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年轻人会在哪里寻求精神障碍方面的帮助,又有什么因素阻止他们寻求帮助?一项澳大利亚全国性调查的结果。

Where would young people seek help for mental disorders and what stops them? Findings from an Australian national survey.

机构信息

Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Australia.

出版信息

J Affect Disord. 2013 May;147(1-3):255-61. doi: 10.1016/j.jad.2012.11.014. Epub 2012 Dec 8.

DOI:10.1016/j.jad.2012.11.014
PMID:23228570
Abstract

BACKGROUND

In order to improve help seeking by young people for mental illness, a better understanding is required of their help-seeking intentions and barriers to their help seeking from various different sources and for different disorders.

METHODS

Young people's help-seeking intentions and perceived barriers to help seeking were assessed by a national telephone survey of 3021 youths aged 15-25 years. Respondents were presented with a vignette of a young person portraying depression, depression with suicidal thoughts, depression with alcohol abuse, post-traumatic stress disorder, social phobia, or psychosis.

RESULTS

Embarrassment or shyness was the most frequently mentioned barrier to seeking help from most sources. However, different barriers featured prominently depending on the disorder and the helper. Age, sex, and knowing a family member or friend who had received professional help for mental illness predicted some barriers.

LIMITATIONS

Help-seeking intentions and barriers were assessed with reference to a vignette character and may not reflect actual experience or behaviors.

CONCLUSIONS

Findings can facilitate the targeting of future efforts to improve young people's help seeking for mental disorders by highlighting the barriers that are more relevant for specific disorders, sources of help and personal characteristics.

摘要

背景

为了提高年轻人寻求心理健康帮助的意愿,我们需要更好地了解他们从不同来源和针对不同障碍寻求帮助的意图和障碍。

方法

通过对 3021 名 15-25 岁年轻人进行全国性电话调查,评估了年轻人寻求帮助的意图和对寻求帮助的障碍的看法。受访者看到了一个描述一个年轻人患有抑郁症、有自杀念头的抑郁症、有酒精滥用的抑郁症、创伤后应激障碍、社交恐惧症或精神病的事例。

结果

大多数来源的最常提到的寻求帮助的障碍是尴尬或害羞。然而,不同的障碍根据障碍和帮助者的不同而突出。年龄、性别以及是否认识有精神疾病专业治疗经历的家庭成员或朋友预测了一些障碍。

局限性

通过参考一个事例中的角色来评估寻求帮助的意图和障碍,可能无法反映实际经验或行为。

结论

这些发现可以通过突出针对特定障碍、帮助来源和个人特征更相关的障碍,来促进未来改善年轻人寻求精神障碍帮助的努力。

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