title: Modeling stigma, help-seeking attitudes, and intentions to seek behavioral healthcare in a clinical military sample.
abstract: OBJECTIVE
  This study examined the relationship between public and self-stigma of seeking behavioral health services, and help-seeking attitudes and intent in a sample of active duty military personnel currently being assessed for traumatic brain injuries in a military health center. Although it has been suggested that many military personnel in need of care do not seek services due to concerns with stigma it is not fully clear what role different types of stigma play in the process.
  
  
  METHODS
  Using previously collected data from a clinical sample of 97 military personnel, we conducted path analyses to test the mediation effects of self-stigma on the relationship between public stigma and attitudes toward and intentions to seek behavioral health care.
  
  
  RESULTS
  In contrast to a model of military stigma but in line with research with civilian samples, results from this study indicate that self-stigma fully mediates the relationship between public stigma and help-seeking attitudes and intentions.
  
  
  CONCLUSIONS
  These results indicate that programming aimed at increasing mental health care use in the military might best focus on reducing self-stigma associated with seeking mental health services.
authors.affiliation: Department of Psychology.
authors.forename: Nathaniel G
authors.initials: NG
authors.lastname: Wade
authors.affiliation: Department of Psychology.
authors.forename: David L
authors.initials: DL
authors.lastname: Vogel
authors.affiliation: Department of Behavioral Health, Munson Army Health Center.
authors.forename: Patrick
authors.initials: P
authors.lastname: Armistead-Jehle
authors.affiliation: Department of Behavioral Health, Munson Army Health Center.
authors.forename: Scott S
authors.initials: SS
authors.lastname: Meit
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Heath
authors.forename: Haley A
authors.initials: HA
authors.lastname: Strass
mesh_terms: D000275:Adjustment Disorders / Q000523:psychology / Q000628:therapy; D000328:Adult; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy; D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology / Q000628:therapy; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D000066505:Help-Seeking Behavior; D006801:Humans; D033182:Intention; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy; D008605:Mental Health Services; D008889:Military Personnel / Q000523:psychology*; D008960:Models, Psychological; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012649:Self Concept; D057545:Social Stigma; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy; D011795:Surveys and Questionnaires