Abstract：
UNASSIGNED: Mental health (MH) research among veterans receiving services from the Veterans Health Administration (VHA) is extensive and growing and informs many clinical practice guidelines. We used nationally representative survey data to examine the generalizability of this extensive body of research by comparing sociodemographic and clinical characteristics of male veteran veterans health service (VHS) users (n = 491) with veteran non-VHS users (n = 840) and nonveteran (n = 6300) MH service users. VHS users were older, more often reported Black race, and less likely to have private or Medicaid insurance, but had similar prevalence of psychiatric or substance use disorder diagnoses but with a greater prevalence of posttraumatic stress disorder (PTSD). VHS users reported higher rates of medical diagnoses, pain interference, and poorer physical and MH status. These results suggest that VHA MH research may be reasonably generalizable to US mental health service users with caveats regarding age, PTSD diagnosis, pain, and racial distribution.
摘要：
■接受退伍军人健康管理局（VHA）服务的退伍军人中的心理健康（MH）研究是广泛且不断发展的，并为许多临床实践指南提供了信息。我们使用具有全国代表性的调查数据，通过比较男性退伍军人健康服务（VHS）用户（n=491）与退伍军人非VHS用户（n=840）和非退伍军人的社会人口统计学和临床特征来检查这项广泛研究的普遍性（n=6300）MH服务用户。VHS用户年龄较大，更经常报道黑人种族，不太可能有私人或医疗补助保险，但精神病或物质使用障碍的诊断患病率相似,但创伤后应激障碍(PTSD)的患病率更高.VHS用户报告了更高的医疗诊断率，疼痛干扰，和较差的身体和MH状态。这些结果表明，VHAMH研究可以合理地推广到美国心理健康服务用户，PTSD诊断,疼痛,和种族分布。
