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Help-Seeking from Clergy and Spiritual Counselors Among Veterans with Depression and PTSD in Primary Care.
MedLine Citation:
PMID:  23297184     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Little is known about the prevalence or predictors of seeking help for depression and PTSD from spiritual counselors and clergy. We describe openness to and actual help-seeking from spiritual counselors among primary care patients with depression. We screened consecutive VA primary care patients for depression; 761 Veterans with probable major depression participated in telephone surveys (at baseline, 7 months, and 18 months). Participants were asked about (1) openness to seeking help for emotional problems from spiritual counselors/clergy and (2) actual contact with spiritual counselors/clergy in the past 6 months. At baseline, almost half of the participants, 359 (47.2 %), endorsed being "very" or "somewhat likely" to seek help for emotional problems from spiritual counselors; 498 (65.4 %) were open to a primary care provider, 486 (63.9 %) to a psychiatrist, and 409 (66.5 %) to another type of mental health provider. Ninety-one participants (12 %) reported actual spiritual counselor/clergy consultation. Ninety-five (10.3 %) participants reported that their VA providers had recently asked them about spiritual support; the majority of these found this discussion helpful. Participants with current PTSD symptoms, and those with a mental health visit in the past 6 months, were more likely to report openness to and actual help-seeking from clergy. Veterans with depression and PTSD are amenable to receiving help from spiritual counselors/clergy and other providers. Integration of spiritual counselors/clergy into care teams may be helpful to Veterans with PTSD. Training of such providers to address PTSD specifically may also be desirable.
Authors:
Laura M Bonner; Andy B Lanto; Cory Bolkan; G Stennis Watson; Duncan G Campbell; Edmund F Chaney; Kara Zivin; Lisa V Rubenstein
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-8
Journal Detail:
Title:  Journal of religion and health     Volume:  -     ISSN:  1573-6571     ISO Abbreviation:  J Relig Health     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985199R     Medline TA:  J Relig Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
VA Puget Sound Geriatric Research, Education and Clinical Center (GRECC) and Health Services Research & Development (HSR&D), GRECC-S-182, 1660 S. Columbian Way, Seattle, WA, 98018, USA, Laura.bonner@va.gov.
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