O'Connor Peter J, Martin Brett, Weeks Clinton S, Ong Luzian
The School of Management, Queensland University of Technology, Brisbane, Queensland, Australia.
J Adv Nurs. 2014 Nov;70(11):2577-87. doi: 10.1111/jan.12423. Epub 2014 Apr 9.
To identify key predictors and moderators of mental health 'help-seeking behavior' in adolescents.
Mental illness is highly prevalent in adolescents and young adults; however, individuals in this demographic group are among the least likely to seek help for such illnesses. Very little quantitative research has examined predictors of help-seeking behaviour in this demographic group.
A cross-sectional design was used.
A group of 180 volunteers between the ages of 17-25 completed a survey designed to measure hypothesized predictors and moderators of help-seeking behaviour. Predictors included a range of health beliefs, personality traits and attitudes. Data were collected in August 2010 and were analysed using two standard and three hierarchical multiple regression analyses.
The standard multiple regression analyses revealed that extraversion, perceived benefits of seeking help, perceived barriers to seeking help and social support were direct predictors of help-seeking behaviour. Tests of moderated relationships (using hierarchical multiple regression analyses) indicated that perceived benefits were more important than barriers in predicting help-seeking behaviour. In addition, perceived susceptibility did not predict help-seeking behaviour unless individuals were health conscious to begin with or they believed that they would benefit from help.
A range of personality traits, attitudes and health beliefs can predict help-seeking behaviour for mental health problems in adolescents. The variable 'Perceived Benefits' is of particular importance as it is: (1) a strong and robust predictor of help-seeking behaviour; and (2) a factor that can theoretically be modified based on health promotion programmes.
确定青少年心理健康“求助行为”的关键预测因素和调节因素。
精神疾病在青少年和青年中高度流行；然而，这一人群是最不可能为此类疾病寻求帮助的群体之一。很少有定量研究考察这一人群求助行为的预测因素。
采用横断面设计。
一组180名年龄在17至25岁之间的志愿者完成了一项旨在测量求助行为假设预测因素和调节因素的调查。预测因素包括一系列健康信念、人格特质和态度。数据于2010年8月收集，并使用两个标准多元回归分析和三个层次多元回归分析进行分析。
标准多元回归分析显示，外向性、感知到的寻求帮助的益处、感知到的寻求帮助的障碍和社会支持是求助行为的直接预测因素。调节关系检验（使用层次多元回归分析）表明，在预测求助行为方面，感知到的益处比障碍更重要。此外，除非个体一开始就有健康意识，或者他们相信自己会从帮助中受益，否则感知到的易感性并不能预测求助行为。
一系列人格特质、态度和健康信念可以预测青少年心理健康问题的求助行为。“感知到的益处”这一变量尤为重要，因为它：（1）是求助行为的一个强大而稳健的预测因素；（2）从理论上讲，是一个可以根据健康促进计划进行调整的因素。
