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Factors associated with mental healthcare utilization among United States military personnel with posttraumatic stress disorder and depression symptoms , September 5 , 2025

September 5, 2025

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From the document: “Only a proportion of service members with posttraumatic stress disorder (PTSD) and depression utilize mental healthcare services, highlighting the need to identify individual characteristics of military subgroups with unmet mental healthcare needs. Cross-sectional survey data from the 2019–2021 Millennium Cohort Study assessment were used to examine correlates of unmet needs among military personnel who screened positive for PTSD or depression (n=18,420), using modified Poisson regression models. Approximately 32–43% of service members reported receiving mental healthcare in the past 12 months. Hispanic and Asian or Pacific Islander personnel, and those with certain service characteristics (higher pay grade, recent deployment, experienced discrimination) had a lower likelihood of mental healthcare utilization. Female sex, greater symptom severity, bullying, and other psychosocial factors were associated with greater likelihood of mental healthcare utilization. One third of service members with PTSD or depression symptoms reported any mental healthcare use in the last 12 months. Further research and initiatives are necessary to identify service-specific or cultural barriers to treatment and provide equitable quality and access to needed mental health services.”

Authors - Sharifian, Neika, LeardMann, Cynthia A., Kolaja, Claire A., Baccetti, Anna, Carey, Felicia R., Castaneda, Sheila F., Hoge, Charles W., Rull, Rudolph P.

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Sharifian, Neika, LeardMann, Cynthia A., Kolaja, Claire A., Baccetti, Anna, Carey, Felicia R., Castaneda, Sheila F., Hoge, Charles W., Rull, Rudolph P.

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