Evidence map›Paper›PMID 39753811›Full record

ArticleJournal of general internal medicine2025

Mental Health Treatment among U.S. Military Veterans: Insights from the National Health Interview Survey.

Matthew Marini, Sarah Gutkind, Ofir Livne, David S Fink, Andrew J Saxon, Tracy L Simpson, Scott E Sherman, Zachary L Mannes

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Matthew MariniDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Sarah GutkindDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Ofir LivneNew York State Psychiatric Institute, New York, NY, USA.
David S FinkNew York State Psychiatric Institute, New York, NY, USA.
Andrew J SaxonDepartment of Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA, USA.
Tracy L SimpsonDepartment of Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA, USA.
Scott E ShermanDepartment of Population Health, New York University Grossman School of Medicine, New York, NY, USA.
Zachary L MannesDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA. zlm2106@cumc.columbia.edu.

Funding

Cannabis use patterns and associations with cognitive impairment in older adultsK23DA057417 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Ofir Livne · 2023 to 2026
$586k
Barriers to and Health Consequences of Non- Pharmacological Chronic Pain Treatment among Patients Tapering Prescription Opioids in a Large Integrated Healthcare SystemK01AT012205 · NCCIH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Zachary L Mannes · 2023 to 2026
$532k
COVID-19 Pandemic: Natural Experiment in Telehealth on Buprenorphine Treatment in a Large Integrated Healthcare SystemR00DA055724 · NIDA · YALE UNIVERSITY · PI David Stanley Fink · 2025 to 2026
$497k
NCCIH NIH HHS 1K01AT012205-01A1NCCIH NIH HHS K01 AT012205NIDA NIH HHS K23 DA057417NIDA NIH HHS R00 DA055724
6 · The paper itself

Abstract

backgroundIn the United States (U.S.), the prevalence of anxiety and depression is increasing, yet significant barriers to mental health treatment remain. U.S. military veterans are disproportionately affected by anxiety and depression. Many veterans receive medical care within the Veterans Health Administration (VHA), an integrated healthcare system that has enacted clinical initiatives to reduce barriers to mental health treatment.

objectiveWe examined associations between VHA healthcare use and receipt of mental health counseling or prescription medication for anxiety or depression.

designCross-sectional nationally representative study.

participantsU.S. veterans aged ≥ 18 years with past 12-month healthcare use and anxiety or depression (N = 1,161). MAIN MEASURES: In the 2019 National Health Interview Survey, veterans were assessed for their use of the VHA (vs. non-VHA healthcare use) and receipt of past 12-month mental health counseling, prescription medication for anxiety, or prescription medication for depression. KEY

resultsAmong all veterans with anxiety or depression, only 23% received mental health counseling, while 26% and 23% received prescription medication for anxiety or depression, respectively. Compared to non-VHA veterans, VHA patients were more likely to receive counseling (adjusted odds ratio [aOR] = 6.28, 95% CI: 5.33, 7.40), and prescription medication for anxiety (aOR = 2.03, 95% CI: 1.72, 2.40), or depression (aOR = 2.54, 95% CI: 2.17, 2.97).

conclusionsAmong veterans with anxiety or depression, VHA patients were more likely to receive mental health treatment than non-VHA veterans. Findings suggest that veteran use of counseling and psychiatric interventions remains limited, though the integrated healthcare system of the VHA may facilitate access to mental health treatment and provides a framework for non-VHA medical centers to expand access to and improve delivery of mental health services.

Indexed as

AnxietyDepressionMental Health ServicesVeteransAdultAgedCounselingCross-Sectional StudiesFemaleHealth SurveysHumansMaleMiddle AgedUnited StatesUnited States Department of Veterans AffairsYoung Adultanxietycounselingdepressionmedicationmental healthveteransVeteran’s Health Administration

Identifiers

PMID39753811
PMCPMC12405233

What OpenQuestion holds

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Registered trials

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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.