Abstract:
Introduction:Many service members experiencing symptoms of mental health conditions do not receive mental health care for these symptoms. The stigma associated with having a mental health condition or seeking treatment is often cited as a specific barrier to mental health care. However, study results bearing on the question of whether and how stigma may reduce treatment-seeking have been inconsistent. Methods:We searched 10 databases for sources published between 2004 and 2014 that prospectively linked stigma to treatment-related outcomes (such as treatment seeking, retention, and reports of symptoms) using longitudinal data and predictive models. The searches yielded 2,409 sources. After reviewing titles and abstracts for relevance, we retained 15 sources to undergo full-text review. Results:Overall, this review illustrates that evidence exploring the direct effect of stigma on treatment-related outcomes is still scant. We identified two studies whose outcomes conflict when it comes to stigma and treatment-initiation and utilization, and three studies found no relationship between stigma and treatment-initiation and utilization. One study suggested that the relationship between stigma and experience of symptoms is nuanced and may depend on the type of stigma and types of symptoms considered. Meager evidence was available to inform the relationship between stigma and treatment duration, attrition, and quality of life/functioning. The evidence was not sufficient to draw conclusions about the state of these relationships. No conclusions could be made about the direct impact of stigma on treatment-related outcomes among military service members given that only two studies explored this relationship among military service members. Conclusion:Current research does not provide a true understanding of the degree to which mental illness stigma affects treatment-related outcomes for service members experiencing mental health challenges. This understanding could only be developed through a longitudinal study assessing prospectively whether stigma affects treatment-utilization in the military. Should such a study show that stigma reduces treatment-utilization, the military would need to consider whether changes to their current approaches to stigma reduction are warranted.
journal_name
Mil Medjournal_title
Military medicineauthors
Cerully JL,Acosta JD,Sloan Jdoi
10.1093/milmed/usx219subject
Has Abstractpub_date
2018-11-01 00:00:00pages
e427-e437issue
11-12eissn
0026-4075issn
1930-613Xpii
4924884journal_volume
183pub_type
杂志文章,评审abstract::Using a postpartum survey, comparing singles to married, we sought to expand existing information on pregnancy occurring among active duty service women. The study instrument was a 59-question survey distributed in the initial 24 hours postpartum and collected prior to discharge. The majority affirmed that pregnancy h...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract::This study evaluated the risk to hearing health associated with duty on the flight deck of a Nimitz class aircraft carrier. Descriptive data includes time-weighted average noise exposure and an evaluation of temporary threshold shift for a group of nonaviator flight deck personnel (FD), and a comparison of accrued per...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.6.429
更新日期:2004-06-01 00:00:00
abstract::A case series of 417 consecutive ward admissions onboard the USS Forrestal (CV59) is presented. During the 1-year study period, the inpatient ward was open for 260 days while the ship was underway, including workups and extended Mediterranean deployment. The case series displays the variety of clinical inpatient care ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
abstract:UNLABELLED:Musculoskeletal injuries are the most common cause for disability in deployed environments. Current research is limited to body region affected by the injury. OBJECTIVE:To determine the prevalence of musculoskeletal diagnoses and mechanisms of injury (MOI) as well as associations to specific Military Occupa...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00006
更新日期:2011-08-01 00:00:00
abstract:INTRODUCTION:The purpose of this study is to introduce a virtual radiology rotation curriculum that is being used to safely maintain medical student and intern education and engagement with the Department of Radiology at Walter Reed National Military Medical Center during coronavirus disease 2019 (COVID-19) mitigation....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa293
更新日期:2020-10-03 00:00:00
abstract:BACKGROUND:Planning of dental support for populations serving in isolation is essential. Many programs of national or scientific interest such as U.S. Navy submarine missions, the manned space program, and research in Antarctica require long periods where dental care is not available. Submariners make an excellent stud...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.supplement_1.29
更新日期:2008-01-01 00:00:00
abstract::Serotonin syndrome is a potential side effect of some psychotropic medications in common use today. With over 8000 adverse events related to this condition in 2004 alone, this risk warrants further attention. The deployed environment presents a unique set of stressors and risks involved in treatment with any psychothe...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00031
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:Many work to ensure that women veterans receive appropriate and timely health care, yet the needs of those living in rural areas are often ignored. This is a critical oversight given the multitude of reports documenting rural access problems and health disparities. Lacking this, we are unable to plan for and...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00367
更新日期:2016-09-01 00:00:00
abstract::The diagnosis and management of concussion can be difficult in a combat environment, especially in the absence of loss of consciousness or post-traumatic amnesia. As no validated test exists to diagnose or grade neurocognitive impairment from a concussion, the military currently employs the Military Acute Concussion E...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-09-00258
更新日期:2010-07-01 00:00:00
abstract::Serotonin syndrome (SS) is a life-threatening condition, usually precipitated by a combination of serotonergic agents. Data regarding the incidence and management of SS in obstetrics are limited. This study presents a case of SS provoked by an atypical antipsychotic in a second trimester, singleton gestation, and revi...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.1093/milmed/usy135
更新日期:2019-01-01 00:00:00
abstract::The use of the pneumococcal 7-valent conjugate vaccine (PCV7 [Prevnar], Wyeth Lederle Vaccines), and the impact it is likely to have on pneumococcal disease are reviewed. Pneumococcal disease in infants and young children is a major health care burden, and the increase in antibiotic resistance among pneumococci has co...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2002-08-01 00:00:00
abstract::A medical readiness training exercise was conducted in conjunction with Task Force Bravo in Honduras during July and August 2000. Surgical teams from Madigan Army Medical Center performed 46 major pelvic reconstructive surgical procedures and treated more than 300 patients. The mission was an exceptional training oppo...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:INTRODUCTION:Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz451
更新日期:2020-08-14 00:00:00
abstract::Carotid atherosclerosis affects thousands of individuals each year. A history of transient ischemic attacks should alert the clinician to the possibility of carotid artery disease. Carotid endarterectomy is of proven benefit in both symptomatic and asymptomatic individuals, with angiographically confirmed carotid sten...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
abstract:OBJECTIVE:To deliver optimal patient care and promote wellness, naval providers and patients require convenient access to medical information from isolated duty stations. The Internet can lower barriers to accessing information. The goal of this study was to determine the technical feasibility of using the Internet to ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract::A study of ambulatory mental health services on a U.S. Army post where logistic support personnel are stationed compared utilization of psychiatric services before, during, and after the Persian Gulf War. Rates were calculated for service utilization for the at-risk groups from consecutive cases presenting at the post...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-10-01 00:00:00
abstract::Gastric involvement in Hodgkin's disease is rare. A case of gastric Hodgkin's disease occurring after autologous bone marrow transplantation is presented. A retrospective review of 339 cases of Hodgkin's disease in the Tumor Registry at Brooke Army Medical Center revealed six additional cases of documented gastric inv...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-11-01 00:00:00
abstract::To help preserve in-theater strength within deployed military units, commercially available, rapid, user-friendly ABO-Rh blood typing kits were evaluated to determine their stability in storage conditions commonly encountered by the warfighter. Methods for environmental exposure testing were based on MIL-STD-810F. Whe...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-00-0909
更新日期:2009-10-01 00:00:00
abstract::The U.S. military was actively involved in humanitarian aid throughout the world for much of the 20th century and is likely to continue in this role well into the 21st century. During the recent Western Pacific Deployment, we were called on to provide assistance to the local population in East Timor in what is called ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.1.29
更新日期:2006-01-01 00:00:00
abstract::This article provides a synopsis of the limited investigations examining the impact of external load (EL) on performance of high-intensity tasks under load (HITL), EL training intervention effects on HITL performance, and injuries from EL training. Repetitive lifting tasks and initiation of locomotion, such as rapidly...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00079
更新日期:2014-09-01 00:00:00
abstract::This study examined the impact of a history of childhood abuse and neglect on soldiers' adaptation to Army life including commitment to the Army, confidence in leaders, and perceptions of unit cohesion and readiness. Childhood abuse and neglect were measured by the 30-item Childhood Trauma Questionnaire (CTQ) which co...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract::This case report examines a vesiculopustular reaction which occurred in a young Marine 9 d after receiving the smallpox vaccination. Review of the CDC guidelines, ACAM2000 package insert, and literature surrounding the smallpox vaccine reveals several well-established adverse cutaneous reactions associated with vaccin...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx133
更新日期:2018-09-01 00:00:00
abstract::Over the past few years, the indications for resuscitative thoracotomy in civilian trauma have been refined. The use of this procedure for military casualities has received only brief mention. We have described our experience with 93 consecutive thoracotomies performed in a level I trauma center and have attempted to ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-08-01 00:00:00
abstract::Over the last decade, demand for services from military treatment facilities (MTFs) has frequently exceeded capacity resulting in increased usage of off-base civilian Tricare providers (OCTP). This capacity shortage has been particularly acute for mental health care. At many installations, OCTPs are the main source of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00229
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION:The Society of Military Orthopaedic Surgeons (SOMOS) is a robust academic organization with more than 1,000 members and has held annual academic scientific meetings since 1958. Currently, there is a paucity of data regarding the volume and quality of orthopaedic surgery presentations accepted for peer-revi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00431
更新日期:2017-11-01 00:00:00
abstract::The possibility that western diets poor in omega-3 and rich in omega-6 fatty acids contribute to the increasing burden of chronic diseases including neurological problems is becoming recognized. Modern, westernized diets provide 80 to 90% of polyunsaturated fatty acids as omega-6 linoleic acid (LA) and are depleted in...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00147
更新日期:2014-11-01 00:00:00
abstract::The objective of this study was to assess the impact of a pilot nutrition intervention program on knowledge, attitudes, and behaviors of female combat soldiers in basic training serving in the Israeli army and to determine changes in nutrient intake. Seventy recruits participated in the intervention. Anthropometric me...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00439
更新日期:2013-05-01 00:00:00
abstract::This study determined the perception by 951 U.S. Army soldiers of positive and negative consequences of a peacekeeping deployment to Bosnia. Seventy-seven percent reported some positive consequences, 63% reported a negative consequence, and 47% reported both. Written comments were also provided. Of the 951 soldiers, 4...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.10.815
更新日期:2005-10-01 00:00:00
abstract:INTRODUCTION:Noise exposure is an occupational health concern for certain professions, especially military servicemembers and those using power tools on a regular basis. The purpose of this study was to quantify noise exposure during total hip arthroplasty (THA) and total knee arthroplasty (TKA) cases compared to the r...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa102
更新日期:2020-09-18 00:00:00
abstract::Ambulatory care federal pharmacists may be readily used by beneficiaries to obtain verbal and written pharmaceutical and/or medical information because of their high visibility and accessibility. In addition to information provided for prescription medications, pharmacists may provide medication and disease informatio...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-08-01 00:00:00