TY - JOUR
KW - Depression
KW - primary care
KW - Stigma
KW - Treatment engagement
KW - Treatment preferences
KW - Veterans
AU - D. G. Campbell
AU - L. M. Bonner
AU - C. R. Bolkan
AU - A. B. Lanto
AU - K. Zivin
AU - T. J. Waltz
AU - R. Klap
AU - L. V. Rubenstein
AU - E. F. Chaney
A1 - 
AB - BACKGROUND: 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. PURPOSE: 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. METHODS: We conducted cross-sectional and prospective analyses of existing data from 761 VA PC patients with probable major depression. RESULTS: 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. CONCLUSIONS: High stigma is associated with lower preferences for care from mental health specialists and confers risk for minimal depression treatment engagement.
BT - Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine
C5 - Healthcare Disparities
CP - 4
CY - United States
DO - 10.1007/s12160-016-9780-1
IS - 4
JF - Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine
N2 - BACKGROUND: 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. PURPOSE: 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. METHODS: We conducted cross-sectional and prospective analyses of existing data from 761 VA PC patients with probable major depression. RESULTS: 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. CONCLUSIONS: High stigma is associated with lower preferences for care from mental health specialists and confers risk for minimal depression treatment engagement.
PP - United States
PY - 2016
SN - 1532-4796; 0883-6612
SP - 533
EP - 544
EP - 
T1 - Stigma Predicts Treatment Preferences and Care Engagement Among Veterans Affairs Primary Care Patients with Depression
T2 - Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine
TI - Stigma Predicts Treatment Preferences and Care Engagement Among Veterans Affairs Primary Care Patients with Depression
U1 - Healthcare Disparities
U2 - 26935310
U3 - 10.1007/s12160-016-9780-1
VL - 50
VO - 1532-4796; 0883-6612
Y1 - 2016
ER -