An Assessment of Beliefs About Mental Health Care Among Veterans Who Served in Iraq

Tracy A. Stecker · John C. Fortney · Icek Ajzen

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Mental Health Treatment and Access Posttraumatic Stress Disorder Research Migration, Health and Trauma

Abstract

OBJECTIVE: This study assessed beliefs about mental health treatment in a group of soldiers newly returning from the war in Iraq. METHODS: Participants were 20 National Guard soldiers who had served in Operation Iraqi Freedom. Soldiers who in phone interviews screened positive for a mental disorder were asked about advantages and disadvantages of seeking treatment, who would or would not support treatment seeking, and facilitators and barriers to treatment seeking. RESULTS: Stigma was portrayed as a major disadvantage to treatment seeking. Yet most participants indicated that people would be supportive of treatment seeking. Reducing symptoms was a major advantage of care. Barriers, especially those viewed as "self-induced," such as pride, not being able to ask for help, and not being able to admit to having a problem, were considered major impediments. CONCLUSIONS: The findings suggest that interventions developed to engage veterans in care must be directed toward cognitive factors that motivate treatment seeking.

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References

1991The theory of planned behavior 1998The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10 2004Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care 2002Application of the Theory of Planned Behaviour in Behaviour Change Interventions: A Systematic Review 1996The theory of planned behaviour and health behaviours.1990Encouraging College Males to Perform Testicular Self‐Examination: Evaluation of a Persuasive Message Based on the Revised Theory of Reasoned Action1

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2017Beyond war and PTSD: The crucial role of transition stress in the lives of military veterans 2013Are Iraq and Afghanistan Veterans Using Mental Health Services? New Data From a National Random-Sample Survey 2011Systematic Review of Women Veterans’ Health: Update on Successes and Gaps 2013Treatment-Seeking Barriers for Veterans of the Iraq and Afghanistan Conflicts Who Screen Positive for PTSD 2017Stigma-related barriers and facilitators to help seeking for mental health issues in the armed forces: a systematic review and thematic synthesis of qualitative literature 2015

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