scholarly journals Gender Differences in Health Service Utilization Among Iraq and Afghanistan Veterans with Posttraumatic Stress Disorder

2012 ◽  
Vol 21 (6) ◽  
pp. 666-673 ◽  
Author(s):  
Shira Maguen ◽  
Beth Cohen ◽  
Greg Cohen ◽  
Erin Madden ◽  
Daniel Bertenthal ◽  
...  
2006 ◽  
Vol 19 (3) ◽  
pp. 393-397 ◽  
Author(s):  
Patrick S. Calhoun ◽  
Hayden B. Bosworth ◽  
Karen A. Stechuchak ◽  
Jennifer Strauss ◽  
Marian I. Butterfield

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Pauline Goger ◽  
Argero A. Zerr ◽  
V. Robin Weersing ◽  
John F. Dickerson ◽  
Phillip M. Crawford ◽  
...  

2019 ◽  
Vol 37 (3) ◽  
pp. 374-381
Author(s):  
Jaedon P Avey ◽  
Laurie Moore ◽  
Barbara Beach ◽  
Vanessa Y Hiratsuka ◽  
Lisa G Dirks ◽  
...  

Abstract Background For populations with high rates of trauma exposure yet low behavioural health service use, identifying and addressing trauma in the primary care setting could improve health outcomes, reduce disability and increase the efficiency of health system resources. Objective To assess the acceptability and feasibility of a screening, brief intervention and referral to treatment (SBIRT) process for trauma and symptoms of posttraumatic stress disorder (PTSD) among American Indian and Alaska Native people. We also examine the short-term effects on service utilization and the screening accuracy of the Primary Care Posttraumatic Stress Disorder Screen. Methods Cross-sectional pilot in two tribal primary care settings. Surveys and interviews measured acceptability among patients and providers. Health service utilization was used to examine impact. Structured clinical interview and a functional disability measure were used to assess screening accuracy. Results Over 90% of patient participants (N = 99) reported the screening time was acceptable, the questions were easily understood, the right staff were involved and the process satisfactory. Ninety-nine percent would recommend the process. Participants screening positive had higher behavioural health utilization in the 3 months after the process than those screening negative. The Primary Care Posttraumatic Stress Disorder Screen was 100% sensitive to detect current PTSD with 51% specificity. Providers and administrators reported satisfaction with the process. Conclusions The SBIRT process shows promise for identifying and addressing trauma in primary care settings. Future research should explore site specific factors, cost analyses and utility compared to other behavioural health screenings.


2020 ◽  
pp. 088626052093851
Author(s):  
Meghan E. Pierce ◽  
Catherine Fortier ◽  
Jennifer R. Fonda ◽  
William Milberg ◽  
Regina McGlinchey

Intimate partner violence (IPV) refers to emotional, physical, and/or sexual abuse perpetrated by a current or former partner. IPV affects both genders, though little is known about its effects on men as victims. The aims of this study were to determine if IPV is a factor contributing to posttraumatic stress disorder (PTSD) severity independently of deployment-related trauma, and to determine if there are gender differences in these associations. Participants were 46 female and 471 male post-9/11 veterans. Four sequential regressions were employed to examine the independent contribution of IPV among multiple trauma types on PTSD severity in men and women at two epochs, post-deployment (participants were anchored to deployment-related PTSD symptoms) and current (within the past month). Models were significant for both epochs in men ( ps < .001) but not in women ( ps > .230). In men, IPV independently predicted PTSD severity in both epochs (β > .093). However, in women, early life trauma (β = .284), but not IPV was a significant and independent predictor for current PTSD. Thus, there are distinct gender differences in how trauma type contributes to PTSD symptom severity. Although the statistical models were not significant in women, we observed similar patterns of results as in men and, in some cases, the β was actually higher in women than in men, suggesting a lack of power in our analyses. More research is clearly needed to follow-up these results; however, our findings indicate that IPV is a contributing factor to PTSD severity in veterans.


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