Gill Freya, Butler Stephen, Pistrang Nancy
Department of Clinical, Educational and Health Psychology, University College London, Gower Street, London WC1E 6BT, UK.
J Adolesc. 2016 Jan;46:57-65. doi: 10.1016/j.adolescence.2015.10.025. Epub 2015 Nov 18.
This study explored adolescents' perspectives of inpatient mental health care, focussing on aspects of the inpatient environment they anticipated would help or hinder their transition back home. Semi-structured interviews were conducted with 12 adolescent inpatients; transcripts were analysed thematically. Participants experienced inpatient treatment as offering a mix of benefits (e.g., supportive relationships) and drawbacks (e.g., living in a "fake world"). They anticipated the transition home as providing opportunities for personal growth and consolidation of new coping skills, but also posing challenges concerning re-entering the "real world" after the experience of being "wrapped in cotton wool". Self-determination theory and attachment theory offer two potential frameworks for understanding these opportunities and challenges. Inpatient care has the potential to foster key mechanisms for adaptive development, creating a platform for developing positive future behaviours. Community teams should work closely with inpatient units to support the generalisation of the young person's newly acquired coping skills.
本研究探讨了青少年对住院心理健康护理的看法，重点关注他们预期会有助于或阻碍其回家过渡的住院环境方面。对12名青少年住院患者进行了半结构式访谈；对访谈记录进行了主题分析。参与者体验到住院治疗既有好处（例如，支持性的人际关系）也有坏处（例如，生活在“虚假世界”）。他们预期回家过渡会为个人成长和巩固新的应对技能提供机会，但也会在经历了“被过度保护”之后重新进入“现实世界”方面带来挑战。自我决定理论和依恋理论为理解这些机会和挑战提供了两个潜在的框架。住院护理有潜力促进适应性发展的关键机制，为培养积极的未来行为创造一个平台。社区团队应与住院科室密切合作，以支持年轻人新获得的应对技能的推广。
