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种族作为父母态度和感知到的污名如何影响寻求儿童心理健康服务意愿的调节因素。

Ethnicity as a moderator of how parents' attitudes and perceived stigma influence intentions to seek child mental health services.

作者信息

Turner Erlanger A, Jensen-Doss Amanda, Heffer Robert W

机构信息

Texas A&M University.

出版信息

Cultur Divers Ethnic Minor Psychol. 2015 Oct;21(4):613-8. doi: 10.1037/cdp0000047. Epub 2015 Apr 20.

DOI:10.1037/cdp0000047
PMID:25894834
Abstract

OBJECTIVE

Research has identified several variables that affect utilization of mental health services. However, more could be explored regarding ethnic differences among parents seeking help for their children.

METHOD

In our study, 238 caregivers were recruited from the southern United States to examine ethnic differences in intentions to access child mental health services with the Parental Attitudes Toward Psychological Services Inventory (Turner, 2012) as the primary measure.

RESULTS

Group comparisons indicated that African-American parents reported less positive attitudes and more stigma than European-American or Hispanic-American parents. Moderation analyses found (a) attitudes were associated with a higher level of parental help-seeking intention among European Americans, but not among African Americans or Hispanic Americans and (b) stigma was associated with a lower parent-reported likelihood of help-seeking for Hispanic Americans, but not for European Americans or African Americans.

CONCLUSIONS

Ethnicity deferentially impacts attitudes and stigma associated with seeking mental health services. Public education efforts to increase service use should be tailored toward under-served groups to be more effective.

摘要

目的

研究已确定了几个影响心理健康服务利用情况的变量。然而,对于为子女寻求帮助的父母之间的种族差异,仍有更多方面有待探索。

方法

在我们的研究中,从美国南部招募了238名照顾者,以《父母对心理服务的态度量表》(特纳,2012年)作为主要测量工具,研究在寻求儿童心理健康服务的意愿方面的种族差异。

结果

组间比较表明,非裔美国父母比欧裔美国父母或西班牙裔美国父母报告的积极态度更少,耻辱感更强。调节分析发现:(a)态度与欧裔美国人中较高水平的父母寻求帮助意愿相关,但在非裔美国人或西班牙裔美国人中并非如此;(b)耻辱感与西班牙裔美国人中父母报告的较低寻求帮助可能性相关,但在欧裔美国人或非裔美国人中并非如此。

结论

种族差异对与寻求心理健康服务相关的态度和耻辱感有不同影响。为提高服务利用率而开展的公共教育工作应针对服务不足的群体进行调整,以提高成效。

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