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Social Psychiatry and Psychiatric Epidemiology

Erschienen in:

01.09.2015 | Original Paper

Social networks, mental health problems, and mental health service utilization in OEF/OIF National Guard veterans

verfasst von: Rebecca K. Sripada, Amy S. B. Bohnert, Alan R. Teo, Debra S. Levine, Paul N. Pfeiffer, Nicholas W. Bowersox, Mark S. Mizruchi, Stephen T. Chermack, Dara Ganoczy, Heather Walters, Marcia Valenstein

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 9/2015

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Abstract

Purpose

Low social support and small social network size have been associated with a variety of negative mental health outcomes, while their impact on mental health services use is less clear. To date, few studies have examined these associations in National Guard service members, where frequency of mental health problems is high, social support may come from military as well as other sources, and services use may be suboptimal.

Methods

Surveys were administered to 1448 recently returned National Guard members. Multivariable regression models assessed the associations between social support characteristics, probable mental health conditions, and service utilization.

Results

In bivariate analyses, large social network size, high social network diversity, high perceived social support, and high military unit support were each associated with lower likelihood of having a probable mental health condition (p < .001). In adjusted analyses, high perceived social support (OR .90, CI .88–.92) and high unit support (OR .96, CI .94–.97) continued to be significantly associated with lower likelihood of mental health conditions. Two social support measures were associated with lower likelihood of receiving mental health services in bivariate analyses, but were not significant in adjusted models.

Conclusions

General social support and military-specific support were robustly associated with reduced mental health symptoms in National Guard members. Policy makers, military leaders, and clinicians should attend to service members’ level of support from both the community and their units and continue efforts to bolster these supports. Other strategies, such as focused outreach, may be needed to bring National Guard members with need into mental health care.

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Titel: Social networks, mental health problems, and mental health service utilization in OEF/OIF National Guard veterans
verfasst von: Rebecca K. Sripada
Amy S. B. Bohnert
Alan R. Teo
Debra S. Levine
Paul N. Pfeiffer
Nicholas W. Bowersox
Mark S. Mizruchi
Stephen T. Chermack
Dara Ganoczy
Heather Walters
Marcia Valenstein
Publikationsdatum: 01.09.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 9/2015
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-015-1078-2

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