Help-seeking for mental health issues in deployed Canadian Armed Forces personnel at risk for moral injury
| Autor: | Megan M. Thompson, Aihua Liu, Anthony Nazarov, J. Don Richardson, Deniz Fikretoglu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
trastorno de estrés postraumático
军事精神病学 050103 clinical psychology education RC435-571 daño moral Poison control 心理健康 • Military members exposed to potentially morally injurious experiences (PMIEs) were more likely to seek help from gatekeeper professionals and non-professionals rather than specialized mental health professionals.• Exposure to “ill or injured women or children who they were unable to help” seemed to be driving the increased help-seeking among those with PMIEs.• Compared to members not exposed to PMIEs those with PMIEs were almost twice as likely to seek professional care from the civilian health care system Criminology military psychiatry treatment-seeking Suicide prevention Occupational safety and health 03 medical and health sciences 道德损伤 0302 clinical medicine Injury prevention 0501 psychology and cognitive sciences Moral injury health care economics and organizations Salud Mental Psychiatry Clinical Research Article 求助 major depressive disorder Psiquiatría Militar help-seeking 05 social sciences búsqueda de tratamiento Human factors and ergonomics 寻求治疗 PTSD búsqueda de ayuda Military psychiatry Mental health humanities 030227 psychiatry moral injury posttraumatic stress disorder 创伤后应激障碍 Psychology |
| Zdroj: | MacDonald Franklin OSI Research Centre European Journal of Psychotraumatology European Journal of Psychotraumatology, Vol 11, Iss 1 (2020) |
| ISSN: | 2000-8066 |
| DOI: | 10.1080/20008198.2020.1729032 |
| Popis: | Objective: Potentially morally injurious experiences (PMIE) (events that transgress an individual’s subjective moral standards) have been associated with psychologically distressing moral emotions such as shame and guilt. Military leaders and clinicians have feared that those with PMIEs may be less likely to seek help due to the withdrawing nature of shame/guilt; however, to date, help-seeking patterns of military personnel with PMIEs has not been explored. Our objective is to address this research gap. Method: Data from a nationally-representative mental health survey of active Canadian military personnel were analysed. To assess the association between exposure to three PMIEs and past-year help-seeking across different provider categories (i.e. professionals, para-professionals (those delegated with mental health advisory tasks but are not licenced to practice as medical professionals), non-professionals), a series of logistic regressions were conducted, controlling for exposure to other deployment and non-deployment-related psychological trauma, psychiatric variables, military factors, and sociodemographic variables. Analytical data frame included only personnel with a history of Afghanistan deployment (N = 4854). Results: Deployed members exposed to PMIEs were more likely to seek help from their family doctor/general practitioner (OR = 1.72; 95%CI = 1.25–2.36), paraprofessionals (OR = 1.72; 95%CI = 1.25–2.36), and non-professionals (OR = 1.44; 95%CI = 1.06–1.95) in comparison to members not exposed to PMIEs. Those exposed to PMIEs were also more likely to seek professional care from the civilian health care system (OR = 1.94; 95%CI = 1.27–2.96). Conclusion: Contrary to long-held, but untested, assumptions regarding the impact of PMIEs on help-seeking, we found those with PMIEs are more likely to seek help from gatekeeper professionals (i.e. general practitioners), para-professionals, and non-professionals rather than specialized mental health professionals (e.g. psychologists). Increased utilization of civilian professionals raises concerns that active military members may be avoiding military health services. Clinically, this highlights the need to increase awareness of moral injury to ensure that actively serving military members are provided with appropriate advice and treatment. |
| Databáze: | OpenAIRE |
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