title: Longitudinal determinants of mental health treatment-seeking by US soldiers.
abstract: BACKGROUND
  Studies with members of the armed forces have found a gap between reports of mental health symptoms and treatment-seeking.
  
  
  OBJECTIVE
  To assess the impact of attitudes on treatment-seeking behaviours in soldiers returning from a combat deployment.
  
  
  METHODS
  A sample of 529 US soldiers were surveyed 4 months (time 1) and 12 months (time 2) post-deployment. Mental health symptoms and treatment-seeking attitudes were assessed at time 1; reported mental healthcare visits were assessed at time 2.
  
  
  RESULTS
  Factor analysis of the total time 1 sample revealed four attitude factors: professional concerns, practical barriers, preference for self-management and positive attitudes about treatment. For the subset of 160 soldiers reporting a mental health problem at time 1, and controlling for mental health symptom severity, self-management inversely predicted treatment-seeking; positive attitudes were positively related.
  
  
  CONCLUSIONS
  Results demonstrate the importance of broadening the conceptualisation of barriers and facilitators of mental healthcare beyond stigma. Techniques and delivery models emphasising self-care may help increase soldiers' interest in using mental health services.
authors: Amy B. Adler, PhD, Military Psychiatry Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Maryland; Thomas W. Britt, PhD, Department of Psychology, Clemson University, Clemson, South Carolina; Lyndon A. Riviere, PhD, Paul Y. Kim, MA, Walter Reed Army Institute of Research, Department of Military Psychiatry, Silver Spring, Maryland, USA; Jeffrey L. Thomas, PhD, US Army Medical Research Unit - Europe, Walter Reed Army Institute of Research, Sembach/Heuberg, Germany amy.b.adler.civ@mail.mil.
authors: Amy B
authors: AB
authors: Adler
authors: Amy B. Adler, PhD, Military Psychiatry Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Maryland; Thomas W. Britt, PhD, Department of Psychology, Clemson University, Clemson, South Carolina; Lyndon A. Riviere, PhD, Paul Y. Kim, MA, Walter Reed Army Institute of Research, Department of Military Psychiatry, Silver Spring, Maryland, USA; Jeffrey L. Thomas, PhD, US Army Medical Research Unit - Europe, Walter Reed Army Institute of Research, Sembach/Heuberg, Germany.
authors: Thomas W
authors: TW
authors: Britt
authors: Amy B. Adler, PhD, Military Psychiatry Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Maryland; Thomas W. Britt, PhD, Department of Psychology, Clemson University, Clemson, South Carolina; Lyndon A. Riviere, PhD, Paul Y. Kim, MA, Walter Reed Army Institute of Research, Department of Military Psychiatry, Silver Spring, Maryland, USA; Jeffrey L. Thomas, PhD, US Army Medical Research Unit - Europe, Walter Reed Army Institute of Research, Sembach/Heuberg, Germany.
authors: Lyndon A
authors: LA
authors: Riviere
authors: Amy B. Adler, PhD, Military Psychiatry Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Maryland; Thomas W. Britt, PhD, Department of Psychology, Clemson University, Clemson, South Carolina; Lyndon A. Riviere, PhD, Paul Y. Kim, MA, Walter Reed Army Institute of Research, Department of Military Psychiatry, Silver Spring, Maryland, USA; Jeffrey L. Thomas, PhD, US Army Medical Research Unit - Europe, Walter Reed Army Institute of Research, Sembach/Heuberg, Germany.
authors: Paul Y
authors: PY
authors: Kim
authors: Amy B. Adler, PhD, Military Psychiatry Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Maryland; Thomas W. Britt, PhD, Department of Psychology, Clemson University, Clemson, South Carolina; Lyndon A. Riviere, PhD, Paul Y. Kim, MA, Walter Reed Army Institute of Research, Department of Military Psychiatry, Silver Spring, Maryland, USA; Jeffrey L. Thomas, PhD, US Army Medical Research Unit - Europe, Walter Reed Army Institute of Research, Sembach/Heuberg, Germany.
authors: Jeffrey L
authors: JL
authors: Thomas
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008603:Mental Health; D008889:Military Personnel / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy; D012648:Self Care / Q000379:methods; D057545:Social Stigma; D013240:Stereotyping; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000628:therapy*; D011795:Surveys and Questionnaires; D055815:Young Adult