Gender Differences in Posttraumatic Stress Disorder and Help Seeking in the U.S. Army
Autor: | Jason Williams, Laurel L. Hourani, Joshua E. Wilk, Robert M. Bray, Charles W. Hoge |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Mental Health Services 050103 clinical psychology medicine.medical_specialty Active duty Adolescent Alcohol Drinking Population Protective factor Comorbidity Stress Disorders Post-Traumatic Young Adult 03 medical and health sciences Sex Factors 0302 clinical medicine Risk Factors mental disorders Prevalence Humans Medicine 0501 psychology and cognitive sciences Healthcare Disparities education Psychiatry Depression (differential diagnoses) Combat Disorders education.field_of_study Depression business.industry Sex Offenses 05 social sciences General Medicine Middle Aged medicine.disease Mental health United States Help-seeking Military Personnel Female business Psychosocial 030217 neurology & neurosurgery |
Zdroj: | Journal of Women's Health. 25:22-31 |
ISSN: | 1931-843X 1540-9996 |
DOI: | 10.1089/jwh.2014.5078 |
Popis: | Inconsistent findings between studies of gender differences in mental health outcomes in military samples have left open questions of differential prevalence in posttraumatic stress disorder (PTSD) among all United States Army soldiers and in differential psychosocial and comorbid risk and protective factor profiles and their association with receipt of treatment.This study assesses the prevalence and risk factors of screening positive for PTSD for men and women based on two large, population-based Army samples obtained as part of the 2005 and 2008 U.S. Department of Defense Surveys of Health Related Behaviors among Active Duty Military Personnel.The study showed that overall rates of PTSD, as measured by several cutoffs of the PTSD Checklist, are similar between active duty men and women, with rates increasing in both men and women between the two study time points. Depression and problem alcohol use were strongly associated with a positive PTSD screen in both genders, and combat exposure was significantly associated with a positive PTSD screen in men. Overall, active duty men and women who met criteria for PTSD were equally likely to receive mental health counseling or treatment, though gender differences in treatment receipt varied by age, race, social support (presence of spouse at duty station), history of sexual abuse, illness, depression, alcohol use, and combat exposure.The study demonstrates that the prevalence of PTSD as well as the overall utilization of mental health services is similar for active duty men compared with women. However, there are significant gender differences in predictors of positive PTSD screens and receipt of PTSD treatment. |
Databáze: | OpenAIRE |
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