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心理治疗偏好、应对策略及寻求帮助的触发因素方面的性别差异。

Gender differences in preferences for psychological treatment, coping strategies, and triggers to help-seeking.

作者信息

Liddon Louise, Kingerlee Roger, Barry John A

机构信息

Northumbria University, Newcastle, UK.

Norfolk and Suffolk NHS Foundation Trust, Norwich, UK.

出版信息

Br J Clin Psychol. 2018 Mar;57(1):42-58. doi: 10.1111/bjc.12147. Epub 2017 Jul 9.

DOI:10.1111/bjc.12147
PMID:28691375
Abstract

OBJECTIVE

There is some evidence that men and women deal with stress in different ways; for example, a meta-analysis found that women prefer to focus on emotions as a coping strategy more than men do. However, sex differences in preferences for therapy is a subject little explored.

DESIGN

A cross-sectional online survey.

METHOD

Participants (115 men and 232 women) were recruited via relevant websites and social media. The survey described therapies and asked participants how much they liked each. Their coping strategies and help-seeking behaviour were assessed too.

RESULTS

Survey data were analysed using multiple linear regression. After familywise adjustment of the alpha for multiple testing to p < .0125, and controlling for other relevant variables, men liked support groups more than women did (β = -.163, p < .010), used sex or pornography to cope with stress more than women did (Exp[B] = .280, p < .0002), and thought that there is a lack of male-friendly options more than women did (Exp[B] = .264, p < .002). The majority of participants expressed no preference for the sex of their therapist, but of those who did, men were only slightly more likely to prefer a female therapist whereas women were much more likely to prefer females (p < .0004). Even after familywise adjustment, there were still more significant findings than would be expected by chance (p < .001, two-tailed).

CONCLUSIONS

Although there are many similarities in the preferences of men and women regarding therapy, our findings support the hypothesis that men and women show statistically significant differences of relevance to clinical psychologists.

PRACTITIONER POINTS

Men are less inclined than women to seek help for psychological issues This study demonstrates that men and women show significant differences in some aspects of therapy, coping behaviour, and help-seeking It is possible that men would be more inclined to seek help if therapies catered more for men's preferences Practitioners can learn to improve the success of their practice by taking the gender of clients into account.

摘要

目的

有证据表明男性和女性应对压力的方式不同;例如,一项荟萃分析发现,女性比男性更倾向于将关注情绪作为一种应对策略。然而,治疗偏好方面的性别差异是一个鲜有探索的主题。

设计

一项横断面在线调查。

方法

通过相关网站和社交媒体招募参与者(115名男性和232名女性)。调查描述了各种治疗方法,并询问参与者对每种方法的喜爱程度。还评估了他们的应对策略和求助行为。

结果

使用多元线性回归分析调查数据。在将用于多重检验的α进行族系调整至p <.0125,并控制其他相关变量后,男性比女性更喜欢支持小组(β = -.163,p <.010),使用性或色情内容来应对压力的情况比女性更多(Exp[B] =.280,p <.0002),并且比女性更认为缺乏对男性友好的选择(Exp[B] =.264,p <.002)。大多数参与者对治疗师的性别没有偏好,但在有偏好的参与者中,男性只是略更倾向于选择女性治疗师,而女性则更有可能选择女性治疗师(p <.0004)。即使经过族系调整,仍有比偶然预期更多的显著发现(p <.001,双侧)。

结论

尽管男性和女性在治疗偏好方面有许多相似之处,但我们的研究结果支持这一假设,即男性和女性在与临床心理学家相关的方面存在统计学上的显著差异。

从业者要点

男性比女性更不愿意为心理问题寻求帮助 本研究表明男性和女性在治疗、应对行为和求助的某些方面存在显著差异 如果治疗方法更迎合男性的偏好,男性可能更倾向于寻求帮助 从业者可以通过考虑客户的性别来学习提高他们的治疗成功率。

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