Psychiatric Quarterly, Vol. 75, No. 4, Winter 2004 (
SERVICE UTILIZATION AMONG
Anouk L. Grubaugh, Ph.D., Jon D. Elhai, Ph.D.,
Jeannine Monnier, Ph.D., and B. Christopher Frueh, Ph.D.
To examine the relationship between compensation-seeking status, symptom
reporting, and health care utilization among combat veterans presenting for
a Posttraumatic Stress disorder (PTSD) evaluation. Archival data for 68 vet-
erans was drawn from electronic medical records for which compensation-
seeking status was available. Consistent with previous ﬁndings, self-reports
of distress and validity scale indices on the Minnesota Multiphasic Personality
Inventory-2 (MMPI-2) were higher among compensation-seeking (CS) veterans
than noncompensation-seeking (NCS) veterans despite a lack of difference in
actual PTSD diagnoses. However, no signiﬁcant differences emerged between
these two groups on healthcare utilization indices. Although exploratory anal-
yses did not yield signiﬁcant group differences on various healthcare indices,
Anouk L. Grubaugh, Ph.D., is afﬁliated with Medical University of South Carolina,
Jon D. Elhai, Ph.D., is afﬁliated with Disaster Mental Health Institute, The University
of South Dakota, Vermillion, SD.
Jeannine Monnier, Ph.D., is afﬁliated with Ralph H. Johnson Veterans Affairs Medical
Center, and Medical University of South Carolina, Charleston, SC.
B. Christopher Frueh, Ph.D., is afﬁliated with Ralph H. Johnson Veterans Affairs
Medical Center, and Medical University of South Carolina, Charleston, SC.
Address correspondence to B. Christopher Frueh, Ph.D., VAMC, Mental Health Service,
109 Bee Street, Charleston, SC 29401; e-mail: email@example.com.
2004 Springer Science+Business Media, Inc.