Wade Nathaniel G, Vogel David L, Armistead-Jehle Patrick, Meit Scott S, Heath Patrick J, Strass Haley A
Department of Psychology.
Department of Behavioral Health, Munson Army Health Center.
Psychiatr Rehabil J. 2015 Jun;38(2):135-141. doi: 10.1037/prj0000131. Epub 2015 Mar 30.
This study examined the relationship between public and self-stigma of seeking behavioral health services, and help-seeking attitudes and intent in a sample of active duty military personnel currently being assessed for traumatic brain injuries in a military health center. Although it has been suggested that many military personnel in need of care do not seek services due to concerns with stigma it is not fully clear what role different types of stigma play in the process.
Using previously collected data from a clinical sample of 97 military personnel, we conducted path analyses to test the mediation effects of self-stigma on the relationship between public stigma and attitudes toward and intentions to seek behavioral health care.
In contrast to a model of military stigma but in line with research with civilian samples, results from this study indicate that self-stigma fully mediates the relationship between public stigma and help-seeking attitudes and intentions.
These results indicate that programming aimed at increasing mental health care use in the military might best focus on reducing self-stigma associated with seeking mental health services.
本研究在一家军事健康中心对目前正在接受创伤性脑损伤评估的现役军人样本进行了调查，以探究寻求行为健康服务的公众污名与自我污名之间的关系，以及寻求帮助的态度和意愿。尽管有人认为，许多需要护理的军人由于担心污名而不寻求服务，但不同类型的污名在这一过程中所起的作用尚不完全清楚。
我们使用先前从97名军人的临床样本中收集的数据，进行路径分析，以检验自我污名对公众污名与寻求行为健康护理的态度和意愿之间关系的中介作用。
与军事污名模型相反，但与针对平民样本的研究一致，本研究结果表明，自我污名完全中介了公众污名与寻求帮助的态度和意愿之间的关系。
这些结果表明，旨在增加军队心理健康护理使用的项目可能最好侧重于减少与寻求心理健康服务相关的自我污名。
