Pietrzak Robert H, Johnson Douglas C, Goldstein Marc B, Malley James C, Southwick Steven M
National Center for Posttraumatic Stress Disorder, Department of Veterans Affairs (VA) Connecticut Healthcare System, West Haven, USA.
Psychiatr Serv. 2009 Aug;60(8):1118-22. doi: 10.1176/ps.2009.60.8.1118.
This study examined whether social support and beliefs about mental health care are associated with stigma, barriers to care, and mental health care utilization in a sample of veterans of Operation Enduring Freedom in Afghanistan and Operation Iraqi Freedom (OEF-OIF).
A sample of 272 predominantly reservist and National Guard OEF-OIF veterans in Connecticut completed a needs assessment survey.
Negative beliefs about mental health care, particularly psychotherapy, and decreased perceived unit support predicted increased perceptions of stigma and barriers to care. Negative beliefs about mental health care were also associated with decreased likelihood of mental health counseling and medication visits in the past six months, even after adjustment for demographic characteristics, psychiatric disorders, and support variables.
Educational interventions for modifying negative beliefs about mental health care and bolstering unit support may help decrease stigma and barriers to care and increase mental health treatment seeking among OEF-OIF veterans.
本研究调查了在阿富汗持久自由行动和伊拉克自由行动（OEF - OIF）的退伍军人样本中，社会支持以及对精神卫生保健的信念是否与耻辱感、就医障碍和精神卫生保健利用情况相关。
康涅狄格州的272名主要为预备役和国民警卫队的OEF - OIF退伍军人样本完成了一项需求评估调查。
对精神卫生保健，尤其是心理治疗的负面信念，以及感知到的单位支持减少，预示着耻辱感和就医障碍的认知增加。对精神卫生保健的负面信念还与过去六个月接受心理健康咨询和药物治疗的可能性降低相关，即使在对人口统计学特征、精神障碍和支持变量进行调整之后也是如此。
针对改变对精神卫生保健的负面信念并加强单位支持的教育干预措施，可能有助于减少耻辱感和就医障碍，并增加OEF - OIF退伍军人寻求精神卫生治疗的行为。
