ArticlePsychiatric services (Washington, D.C.)2019
Mental Health Treatment Delay: A Comparison Among Civilians and Veterans of Different Service Eras.
Article in Psychiatric services (Washington, D.C.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- A meta-analytic review of cognitive processing therapy with and without the written account.Journal of anxiety disorders · 2025Pooled it
- PTSD treatment impacts on pain: secondary analysis of sertraline, prolonged exposure, and their combination.European journal of psychotraumatology · 2026Trial
- Personal Narratives in Trauma-Related Disorders: Contributions from a Metacognitive Approach and Treatment Considerations.Behavioral sciences (Basel, Switzerland) · 2025Review
- Mental Health Challenges and Barriers to Veterans' Adjustment to Civilian Life on the U.S.-Mexico Border.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Mental health of U.S. combat veterans by war era: Results from the National health and Resilience in veterans study.Journal of psychiatric research · 2023Article
- Accuracy of behavioral health variables in Oregon national violent death reporting system data: a linked cohort study.Injury epidemiology · 2022Article
- Strengths and vulnerabilities: Comparing post-9/11 U.S. veterans' and non-veterans' perceptions of health and broader well-being.SSM - population health · 2022Article
- Postdeployment Treatment Gap: Symptoms and Treatment Utilization Among Returning National Guard Soldiers.The Counseling psychologist · 2022Article
- Ten-year course of treated bipolar I disorder: The role of polarity at onset.Brain and behavior · 2021Article
- Usability and Acceptability of a Mobile App for the Self-Management of Alcohol Misuse Among Veterans (Step Away): Pilot Cohort Study.JMIR mHealth and uHealth · 2021Article
- Pilot trial of a transdiagnostic computerized anxiety sensitivity intervention among VA primary care patients.Psychiatry research · 2020Article
- Treatment receipt patterns among individuals with co-occurring posttraumatic stress disorder (PTSD) and substance use disorders.Journal of consulting and clinical psychology · 2020Article
- Military Service and Military Health Care Coverage are Associated with Reduced Racial Disparities in Time to Mental Health Treatment Initiation.Administration and policy in mental health · 2020Article
- Differential effects of prior stress on conditioned inhibition of fear and fear extinction.Behavioural brain research · 2020Article
- A positive screen for military sexual trauma is associated with greater risk for substance use disorders in women veterans.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019Article
- Factors Related to Receipt of Help for Alcohol Use: Extending the Focus of Treatment to the Continuum of Unhealthy Alcohol Use.Substance use : research and treatmentArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThe study compared delay of treatment for posttraumatic stress disorder (PTSD), major depressive disorder, and alcohol use disorder among post-9/11 veterans versus pre-9/11 veterans and civilians.
methodsThe 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III), a nationally representative survey of U.S. noninstitutionalized adults, was used. Participants included 13,528 civilians, 1,130 pre-9/11 veterans, and 258 post-9/11 veterans with lifetime diagnoses of PTSD, major depression, or alcohol use disorder. Cox proportional hazard models, controlling for relevant demographic characteristics, were used to estimate differences in treatment delay (i.e., time between diagnosis and treatment).
resultsPost-9/11 veterans were less likely to delay treatment for PTSD and depression than pre-9/11 veterans (adjusted hazard ratios [AHRs]=0.69 and 0.74, respectively) and civilians (AHRs=0.60 and 0.67, respectively). No differences in treatment delay were observed between post-9/11 veterans and pre-9/11 veterans or civilians for alcohol use disorder. In an exploratory analysis, post-9/11 veterans with past-year military health care coverage (e.g., Veterans Health Administration) had shorter delays for depression treatment compared with post-9/11 veterans without military coverage, pre-9/11 veterans regardless of health care coverage, and civilians, although past-year coverage did not predict treatment delay for PTSD or alcohol use disorder.
conclusionsPost-9/11 veterans were less likely to delay treatment for some common psychiatric conditions compared with pre-9/11 veterans or civilians, which may reflect efforts to engage recent veterans in mental health care. All groups exhibited low initiation of treatment for alcohol use disorder, highlighting the need for further engagement efforts.
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