Employees in high-risk occupations can experience stigma associated with developing mental health problems and getting treatment for problems that can oftentimes be attributed to traumatic events encountered at work. The present study examined the perceived unit climate of support for mental health as a predictor of changes (over the course of 3 months) in the perceived stigma associated with seeking treatment, positive and negative attitudes toward treatment seeking, and a preference for handling mental health problem oneself, as well as talking with fellow unit members and a mental health professional about a mental health problem. Active-duty military personnel (N = 349 at Time 1, N = 112 matched at Time 2) completed measures assessing unit climate and individual beliefs about treatment at two points in time separated by 3 months. The results of structural equation modeling revealed strong evidence for perceived unit climate of support for mental health at Time 1 predicting a change in perceived stigma and attitudes toward treatment seeking at Time 2. A more positive perceived unit climate of support was associated with decreases in stigma, more positive attitudes toward treatment seeking, and less negative attitudes toward treatment seeking. Among those soldiers with a mental health problem (N = 164), a more positive perceived unit climate for mental health was associated with a greater likelihood of talking with a fellow unit member about the problem and receiving mental health treatment. Implications of the results for unit-level interventions in high-risk occupations are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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支持心理健康的单位气氛被认为是耻辱感，治疗信念和军事人员寻求帮助行为的预测指标。

高风险职业的员工可能会遭受与发展心理健康问题相关的污名，并获得对通常因工作中遭受的创伤事件引起的问题的治疗。本研究调查了对心理健康支持的感知单位气氛，作为与寻求治疗，对寻求治疗的积极态度和消极态度以及对心理健康的偏爱相关的感知耻辱感变化（超过3个月）的预测指标问题本身，并与同伴成员和心理健康专家讨论心理健康问题。现役军人（时间1，N = 349，时间2，N = 112）完成了评估单位气候和个人对治疗的信念的措施，时间间隔为两个月，间隔3个月。结构方程模型模型的结果显示，有强有力的证据表明在时间1感知到的支持心理健康的单位气氛预测了在时间2感知到的耻辱感和对寻求治疗的态度的变化。更积极的感知到的单位支持感与耻辱感的降低相关。 ，对寻求治疗的态度更加积极，而对寻求治疗的消极态度则更少。在那些患有精神健康问题的士兵中（N = 164），人们对单位精神健康状况的感觉更加积极，这与与同胞单位成员讨论该问题并接受心理健康治疗的可能性更大。讨论了结果对高风险职业中单位干预的意义。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。