VA Puget Sound Health Care System, Seattle Division, Seattle, WA 98108, USA.
J Trauma Stress. 2013 Feb;26(1):165-8. doi: 10.1002/jts.21768. Epub 2013 Jan 14.
Many veterans present to Veteran Affairs (VA) care intending to seek mental health treatment for symptoms of posttraumatic stress disorder (PTSD), depression, and/or alcohol misuse, yet most subsequently underutilize mental health care. This study examined the association of readiness for change with outpatient VA mental health care utilization in 104 treatment-seeking Iraq and Afghanistan war veterans who screened positive for PTSD, depression, and/or alcohol misuse at intake. Multivariate analyses demonstrated that readiness for change assessed at intake was positively associated (Incident Rate Ratio [IRR] = 1.22) with prospective outpatient mental health care utilization with demographic factors, military characteristics, and mental health burden in the model. Results suggest that interventions that target readiness to change, such as motivational interviewing, may improve treatment utilization in veterans presenting for mental health care.
许多退伍军人前往退伍军人事务部（VA）寻求治疗创伤后应激障碍（PTSD）、抑郁和/或酒精使用障碍的症状，但大多数人随后并未充分利用心理健康护理。本研究在 104 名因 PTSD、抑郁和/或酒精使用障碍而在入组时筛查呈阳性的寻求治疗的伊拉克和阿富汗战争退伍军人中，检查了改变准备情况与门诊退伍军人事务部心理健康护理利用之间的关联。多变量分析表明，在入组时评估的改变准备情况与前瞻性门诊心理健康护理的利用呈正相关（发病率比 [IRR] = 1.22），该模型包括人口统计学因素、军事特征和心理健康负担。结果表明，针对改变准备情况的干预措施，如动机性访谈，可能会改善寻求心理健康护理的退伍军人的治疗利用率。
