Bains Ranbir Mangat
University of Connecticut School of Nursing, Storrs, CT, USA.
J Child Adolesc Psychiatr Nurs. 2014 May;27(2):83-92. doi: 10.1111/jcap.12074. Epub 2014 Apr 14.
African American adolescents access mental health services at lower rates than their Caucasian counterparts, thus resulting in a large disparity. The purpose of the study was to understand the experiences of African American adolescents in dealing with mental health conditions and what led to or hindered their access to mental health services.
A metasynthesis of six qualitative studies was conducted using the meta-ethnographic approach by Noblit and Hare.
Four reciprocal themes illuminating the experiences of African American adolescents with mental health issues were revealed: uncertainty and soul searching, strength of the inner circle, shame and reluctance, belief in the system. Each of the themes was explored in detail through the rich quotations of the adolescents.
The findings provided an insight and understanding into the process the adolescents went through before seeking help and may aid as a framework for designing interventions to better serve this vulnerable population.
非裔美国青少年获得心理健康服务的比例低于白人同龄人，从而导致巨大差距。本研究的目的是了解非裔美国青少年应对心理健康问题的经历，以及导致或阻碍他们获得心理健康服务的因素。
采用诺布利特和黑尔的元民族志方法，对六项定性研究进行了元综合分析。
揭示了四个相互关联的主题，阐明了非裔美国青少年在心理健康问题上的经历：不确定性与内心探索、核心圈子的力量、羞耻与不情愿、对系统的信任。通过青少年丰富的引述对每个主题进行了详细探讨。
这些发现为青少年在寻求帮助之前所经历的过程提供了见解和理解，并可能有助于作为一个框架来设计干预措施，以更好地服务于这一弱势群体。
