title: Psychosocial Predictors of Mental Health Service Utilization Among Women During their Mid-Sixties.
abstract: This prospective study examined the longitudinal pathways to the utilization of mental health services among women in their mid-sixties. Earlier educational level, psychological symptoms, cigarette use, and physical diseases and later psychological symptoms were examined as predictors of mental health services utilization. The sample consisted of a prospective cohort of women (N = 511) who were followed from young adulthood (mean age = 32) to late midlife (mean age = 65). Using structural equation modeling, the results supported a mediational model showing that earlier low educational level and greater psychological symptoms predicted increased cigarette smoking. Cigarette smoking predicted later physical diseases and symptoms. Physical diseases and symptoms were related to financial difficulty and later psychological symptoms and, ultimately, the use of mental health services by women in the mid-sixties.
authors.affiliation: Department of Psychiatry, New York University School of Medicine, 215 Lexington Avenue, 15th Floor, New York, NY, 10016, USA.
authors.forename: Kerstin
authors.initials: K
authors.lastname: Pahl
authors.affiliation: Department of Psychiatry, New York University School of Medicine, 215 Lexington Avenue, 15th Floor, New York, NY, 10016, USA. judith.brook@nyumc.org.
authors.forename: Judith S
authors.initials: JS
authors.lastname: Brook
authors.affiliation: Department of Psychiatry, New York University School of Medicine, 215 Lexington Avenue, 15th Floor, New York, NY, 10016, USA.
authors.forename: Chenshu
authors.initials: C
authors.lastname: Zhang
authors.affiliation: Department of Psychiatry, New York University School of Medicine, 215 Lexington Avenue, 15th Floor, New York, NY, 10016, USA.
authors.forename: David W
authors.initials: DW
authors.lastname: Brook
mesh_terms: D000367:Age Factors; D000368:Aged; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D008960:Models, Psychological; D011446:Prospective Studies; D012737:Sex Factors; D012907:Smoking / Q000523:psychology