College of Health and Human Services, School of Social Work, California State University, Long Beach, California.
Department of Advanced Studies in Education and Counseling, California State University, Long Beach, California.
J Community Psychol. 2020 Jul;48(5):1452-1468. doi: 10.1002/jcop.22339. Epub 2020 Mar 16.
Middle-aged and older adults who have been exposed to traumatic events may have specific developmental needs with respect to engagement in mental health treatment. The current study examined factors that potentially facilitate or inhibit attitudes towards mental health service use (ATMHSU) in a trauma-exposed sample of treatment-seeking adults of age 50 years and older. In this mixed-methods study, quantitative data (N = 165) were analyzed to examine relationships with trauma exposure, posttraumatic stress disorder, quality of life (QOL), and ATMHSU. Semi-structured interviews were conducted assessing similar constructs with a subsample of the data (n = 12). Regression analysis revealed higher QOL-environmental well-being as associated with more positive ATMHSU and higher QOL-social support with more negative ATMHSU. Qualitative themes emerged around perceived distress in managing lifelong traumas due to challenges with functioning, coping, and accessing services. Emphasizing resources to help manage the impact of distress on daily life needs may support aging trauma-exposed populations.
中老年人群如果曾经历过创伤性事件，那么他们在参与心理健康治疗方面可能会有特殊的发展需求。本研究考察了在一个寻求治疗的 50 岁及以上创伤暴露成年人样本中，可能促进或阻碍对心理健康服务使用态度（ATMHSU）的因素。在这项混合方法研究中，对定量数据（n=165）进行了分析，以研究创伤暴露、创伤后应激障碍、生活质量（QOL）与 ATMHSU 之间的关系。对数据的一个子样本（n=12）进行了半结构化访谈，以评估类似的结构。回归分析显示，环境幸福感较高的生活质量与更积极的 ATMHSU 相关，社会支持较高的生活质量与更消极的 ATMHSU 相关。定性主题围绕因功能、应对和获取服务方面的挑战而导致管理终生创伤的痛苦展开。强调帮助管理痛苦对日常生活影响的资源可能会支持老年创伤暴露人群。
