Premium
Correlates of mental health services utilization 18 months and almost 4 years postdisaster among adults with mental health problems
Author(s) -
Velden Peter G. van der,
Yzermans C. Joris,
Kleber Rolf J.,
Gersons B. P. R.
Publication year - 2007
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1002/jts.20273
Subject(s) - mental health , anxiety , depression (economics) , logistic regression , psychiatry , optimism , comorbidity , psychology , clinical psychology , medicine , social psychology , economics , macroeconomics
The authors assess the correlates of mental health services utilization (MHS) after a disaster among adults with mental health problems. Data of a three‐wave longitudinal study among adult survivors of a fireworks disaster (T1: 2–3 weeks, T2: 18 months, T3: almost 4 years postdisaster) were linked with their electronic medical records ( N = 649). Multivariate logistic regression analyses showed that triple comorbidity of PTSD and high levels of anxiety and depression symptoms were positively associated with self‐reported MHS utilization at T2 ( n = 270) and T3 ( n = 216). Private insurance, predisaster psychological problems, and relocation were associated with MHS utilization at T2 while female gender, being single, and migrant status was associated with MHS utilization at T3. Receiving treatment at T2 was positively associated with receiving treatment at T3, as opposed to medium optimism at T2.