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Many U.S. Iraq/Afghanistan-era veterans return from deployment with posttraumatic stress (PTS) symptoms, but few veterans seek psychological help. Research on barriers to care is growing, but the link between stigma and help-seeking is understudied. The present study examined anticipated enacted stigma from military and nonmilitary sources, self-stigma, PTS, perceived likelihood of deploying again, marital status, and history of mental health care engagement as correlates of help-seeking intentions from a mental health professional or medical doctor/advance practice registered nurse (MD/APRN) in a sample of 165 combat veterans. Using structural equation modeling, results demonstrated that self-stigma was negatively associated with help-seeking intentions from a mental health professional and MD/APRN with small-to-medium effect sizes. Being married was positively associated with help-seeking intentions from a mental health professional and MD/APRN with small effect sizes. History of previous mental health care engagement was positively associated with help-seeking intentions from a mental health professional with a medium effect size, but unrelated to help-seeking intentions from a MD/APRN. Anticipated enacted stigma from any source, PTS, and greater perceived likelihood of deploying again were unrelated to help-seeking intentions from a mental health professional and MD/APRN. Implications for interventions aimed at decreasing self-stigma and increasing intention to seek help are discussed.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:退役軍人的「求助意欲」特徵與「標籤化」的關係

撮要:許多從伊拉克或阿富汗退役的軍人都有創傷後壓力(PTS)症狀,但少有接受心理治療。關於求醫關卡研究正在增多,但絕少關於「求助」與「標籤化」的關係。本研究在165位戰鬥退役人員的樣本中,檢視有關「求助意欲」(分別為接受精神健康團隊、或普通醫生/資深註冊護師(MD/APRN) ),與軍事及非軍事方面預期之既定標籤、自我標籤、PTS、自評再服役之機會率、婚姻狀況和精神健康醫療服務使用紀錄。利用結構程式模型分析,顯示「自我標籤」與「求助意欲」有負面關連(接受精神健康團隊和MD/APRN),而效應值為小至中度。「已婚」則與「求助意欲」(接受精神健康團隊和MD/APRN)呈正面關連而效應值是微小。曾接受精神服務和「求助意欲」(只接受精神健康團隊) 有正面關連而效應值是中度,而「求助意欲」(只接受MD/APRN) 則無關。任何方面預期之既定標籤、PTS和自評再服役之較高機會率,與「求助意欲」(接受精神健康團隊和MD/APRN)無關。本文亦討論減少自我標籤和增加求助意欲的介入治療的影響。

标题:退役军人的「求助意欲」特征与「标签化」的关系

撮要:许多从伊拉克或阿富汗退役的军人都有创伤后压力(PTS)症状,但少有接受心理治疗。关于求医关卡研究正在增多,但绝少关于「求助」与「标签化」的关系。本研究在165位战斗退役人员的样本中,检视有关「求助意欲」(分别为接受精神健康团队、或普通医生/资深注册护师(MD/APRN) ),与军事及非军事方面预期之既定标签、自我标签、PTS、自评再服役之机会率、婚姻状况和精神健康医疗服务使用纪录。利用结构程序模型分析,显示「自我标签」与「求助意欲」有负面关系(接受精神健康团队和MD/APRN),而效应值为小至中度。「已婚」则与「求助意欲」(接受精神健康团队和MD/APRN)呈正面关系而效应值是微小。曾接受精神服务和「求助意欲」(只接受精神健康团队) 有正面关系而效应值是中度,而「求助意欲」(只接受MD/APRN) 则无关。任何方面预期之既定标签、PTS和自评再服役之较高机会率,与「求助意欲」(接受精神健康团队和MD/APRN)无关。本文亦讨论减少自我标签和增加求助意欲的介入治疗的影响。