Does cynicism play a role in failure to obtain needed care? Mental health service utilization among returning U.S. National Guard soldiers.

Arbisi PA, Rusch L, Polusny MA, Thuras P, Erbes CR. Does cynicism play a role in failure to obtain needed care? Mental health service utilization among returning U.S. National Guard soldiers. Psychological assessment. 2013 Sep 1; 25(3):991-6.

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Abstract:

In the present study, the authors examined cynicism, a trait associated with mistrust and a misanthropic world view, as an impediment to seeking needed mental health services among a group of National Guard Soldiers with diagnoses of anxiety, depression, or substance abuse or dependence after a combat deployment. On their return from deployment, 40 National Guard soldiers were assessed for self-stigma, current distress, attitudes toward mental health care, and psychiatric diagnoses. Eight and a half months later, mental health service utilization was evaluated. Cynicism assessed prior to deployment was associated with lower odds of utilizing mental health services independent of self-stigma and negative attitudes toward mental health care. Further, neither self-stigma nor attitudes toward mental health care predicted engaging in needed mental health care when cynicism was included in the model.