Table 1.
Reported reasons for not seeking mental health treatment by severity of disorder among soldiers with a 30-day DSM-IV disorder who did not seek treatment at any time in the past 12 months (n=744)
| Severity of impairment | ||||||||
|---|---|---|---|---|---|---|---|---|
| Total | Severe | Not severe | Reason by severity |
|||||
| %1 | SE | %1 | SE | %1 | SE | χ21 | ||
| I. No perceived need2 | ||||||||
| Did not think treatment was needed | 69.8 | 1.7 | 67.9 | 5.6 | 70.4 | 2.1 | 0.1 | |
| (n)3 | (744) | (176) | (568) | |||||
| II. Low perceived need among those with perceived need4 | ||||||||
| Problem not serious or got better | 46.8 | 3.8 | 29.0 | 5.3 | 52.2 | 3.9 | 19.5* | |
| (n)3 | (208) | (61) | (147) | |||||
| III. Structural reasons among those with perceived need4 | ||||||||
| Financial | 13.2 | 2.6 | 13.4 | 4.4 | 13.1 | 3.1 | 0.0 | |
| Civilian treatment unavailable or unaffordable | 49.1 | 4.4 | 84.0 | 6.1 | 38.6 | 3.9 | 40.2* | |
| Inconvenient | 26.1 | 4.1 | 32.8 | 9.9 | 24.1 | 5.2 | 0.5 | |
| Unsure where to go or could not get appointment | 31.3 | 4.4 | 46.0 | 9.4 | 26.9 | 3.5 | 7.5* | |
| Leaders discouraged treatment | 8.6 | 1.9 | 13.1 | 3.6 | 7.2 | 2.6 | 1.4 | |
| Any structural barrier | 62.7 | 5.3 | 91.8 | 2.6 | 53.9 | 6.5 | 35.8* | |
| (n)3 | (208) | (61) | (147) | |||||
| IV. Attitudinal reasons among those with perceived need4 | ||||||||
| Wanted to handle on own | 77.0 | 4.3 | 65.9 | 6.0 | 80.3 | 5.2 | 3.5 | |
| Perceived ineffectiveness | 44.7 | 4.2 | 55.9 | 8.1 | 41.4 | 4.1 | 3.6 | |
| Stigma | 41.2 | 4.1 | 51.5 | 5.9 | 38.1 | 4.2 | 5.7* | |
| Embarrassed | 38.8 | 4.1 | 50.2 | 8.2 | 35.3 | 4.2 | 3.2 | |
| Any attitudinal barrier | 80.7 | 4.1 | 76.4 | 3.8 | 82.1 | 5.0 | 0.8 | |
| (n)3 | (208) | (61) | (147) | |||||
| V. Other reasons among those with perceived need4 | ||||||||
| Talked to friends or relatives instead | 57.3 | 3.9 | 45.7 | 4.0 | 60.8 | 4.8 | 6.2* | |
| Some other reason | 16.7 | 3.8 | 20.6 | 5.7 | 15.5 | 4.6 | 0.5 | |
| (n)3 | (208) | (61) | (147) | |||||
| VI. Number of reasons among those with perceived need4 | ||||||||
| Any reason | 90.0 | 2.6 | 96.5 | 2.1 | 88.1 | 3.1 | 5.3* | |
| 2+ reasons | 82.4 | 2.6 | 76.4 | 3.8 | 84.2 | 2.8 | 4.6* | |
| 3+ reasons | 73.2 | 4.1 | 74.9 | 3.9 | 72.7 | 5.0 | 0.1 | |
| 4+ reasons | 57.8 | 6.5 | 67.5 | 7.5 | 54.8 | 7.5 | 1.8 | |
| (n)3 | (208) | (61) | (147) | |||||
1
Weighted row percentages denoting the proportion of AAS respondents within each row reporting the specified severity of impairment.
2
Among all AAS respondents with a 30-day DSM-IV disorder who did not seek treatment (n=744).
3
Unweighted number of AAS respondents within each cell corresponding to the row heading and specified severity of impairment.
4
Among the subset of AAS respondents with a 30-day DSM-IV disorder who did not seek treatment and had perceived need (n=208).
*
p<0.05, two-sided test.