Defence Clinical Psychology Service, UK Ministry of Defence DCMH, PP6, Sunny Walk, HMNB, Portsmouth PO1 3LT, UK.
J R Soc Med. 2010 Apr;103(4):148-56. doi: 10.1258/jrsm.2010.090426.
Military organizations are keen to address barriers to mental health care yet stigma and barriers to care remain little understood, especially potential cultural differences between Armed Forces. The aim of this study was to compare data collected by the US, UK, Australian, New Zealand and Canadian militaries using Hoge et al.'s perceived stigma and barriers to care measure (Combat duty in Iraq and Afghanistan, mental health problems and barriers to care. New Engl J Med 2004;351:13-22).
Each member country identified data sources that had enquired about Hoge et al.'s perceived stigma and perceived barriers to care items in the re-deployment or immediate post-deployment period. Five relevant statements were included in the study.
US, UK Australian, New Zealand and Canadian Armed Forces.
Concerns about stigma and barriers to care tended to be more prominent among personnel who met criteria for a mental health problem. The pattern of reported stigma and barriers to care was similar across the Armed Forces of all five nations.
Barriers to care continue to be a major issue for service personnel within Western military forces. Although there are policy, procedural and cultural differences between Armed Forces, the nations studied appear to share some similarities in terms of perceived stigma and barriers to psychological care. Further research to understand patterns of reporting and subgroup differences is required.
军事组织热衷于解决心理健康护理障碍，但对耻辱感和护理障碍的理解仍很有限，尤其是武装部队之间潜在的文化差异。本研究的目的是比较美国、英国、澳大利亚、新西兰和加拿大军队使用霍格等人的感知耻辱感和护理障碍测量工具（《在伊拉克和阿富汗的战斗任务、心理健康问题和护理障碍》，新英格兰医学杂志 2004 年；351:13-22）收集的数据。
每个成员国确定了数据源，这些数据源在重新部署或部署后立即询问了霍格等人感知耻辱感和感知护理障碍的项目。研究包括了五项相关陈述。
美国、英国、澳大利亚、新西兰和加拿大武装部队。
有心理健康问题的人员对耻辱感和护理障碍的担忧往往更为突出。五个国家的武装部队报告的耻辱感和护理障碍模式相似。
护理障碍仍然是西方军队中服务人员的一个主要问题。尽管武装部队之间存在政策、程序和文化差异，但研究国家在感知心理护理的耻辱感和障碍方面似乎存在一些相似之处。需要进一步研究以了解报告模式和亚组差异。
