PTSD and utilization of medical treatment services among male Vietnam veterans

被引：106

作者：

Schnurr, PP ^{[1
]}

Friedman, MJ

Sengupta, A

Jankowski, MK

Holmes, T

机构：

[1] VA Med & Reg Off Ctr, Natl Ctr PTSD 116D, White River Jct, VT 05009 USA

[2] Dartmouth Med Sch, Dept Psychiat, Hanover, NH USA

[3] Dartmouth Med Sch, Dept Pharmacol, Hanover, NH USA

来源：

JOURNAL OF NERVOUS AND MENTAL DISEASE | 2000年 / 188卷 / 08期

关键词：

D O I：

10.1097/00005053-200008000-00004

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This study investigated the effect of posttraumatic stress disorder (PTSD) on help-seeking for physical problems. Merging two large data sets resulted in a sample of 1773 male Vietnam veterans from white, black, Hispanic, Native Hawaiian, and Japanese American ethnic groups. Predictors of utilization included PTSD, other axis I disorders, and substance abuse. In analyses that adjusted only for age, PTSD was related to greater utilization of recent and lifetime VA medical services, and with recent inpatient care from all sources. Further analysis showed that the increased utilization associated with PTSD was not merely due to the high comorbidity between PTSD and other axis I disorders. The uniqueness of the association between PTSD and medical utilization is discussed in terms of somatization and physical illness.

引用

页码：496 / 504

页数：9

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