Murphy Dominic, Busuttil Walter
J R Army Med Corps. 2015 Dec;161(4):322-6. doi: 10.1136/jramc-2014-000344. Epub 2014 Dec 18.
Among the general public, much is known about the longer-term consequences of not seeking support for mental health difficulties. However, within military populations, and in particular, the UK Armed Forces, less is known. Understanding the factors that present barriers for UK service personnel with mental health difficulties accessing support is important because this may provide a means for support personnel to seek help sooner. This paper explores the literature relating to the impact of untreated post-traumatic stress disorder (PTSD) among military personnel, attempts to draw conclusions about the barriers that may prevent personnel seeking help and the efficacy of previous interventions to address these. Stigma has been highlighted as the key barrier to help-seeking behaviours, in particular, internal stigma, which can be classified as negative beliefs about the self that an individual may hold as a result of experiencing symptoms of PTSD.
在普通公众中,人们对心理健康问题不寻求支持的长期后果了解很多。然而,在军人群体中,尤其是英国武装部队中,了解的情况较少。了解那些给有心理健康问题的英国军人获取支持造成障碍的因素很重要,因为这可能为支持人员提供一种能让他们更早寻求帮助的途径。本文探讨了与未治疗的创伤后应激障碍(PTSD)对军人的影响相关的文献,试图就可能阻碍军人寻求帮助的障碍以及以往解决这些问题的干预措施的效果得出结论。耻辱感被强调为寻求帮助行为的关键障碍,尤其是内化耻辱感,它可被归类为个体因经历PTSD症状而可能持有的关于自身的负面信念。