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基于性别的动机性访谈对增加大学男性心理健康服务利用率的初步试验。

Pilot trial of gender-based motivational interviewing for increasing mental health service use in college men.

作者信息

Syzdek Matthew R, Green Jonathan D, Lindgren Bruce R, Addis Michael E

机构信息

Frances L. Hiatt School of Psychology, Clark University.

Masonic Cancer Center, University of Minnesota.

出版信息

Psychotherapy (Chic). 2016 Mar;53(1):124-9. doi: 10.1037/pst0000043.

Abstract

Men are considerably less likely to seek professional and nonprofessional help for mental disorders. Prior findings indicate that adherence to masculine norms contributes to stigma about internalizing disorders and help seeking. There are currently no empirically supported interventions for increasing help seeking in men with internalizing symptoms. To address this need, we conducted a pilot study of gender-based motivational interviewing (GBMI) for men with internalizing symptoms. GBMI is a single session of assessment and feedback integrating gender-based and motivational interviewing principles (Addis, 2012). College men (N = 35) with significant internalizing symptoms and no recent help seeking were randomized to either GBMI or a no-treatment control and were followed for 2 months. GBMI had a significant effect on seeking help from parents and a trend for seeking professional help, but did not have a significant effect on seeking help from friends or partners. The size of the effect of GBMI on professional and nonprofessional help seeking ranged from small to medium. GBMI shows promise for improving men's help-seeking behaviors and warrants further development and investigation.

摘要

男性因精神障碍寻求专业和非专业帮助的可能性要小得多。先前的研究结果表明,坚持男性规范会导致对内化性障碍的污名化以及寻求帮助的行为减少。目前尚无经实证支持的干预措施来增加有内化症状的男性寻求帮助的行为。为满足这一需求,我们对有内化症状的男性进行了一项基于性别的动机性访谈(GBMI)的试点研究。GBMI是一个整合了基于性别的和动机性访谈原则的单次评估与反馈环节(阿迪斯,2012年)。有明显内化症状且近期未寻求帮助的大学男性(N = 35)被随机分为GBMI组或无治疗对照组,并随访2个月。GBMI对向父母寻求帮助有显著影响,对寻求专业帮助有一定趋势,但对向朋友或伴侣寻求帮助没有显著影响。GBMI对专业和非专业求助行为的影响大小从中等至较小。GBMI显示出改善男性求助行为的前景,值得进一步开发和研究。

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