Perceived Stigma and Barriers to Mental Health Care Utilization Among OEF-OIF Veterans
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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Presenting the treatment as a 'workshop' rather than 'therapy' is better suited for patients for whom seeking mental health care is associated with stigma.
“To begin, this terminology is better suited for patients for whom seeking mental health care is associated with stigma [46, 47].”
From Acceptance and Commitment Therapy: A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions. (2017) · cites this paper as [47]
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- Authors
- Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M.
- Affiliations
- VA Connecticut Healthcare System (US)
- University of California San Diego (US)
- Central Connecticut State University (US)
- Venue
- Psychiatric Services
- Published
- 2009-08
- Volume
- 60
- Issue
- 8
- Pages
- 1118-1122
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2138486595
- Cited by
- 444
- References
- 14
- Citations by year
- 2026: 10 · 2025: 10 · 2024: 11 · 2023: 22 · 2022: 13 · 2021: 23 · 2020: 40 · 2019: 27 · 2018: 42 · 2017: 32 · 2016: 36 · 2015: 39 · 2014: 61 · 2013: 35 · 2012: 16
- FWCI
- 18.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Central Connecticut State University
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Keywords
- mental health stigma, barriers to mental health care, mental health service utilization, OEF/OIF veterans, Operation Enduring Freedom, Iraq War, social support, treatment seeking, educational intervention
- MeSH terms
- Adult, Connecticut, Health Services Accessibility, Humans, Mental Health Services, Patient Acceptance of Health Care, Stereotyping, Stress Disorders, Post-Traumatic, Veterans, Health Care Surveys
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