دورية أكاديمية
أعرض في EDS

Posttraumatic stress disorder, Veterans Health Administration use, and care-seeking among recent-era U.S. veterans.

التفاصيل البيبلوغرافية
العنوان: Posttraumatic stress disorder, Veterans Health Administration use, and care-seeking among recent-era U.S. veterans.
المؤلفون: Porter B; Department of Psychology, Mississippi State University, Mississippi State, Mississippi, USA., Dozier ME; Department of Psychology, Mississippi State University, Mississippi State, Mississippi, USA., Seelig AD; VA Puget Sound Health Care System, Seattle, Washington, USA., Zhu Y; Leidos, Inc., San Diego, California, USA., Patoilo MS; Department of Psychology, Mississippi State University, Mississippi State, Mississippi, USA., Boyko EJ; VA Puget Sound Health Care System, Seattle, Washington, USA., Rull RP; Deployment Health Research Department, Naval Health Research Center, San Diego, California, USA.
المصدر: Journal of traumatic stress [J Trauma Stress] 2024 Jun; Vol. 37 (3), pp. 460-470. Date of Electronic Publication: 2024 Feb 29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 8809259 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-6598 (Electronic) Linking ISSN: 08949867 NLM ISO Abbreviation: J Trauma Stress Subsets: MEDLINE
أسماء مطبوعة: Publication: 2005- : Hoboken, NJ : Wiley
Original Publication: New York ; London : Plenum Press, c1988-
مواضيع طبية MeSH: Stress Disorders, Post-Traumatic*/therapy , Stress Disorders, Post-Traumatic*/epidemiology , Veterans*/psychology , Veterans*/statistics & numerical data , Patient Acceptance of Health Care*/statistics & numerical data , United States Department of Veterans Affairs*/statistics & numerical data, Humans ; United States/epidemiology ; Male ; Female ; Adult ; Middle Aged ; Veterans Health Services/statistics & numerical data ; Young Adult ; Cohort Studies ; Depression/epidemiology ; Depression/therapy
مستخلص: The current study investigated the associations among probable posttraumatic stress disorder (PTSD), recent Veterans Health Administration (VHA) health care use, and care-seeking for PTSD in U.S. military veterans. Analyses were conducted among 19,691 active duty military personnel enrolled in the Millennium Cohort Study who separated from the military between 2000 and 2012 and were weighted to the 1,130,103 active duty personnel who separated across this time period. VHA utilization was identified from electronic medical records in the year before survey completion, and PTSD care-seeking and PTSD symptoms were assessed through self-report on the 2014-2016 survey; thus, the observation period regarding care-seeking and VHA use encompassed 2013-2016. Veterans with probable PTSD were more likely to use VHA services than those without probable PTSD, aOR = 1.12, 95% CI [1.01, 1.24], although the strongest association with recent VHA use was a depression diagnosis, aOR = 2.47, 95% CI [2.26, 2.70]. Among veterans with probable PTSD, the strongest predictor of care-seeking was recent VHA use compared to community care, aOR = 4.01, 95% CI [3.40, 4.74); reporting a diagnosis of depression was the second strongest predictor of PTSD care-seeking, OR = 2.99, 95% CI [2.53, 3.54]. However, the absolute number of veterans with probable PTSD who were not seeking care was approximately equivalent between veterans using VHA services and those not using VHA services. Additionally, certain groups were identified as being at risk of not seeking care, namely Air Force veterans and veterans with high physical and mental functioning despite substantial PTSD symptoms.
(© 2024 International Society for Traumatic Stress Studies.)
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معلومات مُعتمدة: Defense Health Program; Department of Veterans Affairs Office of Research and Development; Department of Veterans Affairs Office of Patient Care Services
تواريخ الأحداث: Date Created: 20240301 Date Completed: 20240613 Latest Revision: 20240613
رمز التحديث: 20240613
DOI: 10.1002/jts.23019
PMID: 38424733
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-6598
DOI:10.1002/jts.23019