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Mental Health Beliefs and Their Relationship With Treatment Seeking Among U.S. OEF/OIF Veterans

Authors

  • Dawne Vogt,

    Corresponding author
    1. Women's Health Sciences Division, National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, Boston, Massachusetts, USA
    2. Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA
    • Correspondence concerning this article should be addressed to Dawne Vogt, National Center for PTSD (116B-3), VA Boston Healthcare System, 150 South Huntington Avenue, Boston, MA 02130. E-mail: Dawne.Vogt@va.gov

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  • Annie B. Fox,

    1. Women's Health Sciences Division, National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, Boston, Massachusetts, USA
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  • Brooke A. L. Di Leone

    1. Women's Health Sciences Division, National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, Boston, Massachusetts, USA
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  • This research was supported, in part, by a Department of Veterans Affairs Health Sciences Research and Development Service grant (DHI 06-225-2; Gender, Stigma, and Other Barriers to VHA Use for OEF/OIF Veterans; PI: Dawne Vogt, PhD).

  • Note: Following completion of this manuscript, Dr. Di Leone relocated to the Philadelphia VA Medical Center. Dr. Di Leone's current affiliation is the Center for Health Equity Research and Promotion, Philadelphia VA Medical Center.

Abstract

Many veterans who would benefit from mental health care do not seek treatment. The current study provided an in-depth examination of mental health-related beliefs and their relationship with mental health and substance abuse service use in a national sample of 640 U.S. Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) veterans. Both concerns about mental health stigma from others and personal beliefs about mental illness and mental health treatment were examined. Data were weighted to adjust for oversampling of women and nonresponse bias. Results revealed substantial variation in the nature of OEF/OIF veterans’ mental health beliefs, with greater anticipated stigma in the workplace (M = 23.74) than from loved ones (M = 19.30), and stronger endorsement of negative beliefs related to mental health treatment-seeking (M = 21.78) than either mental illness (M = 18.56) or mental health treatment (M = 20.34). As expected, individuals with probable mental health problems reported more negative mental health-related beliefs than those without these conditions. Scales addressing negative personal beliefs were related to lower likelihood of seeking care (ORs = 0.80–0.93), whereas scales addressing anticipated stigma were not associated with service use. Findings can be applied to address factors that impede treatment seeking.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:美國OEF/OIF退役軍人中精神健康的想法和尋求治療的關係。

撮要:很多退役軍人沒有尋求對他們有益的精神治療。本研究在一個全國性樣本(640名伊拉克解放行動和持續解放行動(OEF/OIF)的美國退役兵)中,深入研究他們的精神健康想法和使用精神健康和物質濫用服務的關係。旁人對精神病標籤,和個人對精神病及精神健康治療的想法都會被檢視。過多女性參與者和「無回應」偏差導致研究資料加權調整。結果指出OEF/OIF退役軍人的精神健康想法有顯著的本質變異;而工作地點(M = 23.74)對比至愛(M = 19.30)有較大預計標籤,再者,尋求精神治療(M = 21.78)比精神病(M = 18.56)或精神治療(M = 20.34)支持較大的負面想法。一如所料,患上可能精神病者對比無病的有着更多對精神健康的負面想法。負面個人想法量表與較低尋求治療機會率(ORs = 0.80至0.93)相關,而預計標籤量表與精神服務使用並無相連。本研究成果能應用在找尋阻礙精神服務使用的因素。

标题:美国OEF/OIF退役军人中精神健康的想法和寻求治疗的关系。

撮要:很多退役军人没有寻求对他们有益的精神治疗。本研究在一个全国性样本(640名伊拉克解放行动和持续解放行动(OEF/OIF)的美国退役兵)中,深入研究他们的精神健康想法和使用精神健康和物质滥用服务的关系。旁人对精神病标签,和个人对精神病及精神健康治疗的想法都会被检视。过多女性参与者和「无响应」偏差导致研究资料加权调整。结果指出OEF/OIF退役军人的精神健康想法有显著的本质变异;而工作地点(M = 23.74)对比至爱(M = 19.30)有较大预计标签,再者,寻求精神治疗(M = 21.78)比精神病(M = 18.56)或精神治疗(M = 20.34)支持较大的负面想法。一如所料,患上可能精神病者对比无病的有着更多对精神健康的负面想法。负面个人想法量表与较低寻求治疗机会率(ORs = 0.80至0.93)相关,而预计标签量表与精神服务使用并无相连。本研究成果能应用在寻找阻碍精神服务使用的因素。

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