Symptom Severity, Self-efficacy and Treatment-Seeking for Mental Health Among US Iraq/Afghanistan Military Veterans

Community Ment Health J. 2020 Oct;56(7):1239-1247. doi: 10.1007/s10597-020-00578-8. Epub 2020 Feb 17.

Abstract

Military veterans have high rates of mental health problems, yet the majority do not seek treatment. Understanding treatment-seeking in this population is important. This study investigated if symptom severity and self-efficacy are associated with treatment-seeking among US Iraq/Afghanistan veterans. Survey data from 525 veterans meeting clinical criteria for PTSD and depression were included of which, 54.4% had sought treatment in the past 12 months. Multivariate logistic regression analysis indicated that high symptom severity was associated with treatment seeking, whereas high self-efficacy was associated with a decreased likelihood to seek treatment. Self-efficacy could be an underlying mechanism of treatment seeking decisions.

Keywords: Health belief model; Military veterans; Self-efficacy; Symptom severity; Treatment-seeking.

MeSH terms

  • Afghan Campaign 2001-
  • Afghanistan
  • Humans
  • Iraq
  • Iraq War, 2003-2011
  • Mental Health
  • Military Personnel*
  • Self Efficacy
  • Stress Disorders, Post-Traumatic* / epidemiology
  • Stress Disorders, Post-Traumatic* / therapy
  • United States / epidemiology
  • Veterans*