Stigma and Demographic Correlates of Help-Seeking Intentions in Returning Service Members

Authors


  • This work was made possible by funding from the following sources to the first author: American Psychological Association–Division 19, and the Graduate School and Department of Psychology, University of Utah.

Correspondence concerning this article should be addressed to Rebecca K. Blais, 1660 South Columbian Way, Seattle, WA 98108. E-mail: rebecca.blais@va.gov

Abstract

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。

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