Stigma, career worry, and mental illness symptomatology: Factors influencing treatment-seeking for Operation Enduring Freedom and Operation Iraqi Freedom …

NB Brown, SE Bruce - Psychological trauma: theory, research …, 2016 - psycnet.apa.org
NB Brown, SE Bruce
Psychological trauma: theory, research, practice, and policy, 2016psycnet.apa.org
Objective: Mental health related stigma, as well as mental illness symptomatology, have
been shown to negatively impact treatment-seeking within military populations. However,
few studies have delineated the 2 forms of stigma (self-stigma and public stigma), and none
have differentiated between stigma and career-related consequences (career worry). The
aim of this study was to increase our understanding of low treatment-seeking rates among
soldiers and veterans by expanding upon previous measurements of the stigma construct …
Objective
Mental health related stigma, as well as mental illness symptomatology, have been shown to negatively impact treatment-seeking within military populations. However, few studies have delineated the 2 forms of stigma (self-stigma and public stigma), and none have differentiated between stigma and career-related consequences (career worry). The aim of this study was to increase our understanding of low treatment-seeking rates among soldiers and veterans by expanding upon previous measurements of the stigma construct and examining factors influencing willingness to seek treatment.
Method
The sample consisted of 276 Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) soldiers and veterans. Individual levels of self-stigma, public stigma, and career worry were measured, as were levels of willingness to seek treatment. Symptoms of PTSD, depression, and substance abuse were also evaluated to account for the influence of mental illness on treatment-seeking.
Results
A confirmatory factor analysis indicated that a 3-factor model including self-stigma, public stigma, and career worry fit the data significantly better than a 1-or 2-factor model. A multiple regression analysis also revealed that these 3 factors, combined with mental illness symptomatology, significantly predicted individual levels of willingness to seek treatment. Career worry was the strongest predictor, particularly for individuals with no treatment history.
Conclusions
This study confirmed that career worry is a factor independent of self-stigma and public stigma. Findings indicate that a fear of negatively affecting one’s career is the most influential factor in determining willingness to seek mental health treatment for the military population.(PsycInfo Database Record (c) 2020 APA, all rights reserved)
American Psychological Association
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