Longitudinal determinants of mental health treatment-seeking by US soldiers

Amy B. Adler · Thomas W. Britt · Lyndon A. Riviere · Jeffrey L. Thomas

87 citations0/0 files storedThe British Journal of Psychiatry

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Mental Health Treatment and Access Suicide and Self-Harm Studies Posttraumatic Stress Disorder Research

Abstract

BACKGROUND: Studies with members of the armed forces have found a gap between reports of mental health symptoms and treatment-seeking. AIMS: To assess the impact of attitudes on treatment-seeking behaviours in soldiers returning from a combat deployment. METHOD: A sample of 529 US soldiers were surveyed 4 months (time 1) and 12 months (time 2) post-deployment. Mental health symptoms and treatment-seeking attitudes were assessed at time 1; reported mental healthcare visits were assessed at time 2. RESULTS: Factor analysis of the total time 1 sample revealed four attitude factors: professional concerns, practical barriers, preference for self-management and positive attitudes about treatment. For the subset of 160 soldiers reporting a mental health problem at time 1, and controlling for mental health symptom severity, self-management inversely predicted treatment-seeking; positive attitudes were positively related. CONCLUSIONS: Results demonstrate the importance of broadening the conceptualisation of barriers and facilitators of mental healthcare beyond stigma. Techniques and delivery models emphasising self-care may help increase soldiers' interest in using mental health services.

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2019Treatment of military-related post-traumatic stress disorder: challenges, innovations, and the way forward 2015Transformation of Mental Health Care for U.S. Soldiers and Families During the Iraq and Afghanistan Wars: Where Science and Politics Intersect 2019Canadian men’s health stigma, masculine role norms and lifestyle behaviors

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