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Many veterans present to Veteran Affairs (VA) care intending to seek mental health treatment for symptoms of posttraumatic stress disorder (PTSD), depression, and/or alcohol misuse, yet most subsequently underutilize mental health care. This study examined the association of readiness for change with outpatient VA mental health care utilization in 104 treatment-seeking Iraq and Afghanistan war veterans who screened positive for PTSD, depression, and/or alcohol misuse at intake. Multivariate analyses demonstrated that readiness for change assessed at intake was positively associated (Incident Rate Ratio [IRR] = 1.22) with prospective outpatient mental health care utilization with demographic factors, military characteristics, and mental health burden in the model. Results suggest that interventions that target readiness to change, such as motivational interviewing, may improve treatment utilization in veterans presenting for mental health care.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:伊拉克和阿富汗戰後退役軍人中,求變心態預測軍醫精神健康服務的使用率

撮要:退役軍人到軍事醫療服務(VA)尋求治療創傷後壓力症(PTSD)、抑鬱症和酗酒的精神治療,但其後大多服務使用偏低。本研究在104位伊拉克和阿富汗戰後退役求醫軍人中(全都在初次面見時篩選為有PTSD、抑鬱或酗酒者),檢視「求變心態」與VA精神科門診使用率的關係。多重變量分析指出:使用人口特徵、軍事特性和精神健康負擔在模型內,初次面見時的求變心態與繼後精神科門診使用率有正面關連(IRR = 1.22)。研究亦建議尋求精神健康治療的退役軍人的介入治療應聚焦于「求變心態」,如激勵面見等,可改善治療的使用率。

标题:伊拉克和阿富汗战后退役军人中,求变心态预测军医精神健康服务的使用率

撮要:退役军人到军事医疗服务(VA)寻求治疗创伤后压力症(PTSD)、抑郁症和酗酒的精神治疗,但其后大多服务使用偏低。本研究在104位伊拉克和阿富汗战后退役求医军人中(全都在初次面见时筛选为有PTSD、抑郁或酗酒者),检视「求变心态」与VA精神科门诊使用率的关系。多重变量分析指出:使用人口特征、军事特性和精神健康负担在模型内,初次面见时的求变心态与继后精神科门诊使用率有正面关连(IRR = 1.22)。研究亦建议寻求精神健康治疗的退役军人的介入治疗应聚焦于「求变心态」,如激励面见等,可改善治疗的使用率。