Correlates of mental health services utilization 18 months and almost 4 years postdisaster among adults with mental health problems

P.G. van der Velden, Linda Grievink, C.J. Yzermans, R.J. Kleber, B.P.R. Gersons

Research output: Contribution to journalArticleScientificpeer-review

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.
Original languageEnglish
Pages (from-to)1029-1039
Number of pages11
JournalJournal of Traumatic Stress
Volume20
Publication statusPublished - Dec 2007

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Mental Health Services
Mental Health
Disasters
Electronic Health Records
Survivors
Comorbidity
Logistic Models
Depression

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van der Velden, P. G., Grievink, L., Yzermans, C. J., Kleber, R. J., & Gersons, B. P. R. (2007). Correlates of mental health services utilization 18 months and almost 4 years postdisaster among adults with mental health problems. Journal of Traumatic Stress, 20, 1029-1039.
van der Velden, P.G. ; Grievink, Linda ; Yzermans, C.J. ; Kleber, R.J. ; Gersons, B.P.R. / Correlates of mental health services utilization 18 months and almost 4 years postdisaster among adults with mental health problems. In: Journal of Traumatic Stress. 2007 ; Vol. 20. pp. 1029-1039.
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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 linkedwith 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, predisasterpsychological 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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van der Velden, PG, Grievink, L, Yzermans, CJ, Kleber, RJ & Gersons, BPR 2007, 'Correlates of mental health services utilization 18 months and almost 4 years postdisaster among adults with mental health problems', Journal of Traumatic Stress, vol. 20, pp. 1029-1039.

Correlates of mental health services utilization 18 months and almost 4 years postdisaster among adults with mental health problems. / van der Velden, P.G.; Grievink, Linda; Yzermans, C.J.; Kleber, R.J.; Gersons, B.P.R.

In: Journal of Traumatic Stress, Vol. 20, 12.2007, p. 1029-1039.

Research output: Contribution to journalArticleScientificpeer-review

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AB - 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 linkedwith 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, predisasterpsychological 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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