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Symptom severity and lifetime and prospective health service use among military veterans evaluated for PTSD.
Depress Anxiety. 2007; 24(3):178-84.DA

Abstract

We used structural equation modeling with 174 treatment-seeking military trauma survivors evaluated for posttraumatic stress disorder (PTSD) at a VA Medical Center PTSD clinic to examine relationships among lifetime mental health service use, PTSD symptom severity and medical problems (from self-report), as well as prospective (1-year) mental health and medical care use visit counts extracted from medical records. We discovered an adequate statistical fit to a hypothesized model of previous and prospective health service use, and current PTSD severity and health-related problems. Previous inpatient mental health treatment was significantly related to PTSD severity and prospective outpatient mental health use. However, PTSD severity was unrelated to prospective use of mental health or medical services. Health problems were related to prospective medical service use. Clinical and administrative implications in predicting health care use among trauma survivors are discussed.

Authors+Show Affiliations

Disaster Mental Health Institute, University of South Dakota, Vermillion, South Dakota 57069-2390, USA. jelhai@usd.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17001627

Citation

Elhai, Jon D., et al. "Symptom Severity and Lifetime and Prospective Health Service Use Among Military Veterans Evaluated for PTSD." Depression and Anxiety, vol. 24, no. 3, 2007, pp. 178-84.
Elhai JD, Kashdan TB, Snyder JJ, et al. Symptom severity and lifetime and prospective health service use among military veterans evaluated for PTSD. Depress Anxiety. 2007;24(3):178-84.
Elhai, J. D., Kashdan, T. B., Snyder, J. J., North, T. C., Heaney, C. J., & Frueh, B. C. (2007). Symptom severity and lifetime and prospective health service use among military veterans evaluated for PTSD. Depression and Anxiety, 24(3), 178-84.
Elhai JD, et al. Symptom Severity and Lifetime and Prospective Health Service Use Among Military Veterans Evaluated for PTSD. Depress Anxiety. 2007;24(3):178-84. PubMed PMID: 17001627.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Symptom severity and lifetime and prospective health service use among military veterans evaluated for PTSD. AU - Elhai,Jon D, AU - Kashdan,Todd B, AU - Snyder,Jessica J, AU - North,Terry C, AU - Heaney,Christopher J, AU - Frueh,B Christopher, PY - 2006/9/27/pubmed PY - 2007/7/11/medline PY - 2006/9/27/entrez SP - 178 EP - 84 JF - Depression and anxiety JO - Depress Anxiety VL - 24 IS - 3 N2 - We used structural equation modeling with 174 treatment-seeking military trauma survivors evaluated for posttraumatic stress disorder (PTSD) at a VA Medical Center PTSD clinic to examine relationships among lifetime mental health service use, PTSD symptom severity and medical problems (from self-report), as well as prospective (1-year) mental health and medical care use visit counts extracted from medical records. We discovered an adequate statistical fit to a hypothesized model of previous and prospective health service use, and current PTSD severity and health-related problems. Previous inpatient mental health treatment was significantly related to PTSD severity and prospective outpatient mental health use. However, PTSD severity was unrelated to prospective use of mental health or medical services. Health problems were related to prospective medical service use. Clinical and administrative implications in predicting health care use among trauma survivors are discussed. SN - 1091-4269 UR - https://www.unboundmedicine.com/medline/citation/17001627/Symptom_severity_and_lifetime_and_prospective_health_service_use_among_military_veterans_evaluated_for_PTSD_ L2 - https://doi.org/10.1002/da.20188 DB - PRIME DP - Unbound Medicine ER -