Stigma Predicts Treatment Preferences and Care Engagement Among Veterans Affairs Primary Care Patients with Depression

被引:25
|
作者
Campbell, Duncan G. [1 ]
Bonner, Laura M. [2 ,3 ,4 ]
Bolkan, Cory R. [5 ]
Lanto, Andrew B. [6 ]
Zivin, Kara [7 ,8 ,9 ]
Waltz, Thomas J. [7 ,10 ]
Klap, Ruth [6 ]
Rubenstein, Lisa V. [6 ,11 ,12 ]
Chaney, Edmund F. [3 ,4 ]
机构
[1] Univ Montana, Dept Psychol, Missoula, MT 59812 USA
[2] VA Puget Sound Hlth Care Syst, Geriatr Res Educ & Clin Ctr, Seattle, WA USA
[3] VA Puget Sound Hlth Care Syst, Hlth Serv Res & Dev Serv, Seattle, WA USA
[4] Univ Washington, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
[5] Washington State Univ Vancouver, Dept Human Dev, Vancouver, WA USA
[6] VA Greater Los Angeles Healthcare Syst, VA HSR&D Ctr Study Healthcare Innovat Implementat, Los Angeles, CA USA
[7] VA Ann Arbor Hlth Care Syst, Ctr Clin Management Res Hlth Serv Res & Dev Serv, Ann Arbor, MI USA
[8] Univ Michigan, Sch Med, Dept Psychiat, Ann Arbor, MI USA
[9] Univ Michigan, Inst Social Res, Ann Arbor, MI USA
[10] Eastern Michigan Univ, Dept Psychol, Ypsilanti, MI 48197 USA
[11] Univ Calif Los Angeles, Sch Med, Los Angeles, CA USA
[12] RAND, Hlth Program, Santa Monica, CA USA
关键词
Depression; Stigma; Treatment preferences; Treatment engagement; Primary care; Veterans; MENTAL-HEALTH TREATMENT; PERCEIVED STIGMA; HELP-SEEKING; SELF-STIGMA; MILITARY PERSONNEL; COGNITIVE THERAPY; ILLNESS STIGMA; BARRIERS; DISORDERS; PREJUDICE;
D O I
10.1007/s12160-016-9780-1
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Whereas stigma regarding mental health concerns exists, the evidence for stigma as a depression treatment barrier among patients in Veterans Affairs (VA) primary care (PC) is mixed. This study tests whether stigma, defined as depression label avoidance, predicted patients' preferences for depression treatment providers, patients' prospective engagement in depression care, and care quality. We conducted cross-sectional and prospective analyses of existing data from 761 VA PC patients with probable major depression. Relative to low-stigma patients, those with high stigma were less likely to prefer treatment from mental health specialists. In prospective controlled analyses, high stigma predicted lower likelihood of the following: taking medications for mood, treatment by mental health specialists, treatment for emotional concerns in PC, and appropriate depression care. High stigma is associated with lower preferences for care from mental health specialists and confers risk for minimal depression treatment engagement.
引用
收藏
页码:533 / 544
页数:12
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