Previous studies have found that perceptions of mental health related stigma can negatively impact help-seeking, particularly in military samples. Moreover, perceptions of stigma and barriers to care can vary between individuals with different psychiatric disorders. The aim of this study was to examine whether perceptions of stigma and barriers to care differed in a UK military sample between those with and without a current likely mental health diagnosis. Structured telephone interviews were carried out with 1432 service personnel and veterans who reported recent subjective mental ill health in the last 3 years. Participants completed self-reported measures relating to perceived stigma, barriers to care and psychological wellbeing. Those meeting criteria for probable common mental disorders (CMD) and PTSD were significantly more likely to report concerns relating to perceived and internalised stigma and barriers to care compared to participants without a likely mental disorder. Compared to individuals with likely CMD and alcohol misuse, those with probable PTSD reported higher levels of stigma-related concerns and barriers to care – although this difference was not significantly different. These results indicate that perceptions of stigma continue to exist in UK serving personnel and military veterans with current probable mental disorders. Efforts to address particular concerns (e.g. being seen as weak; difficulty accessing appointments) may be worthwhile and, ultimately, lead to improvements in military personnel and veteran wellbeing.

中文翻译：

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在有或没有精神障碍的情况下，英国武装部队人员和退伍军人的耻辱感和护理障碍

先前的研究发现，与心理健康有关的污名感会对寻求帮助产生负面影响，尤其是在军事样本中。此外，对于患有不同精神病的个体，其耻辱感和护理障碍的认识可能会有所不同。这项研究的目的是检验英国军事样本中对柱头和护理障碍的看法在有或没有当前可能进行心理健康诊断的人之间是否存在差异。对1432名服务人员和退伍军人进行了结构化的电话采访，他们报告了最近3年中最近的主观精神疾病。参加者完成了关于自觉的污名，护理障碍和心理健康方面的自我报告的措施。与没有可能的精神障碍的参与者相比，那些符合可能的常见精神障碍（CMD）和PTSD标准的人更有可能报告有关感知的和内在的污名和护理障碍的担忧。与可能的CMD和滥用酒精的人相比，可能的PTSD的人报告的耻辱感相关问题和护理障碍更高，尽管这种差异没有显着差异。这些结果表明，在有可能患有精神疾病的英国服务人员和退伍军人中，污名的观念继续存在。解决特定问题的努力（例如，被视为软弱；难以获得任命）可能是值得的，并最终导致军事人员和老兵福利的改善。