Symptom severity and lifetime and prospective health service use among military veterans evaluated for PTSD

Jon D. Elhai; Todd B. Kashdan; Jessica J. Snyder; Terry C. North; Christopher J. Heaney; B. Christopher Frueh

doi:10.1002/da.20188

Symptom severity and lifetime and prospective health service use among military veterans evaluated for PTSD

Jon D. Elhai, Todd B. Kashdan, Jessica J. Snyder, Terry C. North, Christopher J. Heaney, B. Christopher Frueh

Research output: Contribution to journal › Article

9 Scopus citations

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.

Original language	English (US)
Pages (from-to)	178-184
Number of pages	7
Journal	Depression and Anxiety
Volume	24
Issue number	3
DOIs	https://doi.org/10.1002/da.20188
State	Published - 2007

Keywords

Mental health services
Posttraumatic stress disorder
Service utilization
Structural model

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

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10.1002/da.20188

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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.",

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