TY - JOUR
T1 - Psychosocial Predictors of Mental Health Service Utilization Among Women During their Mid-Sixties
AU - Pahl, Kerstin
AU - Brook, Judith S.
AU - Zhang, Chenshu
AU - Brook, David W.
N1 - Funding Information:
This research was supported by the National Institutes of Health Research Scientist Award DA00244 and research grant DA003188, both from the National Institute on Drug Abuse, and research grants CA094845 and CA122128 from the National Cancer Institute.
Publisher Copyright:
© 2014, National Council for Behavioral Health.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - This prospective study examined the longitudinal pathways to the utilization of mental health services among women in their mid-sixties. Earlier educational level, psychological symptoms, cigarette use, and physical diseases and later psychological symptoms were examined as predictors of mental health services utilization. The sample consisted of a prospective cohort of women (N = 511) who were followed from young adulthood (mean age = 32) to late midlife (mean age = 65). Using structural equation modeling, the results supported a mediational model showing that earlier low educational level and greater psychological symptoms predicted increased cigarette smoking. Cigarette smoking predicted later physical diseases and symptoms. Physical diseases and symptoms were related to financial difficulty and later psychological symptoms and, ultimately, the use of mental health services by women in the mid-sixties.
AB - This prospective study examined the longitudinal pathways to the utilization of mental health services among women in their mid-sixties. Earlier educational level, psychological symptoms, cigarette use, and physical diseases and later psychological symptoms were examined as predictors of mental health services utilization. The sample consisted of a prospective cohort of women (N = 511) who were followed from young adulthood (mean age = 32) to late midlife (mean age = 65). Using structural equation modeling, the results supported a mediational model showing that earlier low educational level and greater psychological symptoms predicted increased cigarette smoking. Cigarette smoking predicted later physical diseases and symptoms. Physical diseases and symptoms were related to financial difficulty and later psychological symptoms and, ultimately, the use of mental health services by women in the mid-sixties.
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U2 - 10.1007/s11414-014-9414-y
DO - 10.1007/s11414-014-9414-y
M3 - Article
C2 - 24878632
AN - SCOPUS:84901580130
SN - 1094-3412
VL - 43
SP - 143
EP - 154
JO - Journal of Behavioral Health Services and Research
JF - Journal of Behavioral Health Services and Research
IS - 2
ER -
