Article2009

Perceived Stigma and Barriers to Mental Health Care Utilization Among OEF-OIF Veterans

Robert H. Pietrzak · James C. Malley · Steven Mark Southwick

444 citations0/0 files storedPsychiatric Services

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

Abstract

OBJECTIVE: This study examined whether social support and beliefs about mental health care are associated with stigma, barriers to care, and mental health care utilization in a sample of veterans of Operation Enduring Freedom in Afghanistan and Operation Iraqi Freedom (OEF-OIF). METHODS: A sample of 272 predominantly reservist and National Guard OEF-OIF veterans in Connecticut completed a needs assessment survey. RESULTS: Negative beliefs about mental health care, particularly psychotherapy, and decreased perceived unit support predicted increased perceptions of stigma and barriers to care. Negative beliefs about mental health care were also associated with decreased likelihood of mental health counseling and medication visits in the past six months, even after adjustment for demographic characteristics, psychiatric disorders, and support variables. CONCLUSIONS: Educational interventions for modifying negative beliefs about mental health care and bolstering unit support may help decrease stigma and barriers to care and increase mental health treatment seeking among OEF-OIF veterans.

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References

2003Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC)2002Perceived organizational support: A review of the literature.2004Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care 2007Perceived Barriers to Mental Health Service Utilization in the United States, Ontario, and the Netherlands 2007The Stigma of Mental Health Problems in the Military

Cited by

2015Stigma as a Barrier to Seeking Health Care Among Military Personnel With Mental Health Problems 2017Acceptance and Commitment Therapy: A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions 2011Mental Health-Related Beliefs as a Barrier to Service Use for Military Personnel and Veterans: A Review 2014PTSD Treatment for Soldiers After Combat Deployment: Low Utilization of Mental Health Care and Reasons for Dropout 2016Perceived barriers and facilitators of mental health service utilization in adult trauma survivors: A systematic review 2014Comparing perceived public stigma and personal stigma of mental health treatment seeking in a young adult sample 2020Examining moderators of the relationship between social support and self-reported PTSD symptoms: A meta-analysis.

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