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Cited by 289Mental Health Treatment and AccessPosttraumatic Stress Disorder ResearchMigration, Health and Trauma

Mental Disorders and Mental Health Treatment Among U.S. Department of Veterans Affairs Outpatients: The Veterans Health Study

Hankin, Cheryl S., Spiro, Avron, Miller, Donald R., Kazis, Lewis·1999·American Journal of Psychiatry
DOI 10.1176/ajp.156.12.1924
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Abstract

OBJECTIVE: The authors examined the self-reported presence and treatment of current depressive disorder, posttraumatic stress disorder (PTSD), and alcohol-related disorder in a group of outpatient veterans. METHOD: Data were obtained from the Veterans Health Study, a longitudinal investigation of male veterans' health. A representative sample of 2,160 outpatients (mean age = 62 years) was drawn from Boston-area U.S. Department of Veterans Affairs (VA) outpatient facilities. The participants completed screening measures for depression, PTSD, and alcohol-related disorder. Mental health treatment was assessed by interviews. RESULTS: The screening criteria for at least one current mental disorder were satisfied by 40% (N = 856) of the patients. Screening rates were 31% (N = 676) for depression, 20% (N = 426) for PTSD, and 12% (N = 264) for alcohol-related disorder. Patients who screened positively for current mental disorders were younger, less likely to be married or employed, and more likely to report traumatic exposure than were those without mental disorders. Of those who met the screening criteria for any of the targeted mental disorders, 68% (N = 579) reported receiving mental health treatment. Younger, Caucasian men and those who reported more traumatic exposure were more likely to report receiving mental health treatment than were others who screened positively for mental disorders. CONCLUSIONS: Screening rates of depression and PTSD and rates of mental health treatment were considerably higher among these VA outpatients than among similar patients in primary care in the private sector. Although the VA is currently meeting the mental health care needs of its patients, future fiscal constraints could affect most adversely the treatment of non-Caucasian and older patients and those with a history of traumatic exposure.

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  • The patterns of amygdala connectivity at rest found in patients with PTSD are consistent with the idea that PTSD involves a functional dissociation between dorsal regions involved in effortful emotion regulation and ventral regions involved in emotion experience.

    “The patterns of amygdala connectivity at rest that we found in patients with PTSD are consistent with the idea that this disorder involves a functional dissociation between dorsal regions (including the PCC, dorsal ACC, dorsal mPFC and dorsolateral PFC) involved in effortful emotion regulation and ventral regions (amygdala, subgenual ACC and insula) involved in emotion experience.69”

    From Altered resting-state amygdala functional connectivity in men with posttraumatic stress disorder (2012) · cites this paper as [69]

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Authors
Hankin, C. S., Spiro, A., Miller, D. R., & Kazis, L.
Affiliations
Edith Nourse Rogers Memorial Veterans Hospital (US)
ORCID
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
1999-12-01
Volume
156
Issue
12
Pages
1924-1930
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/ajp.156.12.1924
OpenAlex
W1843780140
Cited by
289
References
38
Citations by year
2026: 1 · 2025: 4 · 2024: 3 · 2023: 8 · 2022: 6 · 2021: 5 · 2020: 7 · 2019: 11 · 2018: 10 · 2017: 9 · 2016: 8 · 2015: 29 · 2014: 34 · 2013: 14 · 2012: 19
FWCI
6.62
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
mental illness, psychotherapy, veterans, depression, post-traumatic stress disorder, alcohol-related disorders, mental health screening, veterans' health care, trauma exposure, treatment utilization disparities, Department of Veterans Affairs
MeSH terms
Alcoholism, Ambulatory Care, Mental Disorders, Depressive Disorder, Hospitals, Veterans, Humans, Longitudinal Studies, Male, Mental Health Services, Middle Aged, Stress Disorders, Post-Traumatic, United States, United States Department of Veterans Affairs, Veterans

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