The role of different stigma perceptions in treatment seeking and dropout among active duty military personnel.

Britt, Thomas W.; Jennings, Kristen S.; Cheung, Janelle H.; Pury, Cynthia L. S.; Zinzow, Heidi M.

doi:10.1037/prj0000120

Cited by 85 publications

(52 citation statements)

References 31 publications

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“…Depressiveness was the strongest predictor of apply and harm, consistent with the finding of a previous research in individuals with SUD or PTSD (e.g., [16,24,57]). Core features of depression are low self-esteem and diminished hope [58]; thus, as described by Corrigan et al [6], "one of the difficulties (…) is sorting out the effects of self-stigma from those of depression because symptoms of depression fundamentally lead to diminished self-esteem".…”

Section: Discussionsupporting

confidence: 79%

“…Patients with PTSD showed significantly higher internalized stigma scores than those without PTSD [33]. Self-stigma related to seeking treatment and the perception of being stigmatized by others correlated positively with depression, PTSD and functional impairment, while the latter was also positively correlated with alcohol problems [16]. These results show the potential impact of PTSD on self-stigma, although such effects were not observed in our study after controlling for depressive symptoms.…”

Section: Discussioncontrasting

confidence: 56%

“…Most results on the association between traumatic experiences and self-stigma are drawn from specific populations like military or veteran samples [14][15][16][32][33][34][35][36][37][38]. These studies indicate a significant association between self-stigma and help-seeking attitudes [14,36], PTSD [16,33,37], depression, functional impairment and alcohol problems [16]. However, findings on the contributing role of CAN and PTSD on self-stigma in people with SUD are lacking [39].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Substance Abuse-Related Self-Stigma in Women with Substance Use Disorder and Comorbid Posttraumatic Stress Disorder

Melchior

Hüsing

Grundmann³

et al. 2019

Eur Addict Res

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Background: Self-stigma is a result of internalizing negative stereotypes by the affected person. Research on self-stigma in substance use disorders (SUD) is still scarce, especially regarding the role of childhood trauma and subsequent posttraumatic disorders. Objectives: The present study investigated the progressive model of self-stigma in women with SUD and posttraumatic stress disorder (PTSD), and the predictive value of PTSD severity and childhood trauma experiences on self-stigma. Method: In a cross-sectional study with 343 women with SUD and PTSD, we used the Self-Stigma in Alcohol Dependency Scale, the Childhood Trauma Questionnaire (CTQ), the PTSD Symptom Scale Interview (PSS-I), and to control for SUD severity and depression, the Addiction Severity Index Lite and the Beck Depression Inventory-II. Hierarchical regression analyses were conducted for each stage of self-stigma (aware-agree-apply-harm). Results: The interrelated successive stages of self-stigma were largely confirmed. In the regression models, no significant effects of the PSS-I- and the CTQ-scores were observed at any stage of self-stigma. Agreeing with negative stereotypes was solely predicted by younger age, applying these stereotypes to oneself was higher in women with younger age, higher depression and SUD severity, and suffering from the application (harm) was only predicted by depression. Conclusions: The progressive model of self-stigma could be confirmed in women with SUD and PTSD, but PTSD severity and childhood trauma did not directly affect this process. Self-stigma appears to be related to depression in a stronger way than PTSD is related to women with SUD and PTSD.

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Section: Discussionsupporting

confidence: 79%

Section: Discussioncontrasting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Substance Abuse-Related Self-Stigma in Women with Substance Use Disorder and Comorbid Posttraumatic Stress Disorder

Melchior

Hüsing

Grundmann³

et al. 2019

Eur Addict Res

View full text Add to dashboard Cite

show abstract

“…These perceptions continue, despite policies designed to encourage MSMs to seek treatment and data showing that military leaders generally support their subordinates accessing MHS (Gibbs et al., ; Westphal, ). Perceptions of stigma are likely to increase when an MSM experiences a mental health disorder (Britt, Jennings, Cheung, Pury, & Zinzow, ; Hoge et al., ; Kim et al., 2010, ). Hoge et al.…”

Section: Background and Significancementioning

confidence: 99%

A Concept Analysis of Stigma Perceived by Military Service Members Who Seek Mental Health Services

2016

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“…Of a sample population of National Guard and Reserve service members reporting psychological problems, Britt et al (2011) found that only 42% had sought treatment. Most recently, Britt, Jennings, Cheung, Pury, and Zinzow (2015) found that only 40% of soldiers who acknowledged having a mental health issue sought treatment in the last year. Although the percentages of soldiers seeking treatment seem to be improving, the current literature continues to show less than half of those in need seek even a first visit with a mental health care provider.…”

mentioning

confidence: 99%

Using the Multiphase Model of Psychotherapy, School Counseling, Human Rights, and Social Justice to Support Haitian Immigrant Students

Shillingford¹,

Oh²,

DiLorenzo³

2018

TPC

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Despite efforts to boost mental health treatment-seeking behaviors by combat veterans, rates have improved relatively little since 2004. Previous work suggests that trust and confidence in the mental health community may be a significant factor. This study explored how professional titles may impact trust and confidence among active-duty U.S. Army soldiers (n = 32). Consistent with previous research, eight vignettes were used to solicit ordinal (ranked) trust and confidence scores for mental health professionals. Highest confidence and trust were seen in clinical psychologists and licensed professional counselors, followed by psychiatrists, licensed clinical social workers, and marriage and family therapists; however, deviations were seen for each individual vignette and the manifested symptoms depicted. Scores for trust and confidence were strongly correlated and both appear to impact soldiers' treatment-seeking decisions.

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The role of different stigma perceptions in treatment seeking and dropout among active duty military personnel.

Cited by 85 publications

References 31 publications

Substance Abuse-Related Self-Stigma in Women with Substance Use Disorder and Comorbid Posttraumatic Stress Disorder

Substance Abuse-Related Self-Stigma in Women with Substance Use Disorder and Comorbid Posttraumatic Stress Disorder

A Concept Analysis of Stigma Perceived by Military Service Members Who Seek Mental Health Services

Using the Multiphase Model of Psychotherapy, School Counseling, Human Rights, and Social Justice to Support Haitian Immigrant Students

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