Stigma and demographic correlates of help-seeking intentions in returning service members

J Trauma Stress. 2013 Feb;26(1):77-85. doi: 10.1002/jts.21772. Epub 2013 Jan 18.

Abstract

Many U.S. Iraq/Afghanistan-era veterans return from deployment with posttraumatic stress (PTS) symptoms, but few veterans seek psychological help. Research on barriers to care is growing, but the link between stigma and help-seeking is understudied. The present study examined anticipated enacted stigma from military and nonmilitary sources, self-stigma, PTS, perceived likelihood of deploying again, marital status, and history of mental health care engagement as correlates of help-seeking intentions from a mental health professional or medical doctor/advance practice registered nurse (MD/APRN) in a sample of 165 combat veterans. Using structural equation modeling, results demonstrated that self-stigma was negatively associated with help-seeking intentions from a mental health professional and MD/APRN with small-to-medium effect sizes. Being married was positively associated with help-seeking intentions from a mental health professional and MD/APRN with small effect sizes. History of previous mental health care engagement was positively associated with help-seeking intentions from a mental health professional with a medium effect size, but unrelated to help-seeking intentions from a MD/APRN. Anticipated enacted stigma from any source, PTS, and greater perceived likelihood of deploying again were unrelated to help-seeking intentions from a mental health professional and MD/APRN. Implications for interventions aimed at decreasing self-stigma and increasing intention to seek help are discussed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Advanced Practice Nursing
  • Afghan Campaign 2001-*
  • Comorbidity
  • Female
  • Humans
  • Intention*
  • Iraq War, 2003-2011*
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / psychology*
  • Mental Disorders / therapy*
  • Mental Health Services
  • Models, Psychological
  • Motivation
  • Patient Acceptance of Health Care / psychology*
  • Patient Acceptance of Health Care / statistics & numerical data
  • Primary Health Care
  • Self Concept
  • Social Stigma*
  • Stress Disorders, Post-Traumatic / diagnosis
  • Stress Disorders, Post-Traumatic / psychology*
  • Stress Disorders, Post-Traumatic / therapy*
  • Surveys and Questionnaires
  • United States
  • Veterans / psychology*
  • Veterans / statistics & numerical data
  • Young Adult