Table 1. SRS Predictors of Recent Mental Health Service Use.
Outcome variable: During the past 60 days have you gone to any hospitals, or clinics, or talked with a doctor, nurse, counselor, or other health professional for help with a psychological or emotional problem? (Y/N) | ||
---|---|---|
Question | Unadjusted OR | Adjusted ORc |
Attitudes/identification subscale (subscale 1) | 0.402 (0.189, 0.854) | 0.337 (0.152, 0.748) |
Considering your current bereavement related distress, would you feel better knowing you had a mental condition for which effective treatment is available, rather than being told you were normal and that there was no need for any outside intervention to help you? | 0.403 (0.111, 1.465) | 0.390 (0.089, 1.699) |
If a mental health professional told you that you met criteria for Complicated Grief (a complex of symptoms indicating difficult adjustment to the death of someone close), would you be: | —b | —b |
Relieved to know you were not going crazy? | 1.462 (0.155, 13.787) | 0.392 (0.020, 7.613) |
Relieved to know you had a recognizable problem? | 1.462 (0.155, 13.787) | 0.618 (0.024, 15.612) |
Not worried because you would not take this to mean you were going crazy? | —a | —a |
Not worried by meeting criteria for a mental illness? | 0.085 (0.011, 0.657) | 0.065 (0.007, 0.581) |
Reaction subscale (subscale 2) | 0.650 (0.415, 1.019) | 0.808 (0.450, 1.451) |
If you met the criteria for Complicated Grief, do you think your family would be less understanding of what you are going through? | 0.336 (0.029, 3.893) | 0.440 (0.034, 5.617) |
Do you think that if you met the criteria for Complicated Grief, your family would be more likely to blame you for how you are now? | 0.241 (0.038, 1.544) | 0.831 (0.068, 10.171) |
Do you think that, if others outside your family knew you were diagnosed with Complicated Grief, they would be less understanding and ridicule you? | 0.312 (0.071, 1.366) | 0.257 (0.041, 1.606) |
Have your family members or friends told you that you are exaggerating or overreacting with your grief? | 0.495 (0.093, 2.648) | 0.893 (0.122, 6.526) |
Have your family members or friends told you that you are using grief as an excuse to be lazy? | 0.509 (0.050, 5.152) | 0.959 (0.074, 12.419) |
Have your family members or friends told you that you are using grief to get attention? | 0.509 (0.050, 5.152) | 0.930 (0.055, 15.860) |
Have your family members or friends told you that you are feeling sorry for yourself? | 0.258 (0.056, 1.177) | 0.804 (0.122, 5.278) |
Receptivity subscale (subscale 3) | 0.908 (0.560, 1.474) | 1.048 (0.623, 1.765) |
If you were diagnosed with a mental illness, would you be interested in receiving treatment for this condition? | —a | —a |
If you were diagnosed with a mental illness, would you be willing to receive help for this condition if others thought you would benefit from it? | —a | —a |
Which bereavement interventions would you be receptive to: | —b | —b |
Bereavement support group | 2.364 (0.671, 8.330) | 5.141 (1.108, 23.853) |
Psychotherapy | —a | —a |
Medication | 0.362 (0.079, 1.661) | 0.447 (0.090, 2.209) |
Religious group/counselor | 2.410 (0.858, 6.775) | 2.477 (0.765, 8.018) |
Total (all items combined) | 0.699 (0.484, 0.923) | 0.719 (0.498, 1.036) |
Could not be computed due to cell size.
Initial part of question—see following question subparts.
Adjusted for age, gender, diagnosis of complicated grief, education level, and the presence of any psychiatric disorder (defined as one or more of the following disorders: agoraphobia, generalized anxiety disorder, major depressive disorder, obsessive-compulsive disorder, panic disorder, panic disorder with agoraphobia, posttraumatic stress disorder, simple phobia, and social phobia).