Stigma associated with PTSD: Perceptions of treatment seeking combat veterans.

Mittal, Dinesh; Drummond, Karen L.; Blevins, Dean G.; Curran, Geoffrey M.; Corrigan, Patrick W.; Sullivan, Greer

doi:10.1037/h0094976

Cited by 196 publications

(169 citation statements)

References 26 publications

(35 reference statements)

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“…While veterans believe they are strong individuals, having depression significantly detracts from those beliefs, allowing one to feel weak and inadequate (Dickstein et al, 2010;Rodrigues et al, 2014). Some veterans also believe that the public not only stigmatizes veterans and their disabilities, but also that the public believes that veterans are responsible for the disabilities they obtained through their military service (Mittal et al, 2013). Schlossberg (1981) stated that individuals undergo a role change as part of the situation variable of transition theory.…”

Section: Stigma and Invisible Disabilitiesmentioning

confidence: 99%

“…Individuals who fall victim to self-stigma can experience further mental health problems as a result (Harris et al, 2015). Mittal et al (2013) further stated that to:…”

Section: Stigma and Invisible Disabilitiesmentioning

confidence: 99%

“…The consequence is shame due to a general pessimism that demoralizes individuals and decreases both self-esteem and self-efficacy. (p. 130) Individuals who experience self-stigma fall victim to the stereotypes they encounter from the public-they internalize those stereotypes and apply the beliefs to themselves (Mittal et al, 2013). Individuals may experience shame, withdrawal, or loneliness (Harris et al, 2015).…”

Section: Stigma and Invisible Disabilitiesmentioning

confidence: 99%

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Invisible Disabilities, Stigma, and Student Veterans: Contextualizing the Transition to Higher Education

Flink¹

2017

JVS

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As military veterans transition back into civilian life, the transition process is often filled with challenges. Some veterans leave military service having developed a service-related disability such as post-traumatic stress disorder (PTSD), anxiety, or depression. These invisible disabilities can further complicate the transition from military to civilian life. As military veterans with invisible disabilities begin the transition back into society, many enroll in college to retrain or start new careers. While many military veterans experience difficulties transitioning into civilian life, their invisible disabilities, and the often stigmatization that comes with such disabilities, can make integrating into college as a student a uniquely challenging transition in their new lives.

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Section: Stigma and Invisible Disabilitiesmentioning

confidence: 99%

“…Individuals who fall victim to self-stigma can experience further mental health problems as a result (Harris et al, 2015). Mittal et al (2013) further stated that to:…”

Section: Stigma and Invisible Disabilitiesmentioning

confidence: 99%

Section: Stigma and Invisible Disabilitiesmentioning

confidence: 99%

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Invisible Disabilities, Stigma, and Student Veterans: Contextualizing the Transition to Higher Education

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2017

JVS

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“…In other cases, patient preference or barriers to mental health care may have affected outcomes. Prior literature indicates that many patients do not acknowledge their PTSD, are not aware that it can be treated, do not want treatment for it, or perceive a stigma related to seeking and receiving treatment [27][28][29].…”

Section: Tablementioning

confidence: 99%

Does comorbid chronic pain affect posttraumatic stress disorder diagnosis and treatment? Outcomes of posttraumatic stress disorder screening in Department of Veterans Affairs primary care

Outcalt

Hoen

et al. 2016

J Rehabil Res Dev

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Abstract-Because posttraumatic stress disorder (PTSD) is both prevalent and underrecognized, routine primary care-based screening for PTSD has been implemented across the Veterans Health Administration. PTSD is frequently complicated by the presence of comorbid chronic pain, and patients with both conditions have increased symptom severity and poorer prognosis. Our objective was to determine whether the presence of pain affects diagnosis and treatment of PTSD among Department of Veterans Affairs (VA) patients who have a positive PTSD screening test. This retrospective cohort study used clinical and administrative data from six Midwestern VA medical centers. We identified 4,244 VA primary care patients with a positive PTSD screen and compared outcomes for those with and without a coexisting pain diagnosis. Outcomes were three clinically appropriate responses to positive PTSD screening: (1) mental health visit, (2) PTSD diagnosis, and (3) new selective serotonin reuptake inhibitor (SSRI) prescription. We found that patients with coexisting pain had a lower rate of mental health visits than those without pain (hazard ratio: 0.889, 95% confidence interval: 0.821-0.962). There were no significant differences in the rate of PTSD diagnosis or new SSRI prescription between patients with and without coexisting pain.

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“…CAM approaches are becoming more widespread because they can be delivered outside conventional mental health clinics, require less talking and disclosure than psychotherapy, and may not carry the risks of side effects from pharmaceutical interventions (Strauss, Coeytaux, McDuffie, Nagi, & Williams Jr., 2011). These advantages may be particularly important given stigma associated with PTSD (Mittal et al, 2013), and the belief held by some patients that talking about their traumatic experiences with a treatment provider would make them feel worse (Ouimette, Brown, & Najavits, 1998). Given the priority of improving access to high-quality treatment for PTSD and the growing adoption of CAM approaches by both practitioners and consumers, clarifying the evidence underpinning particular techniques is imperative to informing policy and guidance about the use of CAM for PTSD.…”

mentioning

confidence: 99%

Acupuncture for the Treatment of Adults with Posttraumatic Stress Disorder: A Systematic Review and Meta-Analysis

Grant

Colaiaco

Shanman

et al. 2017

Journal of Trauma & Dissociation

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Acupuncture has been suggested as a treatment for posttraumatic stress disorder (PTSD), yet its clinical effects are unclear. This review aims to estimate effects of acupuncture on PTSD symptoms, depressive symptoms, anxiety symptoms, and sleep quality for adults with PTSD. We searched 10 databases in January 2016 to identify eligible randomized controlled trials (RCTs). We performed random effects meta-analyses and examined quality of the body of evidence (QoE) using the GRADE approach to rate confidence in meta-analytic effect estimates. Seven RCTs with 709 participants met inclusion criteria. We identified very low QoE indicating significant differences favoring acupuncture (versus any comparator) at post-intervention on PTSD symptoms (standardized mean difference .03], 2 RCTs, low QoE). Safety data (7 RCTs) suggest little risk of serious adverse events, though some participants experienced minor/moderate pain, superficial bleeding, and hematoma at needle insertion sites. To increase confidence in findings, sufficiently powered replication trials are needed that measure all relevant clinical outcomes and dedicate study resources to minimizing participant attrition. Posttraumatic stress disorder (PTSD) is a mental health condition that can develop after a person witnesses or experiences a traumatic event (American Psychiatric Association, 2013;Breslau, 2009;Kessler et al., 2005). Characteristic indicators include re-experiencing or intrusive symptoms, avoiding reminders of the event, negative thoughts and feelings, and hyper-

show abstract

Stigma associated with PTSD: Perceptions of treatment seeking combat veterans.

Abstract: Awareness of public stereotypes impacts help seeking at least early in the course of illness. Peer-based outreach and therapy groups may help veterans engage in treatment early and resist stigma.

Cited by 196 publications

References 26 publications

Invisible Disabilities, Stigma, and Student Veterans: Contextualizing the Transition to Higher Education

Invisible Disabilities, Stigma, and Student Veterans: Contextualizing the Transition to Higher Education

Does comorbid chronic pain affect posttraumatic stress disorder diagnosis and treatment? Outcomes of posttraumatic stress disorder screening in Department of Veterans Affairs primary care

Acupuncture for the Treatment of Adults with Posttraumatic Stress Disorder: A Systematic Review and Meta-Analysis

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