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澳大利亚青少年的个人和感知抑郁污名:程度和预测因素。

Personal and perceived depression stigma in Australian adolescents: magnitude and predictors.

机构信息

Centre for Mental Health Research, The Australian National University, Acton ACT 0200, Australia.

出版信息

J Affect Disord. 2011 Mar;129(1-3):104-8. doi: 10.1016/j.jad.2010.08.019. Epub 2010 Sep 21.

Abstract

BACKGROUND

Depression stigma has been identified as a barrier to help-seeking in adolescents. This study aimed to examine and compare levels of personal and perceived depression stigma amongst Australian adolescents and to identify predictors of these constructs.

METHODS

A total of 1,375 adolescents aged 12 to 17 years (M=14.34) completed the Depression Stigma Scale (DSS) and a number of other sociodemographic and symptom scale measurements as part of the pre-intervention questionnaire of the YouthMood Project.

RESULTS

Levels of perceived stigma (M=20.53, SD=5.06) were significantly higher than levels of personal stigma (M=14.48, SD=5.28). Higher personal stigma was predicted by being male (p<.001), younger (p=.01), living with both parents (p=.02), having no history of depression (p<.001), having no history of parental depression (p<.01), speaking English as a second language (p<.001), lower levels of mastery (p<.01), and higher levels of alcohol consumption (p<.001) and perceived stigma (p<.001). Higher perceived stigma was predicted by being female (p=.02), having a history of parental depression (p=.05), and higher levels of anxiety (p<.001) and personal stigma (p<.001).

LIMITATIONS

Participants completed a self-report cross-sectional survey, which does not allow temporal relationships to be drawn.

CONCLUSIONS

Stigmatising attitudes are common amongst the adolescent population. The identified predictors of stigma should be considered in the development of future community campaigns to reduce stigma in adolescents.

摘要

背景

抑郁污名已被确定为青少年寻求帮助的障碍。本研究旨在检查和比较澳大利亚青少年的个人和感知抑郁污名水平,并确定这些结构的预测因素。

方法

共有 1375 名 12 至 17 岁的青少年(M=14.34)完成了抑郁污名量表(DSS)和其他一些社会人口学和症状量表测量,作为 YouthMood 项目干预前问卷的一部分。

结果

感知污名水平(M=20.53,SD=5.06)显著高于个人污名水平(M=14.48,SD=5.28)。较高的个人污名由男性(p<.001)、年轻(p=.01)、与父母同住(p=.02)、无抑郁史(p<.001)、无父母抑郁史(p<.01)、英语作为第二语言(p<.001)、较低的掌握度(p<.01)、更高的酒精消费(p<.001)和感知污名(p<.001)来预测。较高的感知污名由女性(p=.02)、父母抑郁史(p=.05)、更高的焦虑(p<.001)和个人污名(p<.001)来预测。

局限性

参与者完成了自我报告的横断面调查,这并不允许得出时间关系。

结论

污名化态度在青少年群体中很常见。在制定未来减少青少年污名的社区运动时,应考虑到确定的污名预测因素。

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