+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Stigma as a barrier to seeking health care among military personnel with mental health problems



Stigma as a barrier to seeking health care among military personnel with mental health problems



Epidemiologic Reviews 37: 144-162



Approximately 60% of military personnel who experience mental health problems do not seek help, yet many of them could benefit from professional treatment. Across military studies, one of the most frequently reported barriers to help-seeking for mental health problems is concerns about stigma. It is, however, less clear how stigma influences mental health service utilization. This review will synthesize existing research on stigma, focusing on those in the military with mental health problems. We conducted a systematic review and meta-analysis of studies between 2001 and 2014 to examine the prevalence of stigma for seeking help for a mental health problem and its association with help-seeking intentions/mental health service utilization. Twenty papers met the search criteria. Weighted prevalence estimates for the 2 most endorsed stigma concerns were 44.2% (95% confidence interval: 37.1, 51.4) for "My unit leadership might treat me differently" and 42.9% (95% confidence interval: 36.8, 49.0) for "I would be seen as weak." Nine studies found no association between anticipated stigma and help-seeking intentions/mental health service use and 4 studies found a positive association. One study found a negative association between self-stigma and intentions to seek help. Counterintuitively, those that endorsed high anticipated stigma still utilized mental health services or were interested in seeking help. We propose that these findings may be related to intention-behavior gaps or methodological issues in the measurement of stigma. Positive associations may be influenced by modified labeling theory. Additionally, other factors such as self-stigma and negative attitudes toward mental health care may be worth further attention in future investigation.

(PDF emailed within 0-6 h: $19.90)

Accession: 058905393

Download citation: RISBibTeXText

PMID: 25595168

DOI: 10.1093/epirev/mxu012


Related references

Perceived unit climate of support for mental health as a predictor of stigma, beliefs about treatment, and help-seeking behaviors among military personnel. Psychological Services 2019, 2019

Does self-help increase rates of help seeking for student mental health problems by minimizing stigma as a barrier?. Journal of American College Health 66(4): 302-309, 2018

Stigma, American military personnel and mental health care: challenges from Iraq and Afghanistan. Journal of Mental Health 24(1): 54-59, 2015

Stigmatisation, perceived barriers to care, help seeking and the mental health of British Military personnel. Social Psychiatry and Psychiatric Epidemiology 50(12): 1873-1883, 2016

Trauma Risk Management (TRiM): Promoting Help Seeking for Mental Health Problems Among Combat-Exposed U.K. Military Personnel. Psychiatry 80(3): 236-251, 2018

Mental health stigma continues to impede help-seeking and self-care efforts among trainees in mental health professions. Perspectives in Psychiatric Care 2018, 2018

Deployment, Mental Health Problems, Suicidality, and Use of Mental Health Services Among Military Personnel. Military Behavioral Health 4(3): 243-250, 2016

Stigma doesn't discriminate: physical and mental health and stigma in Canadian military personnel and Canadian civilians. Bmc Psychology 6(1): 61-61, 2018

Similarities between military and medical service: stigma of seeking mental health assistance. Journal of the Royal Army Medical Corps 2018, 2018

UK military doctors; stigma, mental health and help-seeking: a comparative cohort study. Journal of the Royal Army Medical Corps 164(4): 259-266, 2018

Have you heard the one about using comedy to tackle mental health-related stigma with UK military personnel?. Journal of Public Mental Health 16(1): 9-11, 2017

Endorsed and Anticipated Stigma Inventory (EASI): a tool for assessing beliefs about mental illness and mental health treatment among military personnel and veterans. Psychological Services 11(1): 105-113, 2014

Prevalence of mental health problems, treatment need, and barriers to care among primary care-seeking spouses of military service members involved in Iraq and Afghanistan deployments. Military Medicine 173(11): 1051-1056, 2008

Acceptability of mental health stigma-reduction training and initial effects on awareness among military personnel. Springerplus 4: 606, 2015

The stigma of mental health problems in the military. Military Medicine 172(2): 157-161, 2007