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Posttraumatic stress disorder and treatment seeking in a national screening sample
Authors:Koenen Karestan C  Goodwin Renee  Struening Elmer  Hellman Fred  Guardino Mary
Affiliation:(1) Division of Epidemiology, The Joseph L. Mailman School of Public Health, Columbia University, New York;(2) Women's Health Sciences Division (116B-3), National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, 02130;(3) Department of Epidemiology of Mental Disorders, New York State Psychiatric Institute, New York;(4) Freedom From Fear, New York
Abstract:The behavioral model of service use was employed to identify predictors of mental health treatment seeking and treatment readiness among individual with PTSD (N = 2,713) in data from the 1996 National Anxiety Disorders Screening Day (NADSD). This model examines the contribution of predisposing (age, sex, marital status, race/ethnicity, education), enabling (employment, geographic location), perceived need (interference of symptoms with daily life), and evaluated need (other diagnoses) factors to treatment seeking and treatment readiness for individuals with PTSD. Results indicate that although need factors (interference by anxiety symptoms with daily life, diagnosis of panic disorder) are related to both receiving and readiness for treatment, predisposing (age, marital status, minority race) factors influence which individuals receive treatment for PTSD.
Keywords:posttraumatic stress disorder  treatment seeking  comorbidity  anxiety disorders
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