TY - JOUR
T1 - Presence of PTSD is Associated with Clinical and Functional Impact in Veterans with Depression Treated in Community-Based Clinics
AU - Rassu, Fenan S.
AU - Sansgiry, Shubhada
AU - Hundt, Natalie E.
AU - Kunik, Mark E.
AU - Cully, Jeffrey A.
N1 - Funding Information:
This material is the result of work supported by the Department of Veterans Affairs, Health Services Research & Development Grant No. 13-315 to Jeffrey Cully, and partially supported by the VA South Central Mental Illness Research Education and Clinical Center, and the resources and facilities of the Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety (CIN13-413). The funding organizations played no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication. The opinions expressed are those of the authors and not necessarily those of the Department of Veterans Affairs, the U S government, or Baylor College of Medicine.
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022/3
Y1 - 2022/3
N2 - Providers in non-traditional mental health settings (e.g., primary care, community medical clinics) face challenges involving patients who often present with multiple mental health conditions, but require rapid assessment and treatment. To help address this challenge, this study characterized differences in health symptom severity and mental health treatment perceptions between depressed Veterans with and without posttraumatic stress disorder (PTSD) served in community medical clinics. Relative to depressed Veterans without PTSD (N = 62), depressed Veterans with PTSD (N = 122) endorsed greater depression, suicidal ideation, anxiety, pain, and insomnia symptoms, as well as lower functioning. Veterans with depression and PTSD also reported greater mental health needs, prior utilization of mental health services, and higher perceived importance of mental health treatment. Results highlight the complexity of comorbid mental health conditions frequently seen in community medical care clinics and suggest that patients with comorbid mental health difficulties may present with a complex array of mental health symptoms.
AB - Providers in non-traditional mental health settings (e.g., primary care, community medical clinics) face challenges involving patients who often present with multiple mental health conditions, but require rapid assessment and treatment. To help address this challenge, this study characterized differences in health symptom severity and mental health treatment perceptions between depressed Veterans with and without posttraumatic stress disorder (PTSD) served in community medical clinics. Relative to depressed Veterans without PTSD (N = 62), depressed Veterans with PTSD (N = 122) endorsed greater depression, suicidal ideation, anxiety, pain, and insomnia symptoms, as well as lower functioning. Veterans with depression and PTSD also reported greater mental health needs, prior utilization of mental health services, and higher perceived importance of mental health treatment. Results highlight the complexity of comorbid mental health conditions frequently seen in community medical care clinics and suggest that patients with comorbid mental health difficulties may present with a complex array of mental health symptoms.
KW - Community medical care
KW - Depression
KW - Mental health treatment perceptions
KW - PTSD
KW - Veterans
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U2 - 10.1007/s10880-021-09796-y
DO - 10.1007/s10880-021-09796-y
M3 - Article
C2 - 34156589
AN - SCOPUS:85126243473
SN - 1068-9583
VL - 29
SP - 220
EP - 229
JO - Journal of Clinical Psychology in Medical Settings
JF - Journal of Clinical Psychology in Medical Settings
IS - 1
ER -