Table 3.
Coverage for posttraumatic stress disorder by severity
| Coverage | Severe n = 504 | Mild/ Moderate n = 410 | Any severity n = 914 | Significance test | |||||
|---|---|---|---|---|---|---|---|---|---|
| Numerator | Denominator | % | (SE) | % | (SE) | % | (SE) | F | (p-value) |
| Contact coveragea |
People with 12-month PTSD (n = 914) |
58.1 | (2.9) | 32.7 | (2.6) | 43.0 | (2.2) | 43.31* | (<.001) |
| Any psychotropic medicationb,c | 46.5 | (2.7) | 23.1 | (2.3) | 32.7 | (1.9) | 37.64* | (<.001) | |
| Antidepressantsd | 34.1 | (2.5) | 13.8 | (1.7) | 22.1 | (1.6) | 47.72* | (<.001) | |
| Adequate medication controle | 32.1 | (2.6) | 9.4 | (1.5) | 18.7 | (1.5) | 53.48* | (<.001) | |
| Adequate pharmacotherapyf | 23.0 | (2.4) | 7.0 | (1.3) | 13.5 | (1.4) | 35.74* | (<.001) | |
| Any psychotherapyg | 29.5 | (2.5) | 13.3 | (1.6) | 19.9 | (1.5) | 31.52* | (<.001) | |
| Adequate psychotherapyh | 28.0 | (2.6) | 9.7 | (1.5) | 17.2 | (1.5) | 47.56* | (<.001) | |
| Effective coveragei | 18.5 | (2.2) | 11.7 | (1.7) | 14.4 | (1.4) | 6.03* | (0.01) | |
Abbreviations: PTSD Posttraumatic stress disorder, SE Standard error
*Significant at the .05 level, two-sided test
aContact coverage required any 12-month contact with a specialist or general medical provider for a mental health condition
bRequires any 12-month healthcare/contact coverage too
cAny psychotropic required receiving any psychotropic and any 12-month healthcare
dAntidepressants required appropriate medication (antidepressant) and any 12-month healthcare
eAdequate medication control required at least four physician visits
fAdequate pharmacotherapy required taking an antidepressant with adequate medication control and adherence
gAny psychotherapy required having two or more visits to any specialty mental health provider among help seekers
hAdequate psychotherapy required at least 8 sessions from an adequate provider or still being in treatment after 2 visits
iEffective treatment coverage, for mild and moderate PTSD required adequate pharmacotherapy and/or adequate psychotherapy, and for severe PSTD both adequate pharmacotherapy and adequate psychotherapy