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瑞典青少年对抑郁症和精神分裂症的心理健康素养。

Mental health literacy about depression and schizophrenia among adolescents in Sweden.

机构信息

Department of Molecular Medicine and Surgery, Neurogenetics Unit, Karolinska Institutet, Center for Molecular Medicine, Stockholm, Sweden; Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden.

出版信息

Eur Psychiatry. 2013 Sep;28(7):404-11. doi: 10.1016/j.eurpsy.2013.02.002. Epub 2013 Jun 10.

Abstract

BACKGROUND

Mental health literacy (MHL) refers to an individual's knowledge of mental disorders, including the ability to recognize psychopathology and being aware of help options. Most studies of MHL have focused on adults.

OBJECTIVE

The purpose of this study was to examine levels of MHL among adolescents.

METHODS

MHL was examined using two pre-established vignettes that presented an adolescent with symptoms of either depression or schizophrenia. The respondents were 426 adolescents (age mean=16). Vignette data were analyzed both qualitatively and quantitatively.

RESULTS

The data showed that 42.7% and 34.7% of the respondents identified depression and schizophrenia, respectively. Depression was recognized more often by females than males. Professional help was suggested by a minority of the respondents for managing symptoms of depression (22.5%) or schizophrenia (32.6%). Altruistic behaviors, examined through the willingness to help an acquaintance with mental illness symptoms, were apparent among 58.2% of the respondents and to a greater extent in females than males. Answers following the schizophrenia vignette also revealed stigmatizing attitudes in 11.5% of the participants.

CONCLUSIONS

There are relatively low levels of MHL among teenagers in Sweden. Awareness campaigns and the implementation of psychoeducation in the school curriculum could increase MHL in this group.

摘要

背景

心理健康素养(MHL)是指个体对精神障碍的知识,包括识别精神病理学的能力和了解帮助途径的意识。大多数 MHL 的研究都集中在成年人身上。

目的

本研究旨在调查青少年的 MHL 水平。

方法

使用两个预先设定的情景测验来评估 MHL,这些情景测验呈现了一个有抑郁或精神分裂症症状的青少年。受访者为 426 名青少年(平均年龄=16 岁)。对情景测验数据进行了定性和定量分析。

结果

数据显示,分别有 42.7%和 34.7%的受访者识别出了抑郁和精神分裂症。女性比男性更常识别出抑郁。对于管理抑郁(22.5%)或精神分裂症(32.6%)症状,只有少数受访者建议寻求专业帮助。有 58.2%的受访者表现出利他行为,愿意帮助有精神疾病症状的熟人,而且女性比男性更明显。回答精神分裂症情景测验后,也有 11.5%的参与者表现出了污名化的态度。

结论

瑞典青少年的 MHL 水平相对较低。在该群体中开展宣传活动和在学校课程中实施心理教育可以提高 MHL。

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