Abstract
To examine the relationship between compensation-seeking status, symptom reporting, and health care utilization among combat veterans presenting for a Posttraumatic Stress disorder (PTSD) evaluation. Archival data for 68 veterans was drawn from electronic medical records for which compensation-seeking status was available. Consistent with previous findings, self-reports of distress and validity scale indices on the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) were higher among compensation-seeking (CS) veterans than noncompensation-seeking (NCS) veterans despite a lack of difference in actual PTSD diagnoses. However, no significant differences emerged between these two groups on healthcare utilization indices. Although exploratory analyses did not yield significant group differences on various healthcare indices, there was a trend for CS veterans to use PTSD services more, suggesting the need to further explore utilization patterns among these groups.
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REFERENCES
Cooper NA, Clum GA: Imaginal flooding as a supplementary treatment for PTSD in combat veterans: A controlled study. Behavior Therapy 20:81–391, 1989.
Fairbank JA, Keane TM, M alloy PF: Some preliminary data on the psychosocial characteristics of Vietnam veterans with posttraumatic stress disorders. Journal of Consulting and Clinical Psychology 51:912–919, 1983.
Frueh BC, Hamner MB, Cahill SP, et al: Apparent symptom overreporting in combat veterans evaluated for PTSD. Clinical Psychology Review 20:853–885, 2000.
Frueh BC, Elhai JD, Gold PB, et al: Disability compensation-seeking among veterans evaluated for PTSD. Psychiatric Services 54:84–91, 2003.
Keane TM, Fairbank JA, Caddell JM, et al: Implosive (flooding) therapy reduces symptoms of PTSD inVietnam combat veterans. Behavior Therapy 20:245–260, 1989.
Frueh BC, Smith DW, Barker SE: Compensation seeking status and psychometric assessment of combat veterans seeking treatment for PTSD. Journal of Traumatic Stress 9:427–439, 1996.
Hyer L, O'Leary WC, Saucer RT, et al: Inpatient diagnosis of posttraumatic stress disorder. Journal of Consulting and Clinical Psychology 54:698–702, 1986.
Pitman RK, Orr SP, Altman B, et al: Emotional processing and outcome of imaginal flooding therapy in Vietnam veterans with chronic PTSD. Comprehensive Psychiatry 37:409–418, 1996.
Fontana A, Rosenheck RA: Effects of compensation-seeking on treatment outcomes among veterans with posttraumatic stress disorder. Journal of Nervous and Mental Disease 186:223–230, 1998.
Frueh BC, Gold PB, de Arellano MA: Symptom overreporting in combat veterans evaluated for PTSD: Differentiation on the basis of compensation seeking status. Journal of Personality Assessment 68:369–384, 1997.
Sayer N, Thuras P: The influence of patients' compensation-seeking status on the perceptions of veterans affairs clinicians. Psychiatric Services 53:210–212, 2002.
Beckham JC, Moore SD, Feldman ME, et al: Health status, somatization, and severity of posttraumatic stress disorder in Vietnam veterans with posttraumatic stress disorder. American Journal of Psychiatry 155:1565–1569, 1998.
Rosenheck RA, Fontana A: Do Vietnam-era veterans who suffer from posttraumatic stress disorder avoid VA mental health services? Military Medicine 160:136–142, 1995.
Rosenheck RA, Fontana A: Delivery of services for PTSD. PTSD Research Quarterly 10:1–7, 1999.
Hoff RA, Rosenheck RA: Cross-system service use among psychiatric patients: Data from the Department of Veterans Affairs. The Journal of Behavioral Health Services and Research 27:98–106, 2000.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC, Author, 1994.
Blake DD, Weathers FW, Nagy LN, et al: A clinician rating scale for assessing current and lifetime PTSD: The CAPS-1. Behavior Therapist 18:187–188, 1990.
Butcher JN, Graham JR, Ben-Porath YS, et al: MMPI-2 (Minnesota Multiphasic Personality Inventory-2): Manual for Administration, Scoring, and Interpretation, Rev. ed. Minneapolis, MN, University of Minnesota Press, 2001.
Greene RL: The MMPI-2: An Interpretive Manual. Boston, MA, Allyn and Bacon, 2002.
Keane TM, Malloy PF, Fairbank JA: Empirical development of an MMPI subscale for the assessment of combat-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology 52:888–891, 1984.
Elhai JD, Ruggiero KJ, Frueh BC, et al: The Infrequency-Posttraumatic Stress Disorder Scale (Fptsd) for the MMPI-2: Development and initial validation with veterans presenting with combat-related PTSD. Journal of Personality Assessment 79:531–549, 2002.
Calhoun PS, Bosworth HB, Grambow SC, et al: Medical service utilization by veterans seeking help for posttraumatic stress disorder. American Journal of Psychiatry 159:2081–2086, 2002.
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Grubaugh, A.L., Elhai, J.D., Monnier, J. et al. Service Utilization Among Compensation-Seeking Veterans. Psychiatr Q 75, 333–341 (2004). https://doi.org/10.1023/B:PSAQ.0000043509.18637.3b
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DOI: https://doi.org/10.1023/B:PSAQ.0000043509.18637.3b