps.201100187

PMID:22476304

Abstract

OBJECTIVE

The relationship between perceived barriers and prospective use of mental health care among veterans was examined.

METHODS

The sample included Iraq and Afghanistan veterans (N=305) who endorsed symptoms of depression or posttraumatic stress disorder (PTSD) or alcohol misuse at intake to a postdeployment clinic between May 2005 and August 2009. Data on receipt of adequate treatment (nine or more mental health visits in the year after intake) were obtained from a VA database.

RESULTS

Adequate treatment was more likely for women (odds ratio [OR]=4.82, 95% confidence interval (CI)=1.37-16.99, p=.014) and for those with more severe symptoms of PTSD (OR=1.03, CI=1.01-1.05, p=.003) and depression (OR=1.06, CI=1.01-1.11, p=.01). Perceived barriers were not associated with adequate treatment.

CONCLUSIONS

Male veterans with mental health problems should be targeted with outreach to reduce unmet need. Research is needed to identify perceived barriers to treatment among veterans.

摘要

目的

研究退伍军人中感知到的障碍与心理健康护理预期使用之间的关系。

方法

该样本包括 2005 年 5 月至 2009 年 8 月期间在一个部署后诊所接受治疗的伊拉克和阿富汗退伍军人（N=305），他们在接受治疗时报告有抑郁或创伤后应激障碍（PTSD）或酒精使用障碍的症状。从退伍军人事务部数据库中获得了在接受治疗后的一年内接受足够治疗（九次或更多次心理健康就诊）的数据。

结果

对于女性（优势比[OR]=4.82，95%置信区间[CI]=1.37-16.99，p=.014）和 PTSD（OR=1.03，CI=1.01-1.05，p=.003）和抑郁（OR=1.06，CI=1.01-1.11，p=.01）症状更严重的退伍军人，接受足够治疗的可能性更高。感知到的障碍与接受足够治疗无关。