伊拉克和阿富汗退伍军人进入创伤后应激障碍专科治疗后的心理健康服务利用情况。
Mental health service utilization by Iraq and Afghanistan veterans after entry into PTSD specialty treatment.
作者信息
Aakre Jennifer M, Himelhoch Seth, Slade Eric P
出版信息
Psychiatr Serv. 2014 Aug 1;65(8):1066-9. doi: 10.1176/appi.ps.201300117.
OBJECTIVE
Use of care by Iraq and Afghanistan veterans was examined after entry into a U.S. Department of Veterans Affairs (VA) specialty outpatient program for treatment of posttraumatic stress disorder (PTSD). Those who had received mental health care before entry (continuing patients) were compared with those who had not (new patients).
METHODS
Regression analyses compared veterans' retention in PTSD programs in the 180 days after program entry for new patients (N=172) and continuing patients (N=422). Two retention measures, total visits and completion of nine or more visits, were developed from VA administrative data.
RESULTS
New patients completed fewer PTSD visits than did continuing patients (5.2±9.5 versus 8.3±14.3; incidence risk ratio=.91, 95% confidence interval [CI]=.85-.97) and were also less likely to complete nine or more visits (OR=.81, CI=.68-.97).
CONCLUSIONS
Contact with providers before entering PTSD specialty care may facilitate veterans' treatment engagement, suggesting the value of repeated attempts at engaging such veterans in treatment.
目的
在伊拉克和阿富汗退伍军人进入美国退伍军人事务部（VA）的创伤后应激障碍（PTSD）专科门诊治疗项目后，对其医疗服务利用情况进行了研究。将入院前接受过心理健康护理的患者（持续治疗患者）与未接受过此类护理的患者（新患者）进行了比较。
方法
通过回归分析比较了新患者（N = 172）和持续治疗患者（N = 422）在进入PTSD治疗项目后的180天内参与该项目的情况。从VA管理数据中得出了两项参与指标，即总就诊次数和完成九次或更多次就诊。
结果
新患者完成的PTSD就诊次数少于持续治疗患者（5.2±9.5次对8.3±14.3次；发病风险比 = 0.91，95%置信区间[CI] = 0.85 - 0.97），且完成九次或更多次就诊的可能性也较小（OR = 0.81，CI = 0.68 - 0.97）。
结论
在进入PTSD专科护理之前与医疗服务提供者接触可能有助于退伍军人参与治疗，这表明反复尝试促使此类退伍军人参与治疗具有重要意义。
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