Mental Health Disorders and Treatment Seeking Among Veterans in Non-VA Facilities: Results and Implications from the Veterans’ Health Study

Military Behavioral Health

Volumn 3, Issue 4, 2015, Pages 244-254

  Boscarino, Joseph A ^a   Hoffman, Stuart N ^a   Pitcavage, James M ^a   Urosevich, Thomas G ^a  

^a GEISINGER MEDICAL CENTER   (United States)

Author keywords

alcohol misuse; combat exposure; depression; post traumatic stress disorder; Postdeployment health; psychosocial factors; service use; social work

Indexed keywords

EID: 84948840989     PISSN: 21635781     EISSN: 21635803     Source Type: Journal    
DOI: 10.1080/21635781.2015.1077179     Document Type: Article

References (74)

1. Acierno, R., Kilpatrick, D. G., Resnick, H., Saunders, B., De Arellano, M., & Best, C. (2000). Assault, PTSD, family substance use, and depression as risk factors for cigarette use in youth: Findings from the National Survey of Adolescents. Journal of Traumatic Stress, 13(3), 381–396. doi:10.1023/A:1007772905696
2. Adams, R. E., & Boscarino, J. A. (2011). A structural equation model of perievent panic and posttraumatic stress disorder after a community disaster. Journal of Traumatic Stress, 24(1), 61–69. doi:10.1002/jts.20603
3. Adams, R. E., & Boscarino, J. A. (2015). Volunteerism and well-being in the context of the World Trade Center terrorist attacks. International Journal of Emergency Mental Health, 17(1), 274–282. doi:10.4172/1522-4821.1000158
4. Adams, R. E., Boscarino, J. A., & Galea, S. (2006). Social and psychological resources and health outcomes after the World Trade Center disaster. Social Science and Medicine (1982), 62(1), 176–188. doi:10.1016/j. socscimed.2005.05.008
5. Adams, R. E., Laraque, D., Chemtob, C. M., Jensen, P. S., & Boscarino, J. A. (2013). Does a one-day educational training session influence primary care pediatricians’ mental health practice procedures in response to a community disaster? Results from the Reaching Children Initiative (RCI). International Journal of Emergency Mental Health, 15(1), 3–14.
6. Adler, A. B., & Castro, C. A.. (2013). An occupational health model for the military. Military Behavioral Health, 1(1), 41–51.
7. Allen, J. P., & Columbus, M. (Eds.). (1995). Assessing alcohol problems: A guide for clinicians and researchers. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.
8. Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge.
9. Binder, E. B., Bradley, R. G., Liu, W., Epstein, M. P., Deveau, T. C., Mercer, K. B., & Ressler, K. J. (2008). Association of FKBP5 polymorphisms and childhood abuse with risk of posttraumatic stress disorder symptoms in adults. Journal of the American Medical Association, 299 (11), 1291–1305. doi:10.1001/jama.299.11.1291
10. Booth-Kewley, S., Larson, G. E., Highfill-McRoy, R. M., Garland, C. F., & Gaskin, T. A. (2010). Correlates of posttraumatic stress disorder symptoms in Marines back from war. Journal of Traumatic Stress, 23(1), 69– 77. doi:10.1002/jts.20485
11. Boscarino, J. A. (1995). Post-traumatic stress and associated disorders among Vietnam veterans: The significance of combat exposure and social support. Journal of Traumatic Stress, 8(2), 317–336. doi:10.1007/BF02109567
12. Boscarino, J. A. (2007). Vietnam veterans, postwar experiences, and health outcomes. In G. Fink (Ed.), Encyclopedia of stress (2nd ed., pp. 830– 838). New York, NY: Academic Press.
13. Boscarino, J. A., & Adams, R. E. (2009). PTSD onset and course following the World Trade Center disaster: Findings and implications for future research. Social Psychiatry and Psychiatric Epidemiology, 44(10), 887– 898. doi:10.1007/s00127-009-0011-y
14. Boscarino, J. A., Adams, R. E., & Figley, C. R. (2004). Mental health service use one year after the World Trade Center disaster: Implications for mental health care. General Hospital Psychiatry, 26(5), 346–358. doi:10.1016/j.genhosppsych.2004.05.001
15. Boscarino, J. A., Adams, R. E., & Figley, C. R. (2011). Mental health service use after the World Trade Center disaster: Utilization trends and comparative effectiveness. Journal of Nervous and Mental Disease, 199 (2), 91–99. doi:10.1097/NMD.0b013e3182043b39
16. Boscarino, J. A., Galea, S., Adams, R. E., Ahern, J., Resnick, H., & Vlahov, D. (2004). Mental health service and medication use in New York City after the September 11, 2001, terrorist attack. Psychiatric Services, 55(3), 274–283. doi:10.1176/appi.ps.55.3.274
17. Boscarino, J. A., Hoffman, S. N., Adams, R. E., Figley, C. R., & Solhkhah, R. (2014). Mental health outcomes among vulnerable residents after Hurricane Sandy: Implications for disaster research and planning. American Journal of Disaster Medicine, 9(2), 107–120. doi:10.5055/ajdm.2014.0147
18. Boscarino, J. A., Kirchner, H. L., Hoffman, S. N., Sartorius, J., & Adams, R. E. (2011). PTSD and alcohol use after the World Trade Center attacks: A longitudinal study. Journal of Traumatic Stress, 24(5), 515– 525. doi:10.1002/jts.20673
19. Boscarino, J. A., Kirchner, H. L., Hoffman, S. N., Sartorius, J., Adams, R. E., & Figley, C. R. (2012). The New York PTSD Risk Score for Assessment of Psychological Trauma: Male and female versions. Psychiatry Research, 200(2–3), 827–834. doi:10.1016/j.psychres.2012.04.022
20. Boscarino, J. A., Larson, S., Ladd, I., Hill, E., & Paolucci, S. J. (2010). Mental health experiences and needs among primary care providers treating OEF/OIF veterans: Preliminary findings from the Geisinger Veterans Initiative. International Journal of Emergency Mental Health, 12 (3), 161–170.
21. Boscarino, J. A., Lu, M., Moorman, A. C., Gordon, S. C., Rupp, L. B., Spradling, P. R., & Holmberg, S. D. (2015). Predictors of poor mental and physical health status among patients with chronic hepatitis C infection: The Chronic Hepatitis Cohort Study (CHeCS). Hepatology, 61(3), 802–811. doi:10.1002/hep.27422
22. Boscarino, J. A., Rukstalis, M., Hoffman, S. N., Han, J. J., Erlich, P. M., Gerhard, G. S., & Stewart, W. F. (2010). Risk factors for drug dependence among out-patients on opioid therapy in a large U.S. health care system. Addiction, 105(10), 1776–1782. doi:10.1111/j.1360-0443.2010.03052.x
23. Boscarino, J. A., Sitarik, A., Gordon, S. C., Rupp, L. B., Nerenz, D. R., Vijayadeva, V., & Lu, M. (2014). Risk factors for hepatitis C infection among Vietnam era veterans versus nonveterans: Results from the Chronic Hepatitis Cohort Study (CHeCS). Journal of Community Health, 39(5), 914–921. doi:10.1007/s10900-014-9863-5
24. Buttorff, C., Tunis, S. R., & Weiner, J. P. (2013). Encouraging value-based insurance designs in state health insurance exchanges. American Journal of Managed Care, 19(7), 593–600.
25. Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor-Davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20(6), 1019–1028. doi:10.1002/jts.20271
26. Carey, K., Montez-Rath, M. E., Rosen, A. K., Christiansen, C. L., Love-land, S., & Ettner, S. L. (2008). Use of VA and Medicare services by dually eligible veterans with psychiatric problems. Health Services Research, 43(4), 1164–1183. doi:10.1111/j.1475-6773.2008.00840.x
27. Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioral Medicine, 4(1), 92–100. doi:10.1207/s15327558ijbm0401_6
28. Centers for Disease Control. (1988). Health status of Vietnam veterans. I. Psychosocial characteristics: The Centers for Disease Control Vietnam Experience Study. Journal of the American Medical Association, 259 (18), 2701–2707.
29. Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. doi:10.1002/da.10113
30. Crawford, E. F., Fulton, J. J., Swinkels, C. M., Beckham, J. C., VA Mid-Atlantic MIRECC OEF/OIF Registry Workgroup, & Calhoun, P. S. (2013). Diagnostic efficiency of the AUDIT-C in U.S. veterans with military service since September 11, 2001. Drug and Alcohol Dependence, 132(1–2), 101–106. doi:10.1016/j.drugalcdep.2013.01.012
31. Dohrenwend, B. P., Turner, J. B., Turse, N. A., Adams, B. G., Koenen, K. C., & Marshall, R. (2006). The psychological risks of Vietnam for U.S. veterans: A revisit with new data and methods. Science, 313(5789), 979–982. doi:10.1126/science.1128944
32. Dong, M., Giles, W. H., Felitti, V. J., Dube, S. R., Williams, J. E., Chapman, D. P., & Anda, R. F. (2004). Insights into causal pathways for ischemic heart disease: Adverse Childhood Experiences Study. Circulation, 110(13), 1761–1766. doi:10.1161/01.CIR.0000143074.54995.7F
33. Elbogen, E. B., Wagner, H. R., Johnson, S. C., Kinneer, P., Kang, H., Vasterling, J. J., & Beckham, J. C. (2013). Are Iraq and Afghanistan veterans using mental health services? New data from a national random-sample survey. Psychiatric Services, 64(2), 134–141. doi:10.1176/appi. ps.004792011
34. Galea, S., Ahern, J., Resnick, H., Kilpatrick, D., Bucuvalas, M., Gold, J., & Vlahov, D. (2002). Psychological sequelae of the September 11 terrorist attacks in New York City. New England Journal of Medicine, 346(13), 982–987. doi:10.1056/NEJMsa013404
35. Hermes, E. D., Hoff, R., & Rosenheck, R. A. (2014). Sources of the increasing number of Vietnam era veterans with a diagnosis of PTSD using VHA services. Psychiatric Service, 65(6), 830–832. doi:10.1176/appi.ps.201300232
36. Hobfoll, S. E., & Lerman, M. (1988). Personal relationships, personal attributes, and stress resistance: Mothers’ reactions to their child’s illness. American Journal of Community Psychology, 16(4), 565–589. doi:10.1007/BF00922772
37. Hoffman, S. N., Zhang, X., Erlich, P. M., & Boscarino, J. A. (2012). Grapheme-color synesthesia and posttraumatic stress disorder: Preliminary results from the Veterans Health Study. Psychosomatic Medicine, 74(9), 912–915. doi:10.1097/PSY.0b013e3182731007
38. Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1), 13–22. doi:10.1056/NEJMoa040603
39. Hynes, D. M., Koelling, K., Stroupe, K., Arnold, N., Mallin, K., Sohn, M. W., & Kok, L. (2007). Veterans’ access to and use of Medicare and Veterans Affairs health care. Medical Care, 45(3), 214–223. doi:10.1097/01.mlr.0000244657.90074.b7
40. James, L. M., Van Kampen, E., Miller, R. D., & Engdahl, B. E. (2013). Risk and protective factors associated with symptoms of post-traumatic stress, depression, and alcohol misuse in OEF/OIF veterans. Military Medicine, 178(2), 159–165.
41. Janes, G. R., Goldberg, J., Eisen, S. A., & True, W. R. (1991). Reliability and validity of a combat exposure index for Vietnam era veterans. Journal of Clinical Psychology, 47(1), 80–86.
42. Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey replication. Archives of General Psychiatry, 62(6), 593–602. doi:10.1001/archpsyc.62.6.593
43. Kessler, R. C., & Wang, P. S. (2008). The descriptive epidemiology of commonly occurring mental disorders in the United States. Annual Review of Public Health, 29, 115–129. doi:10.1146/annurev. publhealth.29.020907.090847
44. Kessler, R. C., Zhao, S., Katz, S. J., Kouzis, A. C., Frank, R. G., Edlund, M., & Leaf, P. (1999). Past-year use of outpatient services for psychiatric problems in the National Comorbidity Survey. American Journal of Psychiatry, 156(1), 115–123.
45. Kilpatrick, D. G., Resnick, H. S., Freedy, J. R., Pelcovitz, D., Resick, P., Roth, S., & van der Kolk, B. (1998). The posttraumatic stress disorder field trial: Evaluation of the PTSD construct—Criteria A through E. In T. Widiger, A. Frances, H. Pincus, et al. (Eds.), DSM-IV sourcebook (pp. 803–844). Washington, DC: American Psychiatric Association Press.
46. Kilpatrick, D. G., Ruggiero, K. J., Acierno, R., Saunders, B. E., Resnick, H. S., & Best, C. L. (2003). Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: Results from the National Survey of Adolescents. Journal of Consulting and Clinical Psychology, 71(4), 692–700.
47. King, M. (1986). At-risk drinking among general practice attenders: Validation of the CAGE questionnaire. Psychological Medicine, 16(1), 213–217.
48. Kizer, K. W., & Jha, A. K. (2014). Restoring trust in VA health care. New England Journal of Medicine, 371, 295–297. doi:10.1056/NEJMp1406852
49. Kok, B. C., Herrell, R. K., Thomas, J. L., & Hoge, C. W. (2012). Posttraumatic stress disorder associated with combat service in Iraq or Afghanistan: Reconciling prevalence differences between studies. Journal of Nervous and Mental Disease, 200(5), 444–450. doi:10.1097/NMD.0b013e3182532312
50. Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. S. (1990a). The National Vietnam Veterans Readjustment Study: Tables of findings and technical appendices. New York, NY: Brunner/Mazel.
51. Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. S. (1990b). Trauma and the Vietnam War generation: Report of findings from the National Vietnam Readjustment Study. New York, NY: Brunner/Mazel.
52. LeardMann, C. A., Smith, T. C., Smith, B., Wells, T. S., Ryan, M. A., & Millennium Cohort Study Team. (2009). Baseline self reported functional health and vulnerability to post-traumatic stress disorder after combat deployment: Prospective U.S. military cohort study. BMJ, 338, b1273. doi:10.1136/bmj.b1273
53. Leider, J. P., Castrucci, B. C., Russo, P., & Hearne, S. (2015). Perceived impacts of health care reform on large urban health departments. Journal of Public Health Management and Practice, 21(Suppl. 1), S66–S75. doi:10.1097/PHH.0000000000000145
54. Levy, B. S., & Sidel, V. W. (2009). Health effects of combat: A life-course perspective. Annual Review of Public Health, 30, 123–136. doi:10.1146/annurev.publhealth.031308.100147
55. Liu, C. F., Chapko, M., Bryson, C. L., Burgess, J. F., Jr., Fortney, J. C., Perkins, M., & Maciejewski, M. L. (2010). Use of outpatient care in Veterans Health Administration and Medicare among veterans receiving primary care in community-based and hospital outpatient clinics. Health Services Research, 45(5 Pt. 1), 1268–1286. doi:10.1111/j.1475-6773.2010.01123.x
56. Liu, C. F., Manning, W. G., Burgess, J. F., Jr., Hebert, P. L., Bryson, C. L., Fortney, J., & Maciejewski, M. L. (2011). Reliance on Veterans Affairs outpatient care by Medicare-eligible veterans. Medical Care, 49(10), 911–917. doi:10.1097/MLR.0b013e31822396c5
57. Moorman, A. C., Gordon, S. C., Rupp, L. B., Spradling, P. R., Teshale, E. H., Lu, M., & Chronic Hepatitis Cohort Study Investigators. (2013). Baseline characteristics and mortality among people in care for chronic viral hepatitis: The Chronic Hepatitis Cohort Study. Clinical Infectious Diseases, 56(1), 40–50. doi:10.1093/cid/cis815
58. O’Brien, C. P. (2008). The CAGE questionnaire for detection of alcoholism: A remarkably useful but simple tool. Journal of the American Medical Association, 300(17), 2054–2056. doi:10.1001/jama.2008.570
59. O’Brien, C. P., Oster, M., & Morden, E. (Eds.). (2012). Substance use disorders in the U.S. Armed Forces. Washington, DC: National Academy Press.
60. Pietrzak, R. H., & Cook, J. M. (2013). Psychological resilience in older U.S. veterans: Results from the National Health and Resilience in Veterans Study. Depression and Anxiety, 30(5), 432–443. doi:10.1002/da.22083
61. Resnick, H. S., Kilpatrick, D. G., Dansky, B. S., Saunders, B. E., & Best, C. L. (1993). Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. Journal of Consulting and Clinical Psychology, 61(6), 984–991. doi:10.1037/0022-006X.61.6.984
62. Robinson, J. P., Shaver, P. R., & Wrightsman, L. S. (Eds.). (1991). Measures of personality and social psychological attitudes. Vol. 1: Measures of social psychological attitudes (2nd ed., pp. 115–160). San Diego, CA: Academic Press.
63. Rosen, R. C., Marx, B. P., Maserejian, N. N., Holowka, D. W., Gates, M. A., Sleeper, L. A., & Keane, T. M. (2012). Project VALOR: Design and methods of a longitudinal registry of post-traumatic stress disorder (PTSD) in combat-exposed veterans in the Afghanistan and Iraqi military theaters of operations. International Journal of Methods in Psychiatric Research, 21(1), 5–16. doi:10.1002/mpr.355
64. Sayer, N. A., Carlson, K. F., & Frazier, P. A. (2014). Reintegration challenges in U.S. service members and veterans following combat deployment. Social Issues and Policy Review, 8(1), 33–73. doi:10.1111/sipr.12001
65. Shen, Y., Hendricks, A., Zhang, S., & Kazis, L. E. (2003). VHA enrollees’ health care coverage and use of care. Medical Care Research and Review, 60(2), 253–267. doi:10.1177/1077558703060002007
66. Sinclair, S. J., Blais, M. A., Gansler, D. A., Sandberg, E., Bistis, K., & LoCicero, A. (2010). Psychometric properties of the Rosenberg Self-Esteem Scale: Overall and across demographic groups living within the United States. Evaluation and the Health Professions, 33(1), 56–80. doi:10.1177/0163278709356187
67. Spelman, J. F., Hunt, S. C., Seal, K. H., & Burgo-Black, A. L. (2012). Post deployment care for returning combat veterans. Journal of General Internal Medicine, 27(9), 1200–1209. doi:10.1007/s11606-012-2061-1; 10.1007/s11606-012-2061-1
68. Stata Corporation. (2013). Stata, Version 13.1. College Station, TX: Stata Corporation.
69. Stimpson, N. J., Thomas, H. V., Weightman, A. L., Dunstan, F., & Lewis, G. (2003). Psychiatric disorder in veterans of the Persian Gulf War of 1991: Systematic review. British Journal of Psychiatry, 182, 391–403. doi:10.1192/bjp.182.5.391
70. Trivedi, A. N., Grebla, R. C., Jiang, L., Yoon, J., Mor, V., & Kizer, K. W. (2012). Duplicate federal payments for dual enrollees in Medicare Advantage plans and the Veterans Affairs health care system. Journal of the American Medical Association, 308(1), 67–72. doi:10.1001/jama.2012.7115
71. U.S. Census Bureau. (n.d.). Veteran status: 2012 American community survey 1-year estimates [table]. Retrieved from http://factfinder2.census. gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_12_1 YR_S2101&prodType=table
72. U.S. Department of Veterans Affairs. (2002). 2001 National survey of veterans (NSV): Final report. Washington, DC: U.S. Department of Veterans Affairs.
73. U.S. Department of Veterans Affairs. (2010). National survey of veterans, active duty services members, demobilized national guard and reserve members, family members, and surviving spouses (Final Report ed.). Washington, DC: U.S. Department of Veterans Affairs.
74. Yamashita, J. (2012). A review of psychological assessments for disaster mental health studies. Psychological Trauma, 4, 560–567. doi:10.1037/a0025952