Evidence map›Paper›PMID 27753552›Full record

ArticleMilitary medicine2016

Predictors of Mental Health Care Utilization in Veterans With Post-Traumatic Stress Disorder Symptoms and Hazardous Drinking.

Emily M Johnson, Kimberly A Barrie, Kyle Possemato, Michael Wade, April Eaker, Paige C Ouimette

Open access · bronzeAbstract read
In one paragraph

Article in Military medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Feasibility of a 3-week intensive treatment program for service members and veterans with PTSD.Psychological trauma : theory, research, practice and policy · 2020
    Article
  5. Beyond stigma: Understanding the "inclined abstainers" in military behavioral health-care utilization.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2020
    Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Emily M JohnsonCenter for Integrated Healthcare (116C), Syracuse VA Medical Center, 800 Irving Avenue, Syracuse, NY 13210.
Kimberly A BarrieCenter for Integrated Healthcare (116C), Syracuse VA Medical Center, 800 Irving Avenue, Syracuse, NY 13210.
Kyle PossematoCenter for Integrated Healthcare (116C), Syracuse VA Medical Center, 800 Irving Avenue, Syracuse, NY 13210.
Michael WadeCenter for Integrated Healthcare (116C), Syracuse VA Medical Center, 800 Irving Avenue, Syracuse, NY 13210.
April EakerCenter for Integrated Healthcare (116N), VA Western NY Healthcare System-Buffalo Campus, 3495 Bailey Avenue, Buffalo, NY 14215.
Paige C OuimettePsychological Healthcare, P.L.L.C., Presidential Plaza, 600 East Genesee Street, Syracuse, NY 13202.
SUNY Upstate Medical University · USSUNY Geneseo · USVA Western New York Healthcare System · US

Funding

Daily Fluctuations of PTSD Symptoms and Alcohol Use Among OEF/OIF VeteransI01CX000175 · VA · SYRACUSE VA MEDICAL CENTER · PI OUIMETTE, PAIGE · 2009 to 2012
–
CSRD VA I01 CX000175
6 · The paper itself

Abstract

objectivesDescribe outpatient mental health service use in a sample of recent combat Veterans with post-traumatic stress disorder (PTSD) symptoms and hazardous alcohol use and investigate predictors of mental health care utilization.

methodsIn this prospective study, 126 Veterans with full or subthreshold PTSD and hazardous alcohol use completed a baseline assessment and reported mental health service use through a 12-month follow-up period. Logistic regressions were used to identify factors predicting mental health care utilization.

resultsVeterans who were employed were 63% less likely to use outpatient mental health care in the 12 months following baseline. Additionally, for each 1-point increase in negative mental health care beliefs, participants were 70% less likely to use outpatient mental health care. For each 1-point worsening in social support and leisure functioning, participants were 2.2 times more likely to use outpatient mental health care.

conclusionsThe current study indicates that negative mental health beliefs are barriers to mental health care while unemployment and poor social support/leisure functioning are predictors of mental health care utilization for recent combat Veterans with PTSD symptoms and hazardous alcohol use. Patient and system level interventions for these factors are discussed to guide efforts to improve mental health care among this high-need population.

Indexed as

AdultAfghan Campaign 2001-AlcoholismFemaleHumansIraq War, 2003-2011MaleMental Health ServicesPatient Acceptance of Health CareProspective StudiesStress Disorders, Post-TraumaticVeterans

Identifiers

PMID27753552
PMCPMC5409109
OpenAlexW2529786546

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.