Treatment-Seeking Barriers for Veterans of the Iraq and Afghanistan Conflicts Who Screen Positive for PTSD

Tracy A. Stecker · Brian R. Shiner · Bradley Vincent Watts · Meissa Jones · Kenneth R. Conner

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Posttraumatic Stress Disorder Research Mental Health Treatment and Access Education and Military Integration

Abstract

OBJECTIVES: Barriers associated with the decision not to seek treatment for symptoms of combat-related posttraumatic stress disorder (PTSD) were examined. METHODS: Participants were 143 military men and women who served in Operation Enduring Freedom or Operation Iraqi Freedom (OEF/OIF) and who screened positive for posttraumatic stress disorder (PTSD), as assessed by the PTSD Checklist-Military Version, and who had not sought treatment for PTSD. During a cognitive-behavioral telephone intervention, participants were asked about their beliefs concerning seeking PTSD treatment. RESULTS: Four categories of beliefs were associated with the decision to seek treatment, including concerns about treatment (40%), emotional readiness for treatment (35%), stigma (16%), and logistical issues (8%). CONCLUSIONS: This work suggests areas for intervention efforts to minimize barriers to treatment for PTSD for OEF/OIF veterans.

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References

1998The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10 1999Validation and Utility of a Self-report Version of PRIME-MD The PHQ Primary Care Study 2004Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care 1996Psychometric properties of the PTSD checklist (PCL)1995Qualitative Research: Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research 1995Cognitive Therapy: Basics and Beyond 2009Trends and Risk Factors for Mental Health Diagnoses Among Iraq and Afghanistan Veterans Using Department of Veterans Affairs Health Care, 2002–2008 2007Cognitive Behavioral Therapy for Posttraumatic Stress Disorder in Women

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