Wisdom Jennifer P, Agnor Chrystal
Center for Health Research, Kaiser Permanente Northwest, 3800 N. Interstate Ave., Portland, OR 97227, USA.
J Adolesc. 2007 Apr;30(2):333-46. doi: 10.1016/j.adolescence.2006.04.001. Epub 2006 May 19.
While adolescents tend to under-use professional mental health services for depression, they informally seek health-related information from parents and peers. In this study, we interviewed 15 adolescents to examine how the views and behaviours of others influence teens' decisions about seeking care for depression. Using a grounded theory approach, we found that teens' families, peers, and siblings contributed uniquely to teens' decisions in seeking care for depression. Families may disclose a "heritage" of depression, and their choices about disclosing family mental health issues, previous treatment, and coping strategies affected teens' understanding of depression. Peer "depression guides," who had themselves experienced depression, provided teens with advice on recognizing depression, managing stigma, and seeking care. Siblings bridged the roles of peer and family, influencing teens' choices about accessing treatment. These findings suggest that family and peers should be included during teens' depression treatment.
虽然青少年往往较少使用专业心理健康服务来治疗抑郁症，但他们会非正式地向父母和同龄人寻求与健康相关的信息。在本研究中，我们采访了15名青少年，以考察他人的观点和行为如何影响青少年寻求抑郁症治疗的决定。采用扎根理论方法，我们发现青少年的家庭、同龄人及兄弟姐妹在青少年寻求抑郁症治疗的决定中有着独特的作用。家庭可能会透露抑郁症的“遗传史”，他们在披露家庭心理健康问题、既往治疗及应对策略方面的选择影响了青少年对抑郁症的理解。有过抑郁症经历的同龄人“抑郁症引导者”为青少年提供了关于识别抑郁症、应对污名化及寻求治疗的建议。兄弟姐妹兼具同龄人和家庭成员的角色，影响着青少年在接受治疗方面的选择。这些发现表明，在青少年抑郁症治疗期间应纳入家庭和同龄人。
