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

Duncan G Campbell; Laura M Bonner; Cory R Bolkan; Andrew B Lanto; Kara Zivin; Thomas J Waltz; Ruth Klap; Lisa V Rubenstein; Edmund F Chaney

doi:10.1007/s12160-016-9780-1

Back

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

Journal article

Open access

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

Duncan G Campbell, Laura M Bonner, Cory R Bolkan, Andrew B Lanto, Kara Zivin, Thomas J Waltz, Ruth Klap, Lisa V Rubenstein and Edmund F Chaney

Annals of behavioral medicine, Vol.50(4), pp.533-544

08/2016

DOI: https://doi.org/10.1007/s12160-016-9780-1

Handle:

https://hdl.handle.net/2376/114098

PMCID: PMC4935614

PMID: 26935310

Files and links (1)

url

https://doi.org/10.1007/s12160-016-9780-1View

Published (Version of record) Open

Abstract

Prospective Studies

Cross-Sectional Studies

United States

Humans

Middle Aged

Veterans - psychology

Male

Patient Acceptance of Health Care - psychology

Depressive Disorder, Major - psychology

Female

United States Department of Veterans Affairs

Aged

Primary Health Care

Social Stigma

Patient Preference - psychology

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.

Metrics

14 Record Views

See more details

Details

Title: Stigma Predicts Treatment Preferences and Care Engagement Among Veterans Affairs Primary Care Patients with Depression
Creators: Duncan G Campbell - Department of Psychology, University of Montana, Missoula, MT, USA. duncan.campbell@umontana.edu
Laura M Bonner - Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA
Cory R Bolkan - Department of Human Development, Washington State University Vancouver, Vancouver, WA, USA
Andrew B Lanto - VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
Kara Zivin - Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
Thomas J Waltz - Department of Psychology, Eastern Michigan University, Ypsilanti, MI, USA
Ruth Klap - VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
Lisa V Rubenstein - RAND Health Program, Santa Monica, CA, USA
Edmund F Chaney - Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA
Publication Details: Annals of behavioral medicine, Vol.50(4), pp.533-544
Academic Unit: Human Development, Department of
Publisher: England
Grant note: VA999999 / Intramural VA
Identifiers: 99900547719201842
Language: English
Resource Type: Journal article