Britt Thomas W, Jennings Kristen S, Cheung Janelle H, Pury Cynthia L S, Zinzow Heidi M
Department of Psychology.
Psychiatr Rehabil J. 2015 Dec;38(4):379. doi: 10.1037/prj0000170.
Reports an error in "The role of different stigma perceptions in treatment seeking and dropout among active duty military personnel" by Thomas W. Britt, Kristen S. Jennings, Janelle H. Cheung, Cynthia L. S. Pury and Heidi M. Zinzow (Psychiatric Rehabilitation Journal, 2015[Jun], Vol 38[2], 142-149). Six participants were included in the sample for the treatment-seeking analyses who scored 50 or above on the PTSD Checklist, but did not meet the specific criteria on the three PTSD subscales. Of these six participants, four screened positive for another problem. Removing the two participants who did not screen positive for another problem did not affect the significance of any of the predictors in the analyses. (The following abstract of the original article appeared in record 2015-12033-001.)
Many military personnel with mental health problems do not seek treatment from mental health professionals, and if they do seek treatment, they drop out of treatment before receiving the recommended number of sessions. The present study examined the role of 4 different stigma perceptions on these outcomes: perceived stigma to career, perceived stigma of differential treatment, self-stigma from seeking treatment, and stigmatizing perceptions of soldiers who seek treatment.
One thousand three hundred twenty-four active duty soldiers completed a self-report survey assessment that included measures of the 4 different stigma perceptions, indices of mental health symptoms, receipt of mental health treatment, and whether they had dropped out of treatment before it was completed.
Participants screening positive for a mental health problem reported higher scores on all 4 stigma perceptions. All 4 stigma perceptions were each associated with a reduced likelihood of treatment seeking when considered individually, but only stigmatizing beliefs about those who seek treatment were uniquely associated with treatment seeking. Perceived stigma for one's career and differential treatment from others, along with self-stigma from treatment seeking, were associated with an increased probability of dropping out of mental health treatment. Self-stigma from treatment seeking was the only unique predictor of dropout.
Different stigma perceptions were associated with treatment seeking and dropout. Further longitudinal research is needed to examine how stigma perceptions influence these important outcomes. Practitioners need to be aware of how different stigma perceptions can influence treatment seeking and potentially target stigma perceptions during treatment to prevent dropout.
报告托马斯·W·布里特、克里斯汀·S·詹宁斯、珍妮尔·H·张、辛西娅·L·S·普里和海蒂·M·津佐撰写的《不同污名认知在现役军人寻求治疗及治疗中断中的作用》（《精神康复期刊》，2015年6月，第38卷第2期，第142 - 149页）中的一处错误。在寻求治疗分析的样本中纳入了6名参与者，他们在创伤后应激障碍检查表上的得分在50分及以上，但在创伤后应激障碍的三个子量表上未达到特定标准。在这6名参与者中，有4人筛查出存在另一个问题呈阳性。剔除未筛查出存在另一个问题呈阳性的2名参与者，并未影响分析中任何预测因素的显著性。（原始文章的以下摘要出现在记录2015 - 12033 - 001中。）
许多有心理健康问题的军人不寻求心理健康专业人员的治疗，而且如果他们确实寻求治疗，会在接受推荐的疗程数之前中断治疗。本研究考察了4种不同污名认知对这些结果的作用：对职业的污名认知、差别对待的污名认知、寻求治疗带来的自我污名以及对寻求治疗的军人的污名化认知。
1324名现役军人完成了一项自我报告调查评估，其中包括对4种不同污名认知的测量、心理健康症状指标、接受心理健康治疗的情况以及他们是否在治疗完成前中断治疗。
筛查出心理健康问题呈阳性的参与者在所有4种污名认知上的得分更高。单独考虑时，所有4种污名认知都与寻求治疗的可能性降低相关，但只有对寻求治疗者的污名化信念与寻求治疗独特相关。对自身职业的污名认知、他人的差别对待以及寻求治疗带来的自我污名，都与心理健康治疗中断的可能性增加相关。寻求治疗带来的自我污名是治疗中断的唯一独特预测因素。
不同的污名认知与寻求治疗及治疗中断相关。需要进一步进行纵向研究，以考察污名认知如何影响这些重要结果。从业者需要意识到不同的污名认知如何影响寻求治疗，并可能在治疗期间针对污名认知以防止治疗中断。
