PDF(Pubmed)
Abstract：
OBJECTIVE: Treatment utilization among veterans with posttraumatic stress disorder (PTSD) is low. Understanding correlates and predictors of mental health care for veterans with PTSD is critical to facilitating treatment utilization. However, given the size of the literature base and disparate findings, it is difficult to interpret available research. Correlates and predictors of mental health care for veterans with PTSD published between 2012 and 2016 were examined to (a) define the scope of recent literature and (b) summarize predictive evidence.
METHODS: This 2-phase systematic review conducted scientific database searches. Phase 1 defined the scope of recent literature (n = 51) and tabulated types of correlates, outcomes, and sources of bias. Phase 2 summarized results from prospective studies (n = 17) evaluating mental health care utilization (PROSPERO ID No. CRD42017082686).
RESULTS: Demographics-social network characteristics (61%) and evaluated need (61%) were the most common correlates of mental health utilization. Facilitators with the strongest evidence for predicting utilization (both initiation and retention) were characteristics of the episode of care (e.g., mental health in primary care) and greater PTSD symptom severity. Study biases favoring Department of Veterans Affairs (VA) enrollees (92%) and excluding outside VA care outcomes (86%) limit generalizability of results.
CONCLUSIONS: Efforts focused on providing mental health in primary care, interventions to address mental health beliefs, and outreach to racial-ethnic minority veterans and those with mild to moderate PTSD could increase mental health care utilization. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
METHODS: This 2-phase systematic review conducted scientific database searches. Phase 1 defined the scope of recent literature (n = 51) and tabulated types of correlates, outcomes, and sources of bias. Phase 2 summarized results from prospective studies (n = 17) evaluating mental health care utilization (PROSPERO ID No. CRD42017082686).
RESULTS: Demographics-social network characteristics (61%) and evaluated need (61%) were the most common correlates of mental health utilization. Facilitators with the strongest evidence for predicting utilization (both initiation and retention) were characteristics of the episode of care (e.g., mental health in primary care) and greater PTSD symptom severity. Study biases favoring Department of Veterans Affairs (VA) enrollees (92%) and excluding outside VA care outcomes (86%) limit generalizability of results.
CONCLUSIONS: Efforts focused on providing mental health in primary care, interventions to address mental health beliefs, and outreach to racial-ethnic minority veterans and those with mild to moderate PTSD could increase mental health care utilization. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
摘要：
目标：创伤后应激障碍（PTSD）退伍军人的治疗利用率较低。了解患有PTSD的退伍军人的精神卫生保健的相关因素和预测因素对于促进治疗利用至关重要。然而,鉴于文献基础的规模和不同的发现，很难解释现有的研究。研究了2012年至2016年间发表的创伤后应激障碍退伍军人精神保健的相关因素和预测因素，以(a)定义最近文献的范围，(b)总结预测性证据。
方法：这个两阶段系统综述进行了科学数据库搜索。第一阶段定义了最近文献的范围(n=51)和相关关系的列表类型，结果，和偏见的来源。第2阶段总结了前瞻性研究（n=17）评估精神卫生保健利用的结果（PROSPEROID号。CRD42017082686)。
结果：人口统计学-社交网络特征（61%）和评估需求（61%）是心理健康利用的最常见关联。具有预测利用率(包括启动和保留)的最强证据的促进者是护理事件的特征(例如，初级保健中的心理健康）和更大的PTSD症状严重程度。有利于退伍军人事务部（VA）注册人员（92％）和排除VA护理结果（86％）的研究偏见限制了结果的普遍性。
结论：致力于在初级保健中提供心理健康，解决心理健康信念的干预措施，与种族少数族裔退伍军人和患有轻度至中度PTSD的人接触可以提高精神卫生保健的利用率。(PsycINFO数据库记录(c)2019年APA，保留所有权利)。
方法：这个两阶段系统综述进行了科学数据库搜索。第一阶段定义了最近文献的范围(n=51)和相关关系的列表类型，结果，和偏见的来源。第2阶段总结了前瞻性研究（n=17）评估精神卫生保健利用的结果（PROSPEROID号。CRD42017082686)。
结果：人口统计学-社交网络特征（61%）和评估需求（61%）是心理健康利用的最常见关联。具有预测利用率(包括启动和保留)的最强证据的促进者是护理事件的特征(例如，初级保健中的心理健康）和更大的PTSD症状严重程度。有利于退伍军人事务部（VA）注册人员（92％）和排除VA护理结果（86％）的研究偏见限制了结果的普遍性。
结论：致力于在初级保健中提供心理健康，解决心理健康信念的干预措施，与种族少数族裔退伍军人和患有轻度至中度PTSD的人接触可以提高精神卫生保健的利用率。(PsycINFO数据库记录(c)2019年APA，保留所有权利)。
