DeFrino Daniela T, Marko-Holguin Monika, Cordel Stephanie, Anker Lauren, Bansa Melishia, Van Voorhees Benjamin
Res Theory Nurs Pract. 2016;30(2):124-42. doi: 10.1891/1541-6577.30.2.124.
Disclosing predepression feelings of sadness is difficult for teens. Primary care providers are a potential avenue for teens to disclose these feelings and a bridge to mental health care before becoming more seriously ill. To explore how to more effectively recruit teens into a primary care-based, online depression prevention study, we held 5 focus groups with African American and Latino teens (n = 43) from a large Midwestern city. We conducted constant comparative analysis of the data and a theoretical conceptualization of coping and disclosure emerged. Our analysis revealed an internal coping continuum in reaction to sadness and pivotal elements of trust and judgment that either lead teens to disclose or not disclose these feelings. The teens' perspectives show the necessary characteristics of a relationship and comfortable community and virtual settings that can best allow for teens to take the step of disclosing to receive mental health care services.
对青少年来说，倾诉抑郁前的悲伤情绪很困难。初级保健提供者是青少年倾诉这些情绪的潜在途径，也是他们在病情加重之前通向心理健康护理的桥梁。为了探索如何更有效地招募青少年参与一项基于初级保健的在线抑郁症预防研究，我们与来自中西部一个大城市的非裔美国人和拉丁裔青少年（n = 43）进行了5次焦点小组讨论。我们对数据进行了持续比较分析，并形成了应对和倾诉的理论概念。我们的分析揭示了一个针对悲伤情绪的内部应对连续体，以及信任和判断的关键要素，这些要素决定了青少年是否会倾诉这些情绪。青少年的观点表明了一种关系以及舒适的社区和虚拟环境所必需的特征，这些能够最有效地促使青少年迈出倾诉的一步，以获得心理健康护理服务。
