Past-Year Treatment Utilization Among Individuals Meeting DSM-5 PTSD Criteria: Results From a Nationally Representative Sample.

Hale AC, Sripada RK, Bohnert KM. Past-Year Treatment Utilization Among Individuals Meeting DSM-5 PTSD Criteria: Results From a Nationally Representative Sample. Psychiatric services (Washington, D.C.). 2018 Mar 1; 69(3):341-344.

Related HSR&D Project(s)

• CDA 11-245 – VA Healthcare Delivery for OEF/OIF Veterans with Mental & Substance Use Disorders
• CDA 15-251 – Optimizing treatment response in VA Specialized Intensive/Inpatient PTSD programs

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Abstract:

OBJECTIVE: Little is known regarding treatment utilization among individuals meeting DSM-5 criteria for posttraumatic stress disorder (PTSD). METHODS: Data were analyzed from the third wave of the National Epidemiologic Survey on Alcohol and Related Conditions, a nationally representative sample using DSM-5 criteria. RESULTS: Factors related to increased odds of PTSD treatment utilization for individuals meeting lifetime criteria included some college education versus less than a high school degree (odds ratio [OR] = 3.17), having health insurance versus no insurance (OR = 2.86), having a comorbid phobia disorder versus not having a phobia disorder (OR = 1.36), and greater PTSD symptom count (OR = 1.11). Older age (OR = .40), identifying as black or Asian versus white non-Hispanic (OR = .70 and OR = .28, respectively), and greater social functioning (OR = .98) were associated with decreased odds of PTSD treatment utilization. CONCLUSIONS: Results highlight factors that may be useful in identifying population subgroups with PTSD that are at risk for underutilization of services.