Gender- and trauma-related predictors of use of mental health treatment services among primary care patients.
OBJECTIVE
Use of mental health care was investigated as a function of gender, traumatic event frequency, posttraumatic stress disorder (PTSD), and attitudes toward treatment among 194 primary care patients.


METHODS
Patients were recruited from primary care clinics, administered the Stressful Life Events Screening Questionnaire, PTSD Symptom Scale, Attitudes Toward Seeking Professional Psychological Help-Short Form, and a survey on use of services.


RESULTS
Lifetime mental health treatment was related to increased frequency of traumatic events, positive attitudes toward treatment, and probable PTSD. Recent use of mental health care and intensity of use were related to female gender and greater frequency of trauma. Regression models yielded significant associations for trauma frequency, positive treatment attitudes, and female gender. Trauma and PTSD were associated with use more than gender and treatment attitudes were.


CONCLUSIONS
Use of and adherence to treatment may be improved by targeting attitudes toward treatment.
Elhai
Jon D
JD
Disaster Mental Health Institute, University of South Dakota, Vermillion 57069, USA. jonelhai@fastmail.fm
Patrick
Sarah L
SL
Anderson
Susan
S
Simons
Jeffrey S
JS
Frueh
B Christopher
BC
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D015146:Midwestern United States / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D011237:Predictive Value of Tests; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D011795:Surveys and Questionnaires