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Posttraumatic stress disorder and service utilization among urban mental health center clients.
JOURNAL OF TRAUMATIC STRESS, vol. 12, n° 1, 1999, pages 25-39, réf. 1p., ISSN 0894-9867, USA
SWITZER (G.E.), DEW (M.A.), THOMPSON (K.), GOYCOOLEA (J.M.), DERRICOTT (T.), MULLINS (S.D.)
Department Psychiatry. University of Pittsburgh. Pittsburgh. PA. USA
Although the urban poor are at high risk for exposure to trauma, community mental health clinics rarely diagnose clients with PTSD.
Failure to diagnose PTSD may undermine the effectiveness of services provided.
Our objectives were to (1) assess prevalence of traumatic experiences and PTSD, and (2) examine differences in service utilization between those who had PTSD and those who did not.
Interview data were gathered from 181 urban psychiatric outpatients.
A substantial number of clients had experienced at least one lifetime trauma (94%), and of those, 42% had PTSD during the past year.
Analyses comparing service use between PTSD and nonPTSD clients supported our expectation that clients with PTSD would use more merital health services, and would be less satisfied with services than their nonPTSD counterparts.
Mots-clés BDSP : Stress, Utilisation, Utilisation service, Psychopathologie, Milieu urbain, Milieu social, Facteur socioéconomique, Etats Unis, Amérique, Sexe, Homme, Trouble anxieux, Amérique du Nord
Mots-clés Pascal : Posttraumatisme syndrome, Stress, Utilisation, Service santé, Santé mentale, Milieu urbain, Environnement social, Statut socioéconomique, Pennsylvanie, Etats Unis, Amérique du Nord, Amérique, Sexe, Evénement existentiel, Homme, Trouble anxieux
Mots-clés Pascal anglais : Posttraumatic syndrome, Stress, Use, Health service, Mental health, Urban environment, Social environment, Socioeconomic status, Pennsylvania, United States, North America, America, Sex, Life events, Human, Anxiety disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et TechniqueCote : 99-0148931
Code Inist : 002B18H05B. Création : 16/11/1999.
Banque de données en santé publique - http://www.bdsp.ehesp.fr