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Mental health stigmatisation in deployed UK Armed Forces: a principal components analysis
Mohammed Fertout1, N Jones1, M Keeling2
1Academic Department of Military Mental Health, Academic Department of Psychological Medicine, Institute of Psychiatry, Weston Education Centre, London, UK.
Journal of the Royal Army Medical Corps
|December 2, 2015
Summary
Deployed military personnel face stigma and barriers to care. Loss of credibility impacts medical help-seeking, while those with subjective issues seek help more broadly.
Area of Science:
- Military mental health research
- Psychological impact of deployment
- Stigma and barriers to care
Background:
- UK military research indicates a link between psychological symptoms, mental health stigma, and barriers to care (stigma/BTC).
- Limited research has explored stigma/BTC in deployed UK military personnel.
Purpose of the Study:
- To identify key components of stigma/BTC among deployed UK military personnel.
- To examine the relationship between psychological symptoms, stigma/BTC components, and help-seeking behaviors.
Main Methods:
- Combined three survey datasets (n=3405) from UK deployments to Iraq and Afghanistan.
- Utilized principal component analysis to identify stigma/BTC components.
- Assessed the association between psychological symptoms, stigma/BTC components, and help-seeking.
Main Results:
- Two stigma/BTC components were identified: 'potential loss of personal military credibility and trust' (Component 1) and 'negative perceptions of mental health services and barriers to help seeking' (Component 2).
- Component 1 was endorsed by 37.8% and associated with mental health, medical appointments, and hospital admission.
- Component 2 was endorsed by 9.4%, associated with mental health, but not medical appointments; neither component linked to seeking help for psychosocial problems.
Conclusions:
- Loss of credibility (Component 1) was linked to medical help-seeking, suggesting individuals with psychological symptoms may use socially acceptable routes.
- Barriers to care (Component 2) were associated with mental health status but not medical help-seeking.
- Individuals with subjective mental health problems appeared willing to seek help from any source, irrespective of stigma components.
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