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学生服役人员/退伍军人比同龄人经历更严重的心理健康污名吗?一项全国样本的比较研究。

Do student service members/veterans experience worse mental health stigma than their peers? A comparative study in a national sample.

机构信息

a University of South Alabama , Psychology Department , Mobile , Alabama , USA.

b University of South Alabama , Department of Professional Studies , Mobile , Alabama , USA.

出版信息

J Am Coll Health. 2018 Nov-Dec;66(8):821-825. doi: 10.1080/07448481.2018.1440569. Epub 2018 Mar 30.

DOI:10.1080/07448481.2018.1440569
PMID:29447589
Abstract

OBJECTIVES

Examine differences in mental health treatment-related stigma in student service members and veterans (SSM/Vs) and peers from 57 post-secondary institutions across the United States.

METHODS

In total, 909 SSM/Vs and 1818 demographically- and institutionally-matched non-SSM/Vs completed assessments of stigma-related barriers to mental health service utilization as part of the Healthy Minds Study between 2011 and 2015.

RESULTS

When compared to non-SSM/V peers, SSM/Vs reported more mental health treatment-related stigma toward help-seekers and less confidence in the helpfulness of therapy/counseling and psychotropic medications. However, effect sizes were small in magnitude (ds = .10 to .16), and depressed students in both groups reported greater stigma.

CONCLUSIONS

SSM/Vs experience greater treatment-related stigma than non-SSM/V peers, which may deter service use in many cases. However, differences in stigma were small and other under-studied barriers to help-seeking may apply to the substantive subset of SSM/Vs and non-SSM/Vs who may benefit from utilizing available services.

摘要

目的

在美国 57 所高等教育机构的学生服务成员和退伍军人(SSM/Vs)及其同龄人中,研究心理健康治疗相关污名在两者之间的差异。

方法

在 2011 年至 2015 年期间,共有 909 名 SSM/V 和 1818 名在人口统计学和机构上与之匹配的非 SSM/V 参与了健康思维研究,评估了与心理健康服务利用相关的污名障碍。

结果

与非 SSM/V 同龄人相比,SSM/V 报告了更多的心理健康治疗相关污名,对寻求帮助的人持更多的负面看法,对治疗/咨询和精神药物的有效性持较低的信心。然而,效应大小较小(ds =.10 至.16),且两组中的抑郁学生报告了更多的污名。

结论

SSM/V 比非 SSM/V 同龄人经历更大的治疗相关污名,这在许多情况下可能会阻碍服务的利用。然而,污名差异较小,且寻求帮助的其他未被充分研究的障碍可能适用于那些可能受益于利用现有服务的实质性亚组的 SSM/V 和非 SSM/V。

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