@article { , title = {Mental health stigmatisation in deployed UK Armed Forces: A principal components analysis}, abstract = {© 2015, Royal Army Medical College. All rights reserved. Introduction UK military research suggests that there is a significant link between current psychological symptoms, mental health stigmatisation and perceived barriers to care (stigma/BTC). Few studies have explored the construct of stigma/BTC in depth amongst deployed UK military personnel. Method Three survey datasets containing a stigma/BTC scale obtained during UK deployments to Iraq and Afghanistan were combined (n=3405 personnel). Principal component analysis was used to identify the key components of stigma/BTC. The relationship between psychological symptoms, the stigma/BTC components and help seeking were examined. Results Two components were identified: ‘potential loss of personal military credibility and trust’ (stigma Component 1, five items, 49.4\% total model variance) and ‘negative perceptions of mental health services and barriers to help seeking’ (Component 2, six items, 11.2\% total model variance). Component 1 was endorsed by 37.8\% and Component 2 by 9.4\% of personnel. Component 1 was associated with both assessed and subjective mental health, medical appointments and admission to hospital. Stigma Component 2 was associated with subjective and assessed mental health but not with medical appointments. Neither component was associated with help-seeking for subjective psycho-social problems. Conclusions Potential loss of credibility and trust appeared to be associated with help-seeking for medical reasons but not for help-seeking for subjective psychosocial problems. Those experiencing psychological symptoms appeared to minimise the effects of stigma by seeking out a socially acceptable route into care, such as the medical consultation, whereas those who experienced a subjective mental health problem appeared willing to seek help from any source.}, doi = {10.1136/jramc-2015-000587}, issn = {0035-8665}, issue = {Suppl}, journal = {Journal of the Royal Army Medical Corps}, note = {Comments and Suggestions : First published November 30, 2015.}, pages = {i69-i76}, publicationstatus = {Published}, publisher = {BMJ Publishing Group}, url = {https://uwe-repository.worktribe.com/output/802709}, volume = {161}, keyword = {Centre for Appearance Research, Formerly Health & Social Sciences, visible difference}, year = {2015}, author = {Fertout, Mohammed and Jones, N. and Keeling, M. and Greenberg, N.} }