Boyd Jennifer E, Juanamarga Josephine, Hashemi Parisa
Mental Health Service.
Psychiatr Rehabil J. 2015 Jun;38(2):132-4. doi: 10.1037/prj0000122. Epub 2015 Mar 30.
Service members and veterans underutilize mental health services due to stigma. The study investigated stigma of taking psychiatric medications, and its relationship to internalized stigma of mental illness, gender, age, service era, duration of taking medications, and their perceived helpfulness.
Of the 200 veterans completing an anonymous questionnaire in an outpatient mental health waiting room, data are presented on the 159 who reported taking psychiatric medications.
Medication stigma was related to internalized stigma and was common: over one half reported feeling uncomfortable disclosing or feeling judged, and about one fifth reported feeling embarrassed. Medication stigma was not related to gender, duration, or helpfulness. Younger age was associated with feeling judged, and more recent service era was associated with shame.
Medication stigma among veterans is common and warrants further study. Discomfort disclosing and feeling judged might be particularly worthy targets of discussion in shared decisions about medication.
由于污名化，军人和退伍军人对心理健康服务的利用率较低。本研究调查了服用精神科药物的污名化情况，及其与精神疾病内化污名、性别、年龄、服役时期、服药时长以及他们对药物疗效的认知之间的关系。
在门诊心理健康候诊室完成匿名问卷的200名退伍军人中，报告服用精神科药物的159人的数据被纳入分析。
药物污名与内化污名相关且普遍存在：超过一半的人表示在透露服药情况或感觉被评判时会感到不适，约五分之一的人表示会感到尴尬。药物污名与性别、服药时长或药物疗效无关。年龄较小与感觉被评判有关，较近的服役时期与感到羞耻有关。
退伍军人中的药物污名很常见，值得进一步研究。在关于药物治疗的共同决策中，透露服药情况时的不适和感觉被评判可能是特别值得讨论的话题。
