TY - JOUR
KW - Adult
KW - Aged
KW - Anxiety Disorders/diagnosis/epidemiology
KW - Depressive Disorder/diagnosis/epidemiology
KW - Female
KW - Health Services/utilization
KW - Humans
KW - Life Change Events
KW - Male
KW - Mental Health Services/statistics & numerical data
KW - Middle Aged
KW - Poverty/statistics & numerical data
KW - Primary Health Care/statistics & numerical data
KW - Referral and Consultation/statistics & numerical data
KW - Safety-net Providers/statistics & numerical data
KW - Stress, Psychological/diagnosis/epidemiology
KW - Virginia/epidemiology
KW - Young Adult
AU - E. Sadock
AU - S. M. Auerbach
AU - B. Rybarczyk
AU - A. Aggarwal
AU - A. Lanoye
A1 - 
AB - Exposure to stressful life events, mood disorder, and health care utilization were evaluated in 102 low-income, primarily minority patients receiving behavioral health and medical services at a safety-net primary care clinic. Exposure to major stressors was far higher in this sample than in the general population, with older patients having lower stress scores. Proportions of patients who met the criteria for clinical depression and anxiety were higher than in normative samples of primary care patients. Stress exposure was higher in the patients who met the criterion for clinical anxiety but was unrelated to clinical depression. Contrary to expectation, anxiety, depression, or stress exposure was not related to service utilization. Latter findings are discussed in terms of the influence of the provision of behavioral health services, the highly skewed distribution of major stressor scores, and the likely greater influence of individual differences in minor stressor exposure on utilization in this population.
BT - The Journal of nervous and mental disease
C5 - Healthcare Disparities
CP - 10
CY - United States
DO - 10.1097/NMD.0000000000000195
IS - 10
JF - The Journal of nervous and mental disease
N2 - Exposure to stressful life events, mood disorder, and health care utilization were evaluated in 102 low-income, primarily minority patients receiving behavioral health and medical services at a safety-net primary care clinic. Exposure to major stressors was far higher in this sample than in the general population, with older patients having lower stress scores. Proportions of patients who met the criteria for clinical depression and anxiety were higher than in normative samples of primary care patients. Stress exposure was higher in the patients who met the criterion for clinical anxiety but was unrelated to clinical depression. Contrary to expectation, anxiety, depression, or stress exposure was not related to service utilization. Latter findings are discussed in terms of the influence of the provision of behavioral health services, the highly skewed distribution of major stressor scores, and the likely greater influence of individual differences in minor stressor exposure on utilization in this population.
PP - United States
PY - 2014
SN - 1539-736X; 0022-3018
SP - 763
EP - 766
EP - 
T1 - The relationship of life stressors, mood disorder, and health care utilization in primary care patients referred for integrated behavioral health services
T2 - The Journal of nervous and mental disease
TI - The relationship of life stressors, mood disorder, and health care utilization in primary care patients referred for integrated behavioral health services
U1 - Healthcare Disparities
U2 - 25265268
U3 - 10.1097/NMD.0000000000000195
VL - 202
VO - 1539-736X; 0022-3018
Y1 - 2014
ER -