1 VA Boston Healthcare System, Boston, MA, USA.
2 University of Massachusetts, Boston, MA, USA.
Int J Soc Psychiatry. 2019 Jun;65(4):313-321. doi: 10.1177/0020764019842327. Epub 2019 Apr 17.
The primary purpose of this study was to examine cultural and demographic predictors of dimensions of anticipated stigma and negative mental health beliefs, known barriers to mental health care utilization, among post-9/11 veterans.
A cross-sectional survey methodology was used to assess 132 post-9/11 veterans. Bivariate correlations were used to examine associations between military cultural values (self-reliance and emotional control), demographic variables (gender and service characteristics) and dimensions of anticipated stigma and negative beliefs about mental health. Descriptive statistics were used to examine item-level agreement on scales of stigma, mental health beliefs and cultural values to more fully describe these beliefs in this population.
Descriptive findings revealed that the most highly endorsed dimension of stigma was anticipated stigma from coworkers. Correlational findings indicated that only exaggerated self-reliance, not emotional control, was positively associated with higher negative beliefs about treatment and treatment-seeking, and not other dimensions of negative beliefs about mental health. Active duty service members and those who deployed reported higher negative beliefs about treatment-seeking, emotional control and self-reliance. In addition, men reported higher negative beliefs about treatments, treatment-seeking and self-reliance than women.
These results highlight the importance of addressing concerns about self-reliance and mental health treatment in stigma-reduction interventions especially among male, deployed, and active duty service members to reduce stigma and stigma-related barriers to care.
本研究的主要目的是检验文化和人口统计学因素对预期耻辱感和负面心理健康信念维度的预测作用，这些因素是心理健康护理利用的已知障碍，针对 9/11 后退伍军人。
采用横断面调查方法评估了 132 名 9/11 后退伍军人。使用双变量相关分析来检验军事文化价值观（自力更生和情绪控制）、人口统计学变量（性别和服务特征）与预期耻辱感和负面心理健康信念维度之间的关联。使用描述性统计来检查耻辱感、心理健康信念和文化价值观量表的项目级别的一致性，以更全面地描述这一人群的这些信念。
描述性研究结果表明，最受认可的耻辱感维度是来自同事的预期耻辱感。相关研究结果表明，只有夸大的自力更生，而不是情绪控制，与更高的负面治疗和治疗寻求信念以及其他负面心理健康信念维度呈正相关。现役军人和部署人员报告了更高的负面治疗寻求、情绪控制和自力更生信念。此外，男性比女性报告了更高的对治疗、治疗寻求和自力更生的负面信念。
这些结果强调了在减少耻辱感干预措施中解决对自力更生和心理健康治疗的担忧的重要性，特别是针对男性、部署人员和现役军人，以减少耻辱感和与耻辱感相关的护理障碍。
