Jorm Anthony F, Wright Annemarie
ORYGEN Research Centre, University of Melbourne, Parkville, Vic, Australia.
Aust N Z J Psychiatry. 2007 Aug;41(8):656-66. doi: 10.1080/00048670701449179.
Mental disorders often have their first onset during youth, so that young people need to have knowledge to support appropriate decision-making. The aim of the study was to find out which interventions they see as potentially helpful for a range of mental disorders.
In 2006, interviews were carried out with 3746 Australians aged 12-25 years and 2005 of their parents. Participants were presented with a case vignette describing either psychosis, depression, depression with alcohol misuse, or social phobia. Questions were asked about the likely helpfulness of a broad range of possible interventions.
There was broad agreement from young people and their parents about what interventions are likely to be helpful and these views applied across the range of disorders presented. These interventions could be described as general and informal sources of help, rather than as specialist mental health services. The most negative views were about psychiatric medications and admission to hospital.
The findings suggest a need to improve knowledge of appropriate treatment options and to give more attention to the evaluation of interventions that are widely accepted by young people but underresearched. The findings also suggest ways in which interventions can be labelled to make them more acceptable to this age group.
精神障碍通常在青少年时期首次发病，因此年轻人需要具备相关知识以支持做出恰当的决策。本研究的目的是了解他们认为哪些干预措施可能对一系列精神障碍有帮助。
2006年，对3746名年龄在12至25岁之间的澳大利亚人和他们的2005名父母进行了访谈。向参与者展示了一个病例 vignette，描述了精神病、抑郁症、伴有酒精滥用的抑郁症或社交恐惧症。询问了关于一系列可能干预措施的可能帮助程度的问题。
年轻人及其父母对哪些干预措施可能有帮助达成了广泛共识，这些观点适用于所呈现的一系列障碍。这些干预措施可被描述为一般和非正式的帮助来源，而非专门的心理健康服务。最负面的观点是关于精神科药物和住院治疗。
研究结果表明需要提高对适当治疗选择的认识，并更多关注对年轻人广泛接受但研究不足的干预措施的评估。研究结果还提出了对干预措施进行标记的方法，以使它们更能被这个年龄组接受。
