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

Pietrzak, Robert H., Johnson, Douglas C., Goldstein, Marc B., Malley, James C., Southwick, Steven M.·2009·Psychiatric Services

DOI 10.1176/ps.2009.60.8.1118

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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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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)
ORCID: Pietrzak, Robert H.
Southwick, Steven M.
Venue: Psychiatric Services
Publisher: American Psychiatric Association Publishing
Published: 2009-08
Volume: 60
Issue: 8
Pages: 1118-1122
ISSN: 0022-1597 (ISSN-L)
1075-2730
1557-9700
DOI: 10.1176/ps.2009.60.8.1118
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: Health Sciences › Medicine › Psychiatry and Mental health › 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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Perceived Stigma and Barriers to Mental Health Care Utilization Among OEF-OIF Veterans

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