Barriers to mental healthcare services are reported among military service members. However, little is known about these barriers among the spouses of military personnel, who face unique stressors and may subsequently be at high-need for mental health services. Understanding barriers to care among this vulnerable population may help improve access to psychological services. The current study utilized data from the Millennium Cohort Family Study. Participants were referred by their military spouses or through targeted mailers. Participants completed self-report measures of mood, psychosocial functioning, and perceived barriers to mental healthcare via web- or paper-based surveys. A factor analysis was conducted to identify subscales of the barriers to mental healthcare measure, and logistic regressions were conducted adjusting for relevant sociodemographic variables, to determine psychosocial factors associated with likelihood of reporting barriers to mental healthcare. The sample comprised 9,666 military spouses (86% female; Mage: 27.73 ± 5.09; 29.2% racial/ethnic minority; 19.5% with prior/current military service). Logistic factors were the most frequently reported barrier to care (63%), followed by negative beliefs about mental healthcare (52%), fear of social/occupational consequences (35%), and internalized stigma (32%). Spouses with prior or current military service themselves and individuals with a psychiatric condition were most likely to report barriers to mental healthcare. A preponderance of military spouses reported barriers to mental healthcare services. Prospective data are needed to elucidate the associations between barriers to care and mental healthcare utilization. Efforts may be warranted to improve access to mental healthcare among the spouses of military personnel. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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军人配偶对心理保健的认知障碍。

据报道，军人中存在心理保健服务障碍。然而，对于军人配偶中的这些障碍知之甚少，他们面临独特的压力源，随后可能非常需要心理健康服务。了解这一弱势群体的护理障碍可能有助于改善获得心理服务的机会。目前的研究利用了千年队列家庭研究的数据。参与者是由他们的军人配偶或通过有针对性的邮件推荐的。参与者通过网络或纸质调查完成了情绪、心理社会功能和心理保健感知障碍的自我报告测量。进行了因子分析以确定心理保健措施障碍的子量表，并对相关的社会人口学变量进行了逻辑回归，以确定与报告精神保健障碍的可能性相关的社会心理因素。样本包括 9,666 名军人配偶（86% 为女性；法师：27.73 ± 5.09；29.2% 种族/少数族裔；19.5% 曾服兵役/现役）。后勤因素是最常报告的护理障碍（63%），其次是对精神保健的负面信念（52%）、对社会/职业后果的恐惧（35%）和内在的污名（32%）。以前或现在服过兵役的配偶和患有精神疾病的人最有可能报告精神保健方面的障碍。大部分军人配偶报告了心理保健服务的障碍。需要前瞻性数据来阐明护理障碍与心理保健利用之间的关联。可能需要努力改善军人配偶获得心理保健的机会。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。