Predictors of Operation Enduring Freedom/Operation Iraqi Freedom veterans' engagement in mental health treatment.
Although the prevalence of mental health disorders in troops serving in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) is high, many OEF/OIF veterans appear to refuse or delay mental health treatment. To examine psychological and psychosocial predictors of engagement, this pilot...
| Publicado en: | Military Medicine Vol. 178; no. 11; pp. 1183 - 1188 |
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| Autor principal: | |
| Formato: | research Journal Article |
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Oxford University Press / USA
Nov2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107917407&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107917407 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00264075 4DV jtl: Military Medicine issn: 00264075 maglogo: N pubinfo: dt: Nov2013 vid: 178 iid: 11 pid: 622 pub: Oxford University Press / USA artinfo: ui: 107917407 NLM24183763 2012358325 10.7205/MILMED-D-13-00245 NLM24183763 107917407 ppf: 1183 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Predictors of Operation Enduring Freedom/Operation Iraqi Freedom veterans' engagement in mental health treatment. aug: au: Hearne, Catherine R M affil: Raymond G. Murphy VA Health Care System, 1501 San Pedro SE (116), Albuquerque, NM 87108. sug: subj: Behavior Therapy Methods Health Services Needs and Demand Mental Disorders Epidemiology Mental Health Veterans Psychosocial Factors Adult Female Human Male Mental Disorders Psychosocial Factors Mental Disorders Therapy Prevalence Retrospective Design United States Young Adult Adult: 19-44 years Female Male ab: Although the prevalence of mental health disorders in troops serving in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) is high, many OEF/OIF veterans appear to refuse or delay mental health treatment. To examine psychological and psychosocial predictors of engagement, this pilot study examined eight factors: age, ethnicity, gender, polytrauma status, time since military separation, alcohol use, substance use, and psychiatric comorbidity. Structured clinical interviews given to all OEF/OIF veterans enrolling at a large Veterans Affairs health care center from 2007 to 2010 were examined, as were all psychiatric visits for the next year. Surprisingly, 72% of the sample (N = 600) was diagnosed with a psychiatric disorder. Of those (n = 429), the majority agreed to an initial mental health referral and attended at least one appointment within the year (n = 229, 53%), but only a quarter (n = 113, 26%) attended eight or more appointments. Multinomial regression analysis indicated that psychiatric comorbidity, polytrauma exposure, and time since military separation were the best predictors of initial engagement in needed mental health treatment, and psychiatric comorbidity and age were the best predictors of treatment retention. Findings suggest that Veterans Affairs may further improve engagement by attending to time since separation. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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