Skip to main content
Have a personal or library account? Click to login
Veterans’ Trauma-Related Guilt and Self-Stigma Affect Treatment-Seeking Behavior Cover

Veterans’ Trauma-Related Guilt and Self-Stigma Affect Treatment-Seeking Behavior

Open Access
|Sep 2025

Figures & Tables

Figure 1

Hypothesized Mechanism of Help-Seeking Behaviors.

Table 1

Demographic Characteristics of Participants.

VARIABLE%
Biological sex
      Male71.1
      Female28.9
Relationship status
      Single5.2
      In a relationship7.6
      Married or domestic partnership87.2
Race
      White90
      Black or African American0.9
      Hispanic0.9
      Asian/Pacific Islander3.8
      American Indian/Alaskan Native4.3
Education
      High school degree or equivalent1.9
      Some college but no degree1.9
      Associate degree0.5
      Bachelor’s degree71.6
      Master’s degree22.3
      Professional degree1.4
Employment status
      Employed for wages59.2
      Self-employed23.2
      Out of work and looking for work0.9
      Student0.5
      Military14.7
      Retired0.9
Yearly income
      Less than $20,0002.4
      $20,001 to $34,99914.7
      $35,000 to $49,99928
      $50,000 to $74,99931.3
      $75,000 to $99,99921.8
      Over $100,00012.3
Sexual orientation
      Heterosexual63.5
      Homosexual1.9
      Bisexual32.2
      Prefer not to say0.9
      Other0.5

[i] Note. n = 211.

Table 2

Reported Help-Seeking Behaviors.

VARIABLE%
Received psychological services
      Yes62.1
      No37
      Missing0.9
Types of psychological service received
      Alcohol treatment7.6
      Counseling21.6
      Drug treatment1.9
      Psychiatric21.8
      Psychological34.1
Table 3

Means and Standard Deviations of Help-Seeking Behaviors, Total Number of Traumatic Events, Subtypes of Trauma-Related Guilt, Posttraumatic Stress Symptoms, and Subtypes of Self-Stigma.

VARIABLEnMEANSTANDARD DEVIATION
Help seekinga21143.26.7
Number of traumatic eventsb21115.82.3
Trauma-related guiltc21166.510.9
PCL totald21150.015.1
Self-stigma of mental illnesse211207.059.8

[i] Notes. aHelp seeking = Total score of the IASMHS. bNumber of traumatic events = sum of traumatic events noted on LEC. cGlobal guilt subscale, distress subscale, and cognitions subscale scores summed through TRGI protocol. dPCL total = total score of PTSD Checklist for DSM-5. eStereotype awareness subscale, stereotype agreement, self-concurrence, and self-esteem decrement are all summed through the SSMIS protocol.

Table 4

Multiple Regression Analysis Predicting Help-Seeking Behaviors.

PREDICTOR VARIABLEBSEβ95% CI FOR Bsr2p
Trauma-related guilt–0.0540.037–0.088[–0.126, 0.018]< 0.001.143
Self-stigma of mental illness–0.0620.007–0.555[–0.076, –0.049]0.308< .001

[i] Notes. B = unstandardized coefficient; SE = standard error; β = standardized beta coefficient; CI = confidence interval; and sr2 = semi-partial squared correlation.

Figure 2

Pathways of Help-Seeking Behaviors.

Notes. Coefficients presented are unstandardized serial mediation coefficients. *p < .05. Indirect relationship 2 = –.34. Indirect relationship 3 = –.07.

Table 5

Correlations between Help-Seeking Behaviors, Total Number of Traumatic Events, Subtypes of Guilt, Posttraumatic Stress Symptoms, and Subtypes of Self-Stigma.

VARIABLEMODEL 1MODEL 2MODEL 3MODEL 4MODEL 5
Help-seeking
Number of traumatic events–.23**
Trauma-related guilt–.29**.16*
PCL total–.49**.41**.44**
Self-stigma of mental illness–.59**.29**.36**. 46**

[i] Notes. *p < .05; **p < .001.

Language: English
Page range: 86 - 98
Submitted on: Apr 23, 2025
Accepted on: May 19, 2025
Published on: Sep 18, 2025
Published by: Virginia Tech Publishing
In partnership with: Paradigm Publishing Services

© 2025 Elizabeth Finer, Mitchell L. Schare, G. Mitchell Mazzone, published by Virginia Tech Publishing
This work is licensed under the Creative Commons Attribution 4.0 License.