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Velden PG, Yzermans CJ, Kleber RJ, Gersons BP. Correlates of mental health services utilization 18 months and almost 4 years postdisaster among adults with mental health problems

Institute for Psychotrauma (IvP), Zaltbommel, The Netherlands.
Journal of Traumatic Stress (Impact Factor: 2.72). 12/2007; 20(6):1029-39. DOI: 10.1002/jts.20273
Source: PubMed

ABSTRACT 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.

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Available from: Rolf Kleber, Aug 22, 2015
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    • "Many victims with severe and ongoing symptomatology or mental disorders do not or wait to seek treatment (Van der Velden et al., 2007; Rodrigues and Kohn, 2008). In this perspective and because of relatively low costs, online self-screening for posttraumatic stress symptoms is becoming popular (Donker et al., 2009; Winwood et al., 2009; Vetter et al., 2011). "
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    ABSTRACT: Social organizational stressors are well-known predictors of mental health disturbances (MHD). However, to what extent these stressors predict post-disaster MHD among employed victims hardly received scientific attention and is clearly understudied. For this purpose we examined to what extent these stressors independently predict MHD 1.5 years post-disaster over and above well-known risk factors such as disaster exposure, initial MHD and lack of general social support, life-events in the past 12 months and demographics (N=423). Exposure, social organizational stressors and support were significantly associated with almost all examined mental health disturbances on a bi-variate level. Multivariate logistic regression analyses showed that these stressors, i.e. problems with colleagues, independently predicted anxiety (Adj. OR=5.93), depression (Adj. OR=4.21), hostility (Adj. OR=2.85) and having two or more mental health disturbances (Adj. OR=3.39) in contrast to disaster exposure. Disaster exposure independently predicted symptoms of PTSD symptoms (Adj. OR=2.47) and agoraphobia (Adj. OR=2.15) in contrast to social organizational stressors. Importantly, levels of disaster exposure were not associated nor correlated with (levels of) social organizational stressors. Findings suggest that post-disaster mental health care programs aimed at employed affected residents, should target social organizational stressors besides disaster-related stressors and lack of general social support. © 2014 Elsevier Ireland Ltd. All rights reserved.
    Psychiatry Research 05/2014; 219:177–182. DOI:10.1016/j.psychres.2014.05.032 · 2.68 Impact Factor
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    • "In addition, findings suggest that victims may be informed about the risk of being too optimistic when suffering from mental health problems, i.e., expecting that current problems will decline rapidly without professional help (cf. Van der Velden et al., 2007). In the long term, MHS policies may be targeted especially on men, nonsingle individuals, and natives suffering from mental health problems. "
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    ABSTRACT: 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.
    Journal of Traumatic Stress 12/2007; 20(6):1029-39. DOI:10.1002/jts.20273 · 2.72 Impact Factor
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    ABSTRACT: Peer Reviewed http://deepblue.lib.umich.edu/bitstream/2027.42/63506/1/johnson_disasters population health_2009.pdf
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