Dardas Latefa Ali, Silva Susan G, van de Water Brittney, Vance Ashlee, Smoski Moria J, Noonan Devon, Simmons Leigh Ann
1 School of Nursing, The University of Jordan, Amman, Jordan.
2 School of Nursing, Duke University, Durham, NC, USA.
J Sch Nurs. 2019 Apr;35(2):117-127. doi: 10.1177/1059840517731493. Epub 2017 Sep 25.
Little is known about help-seeking for depression among Jordanian adolescents who are a vulnerable population with high rates of depressive symptoms and few mental health services. The purpose of this study was to (1) explore Jordanian adolescents' helpseeking intentions for depression and (2) examine whether depression stigma, depression severity, or their interaction are associated with Jordanian adolescents' willingness to seek help for depression and the type of treatment they would seek. In collaboration with the Jordanian Ministry of Education, we conducted a nationally representative, school-based survey of adolescents aged 12-17 years ( N = 2,349). One fourth of the adolescents reported they would not seek professional help for depression, and those respondents had higher average depression scores. Among those adolescents willing to seek help, the most likely sources included family member (57%), school counselor (46%), psychiatrist (43%), religious leader (39%), and general health practitioner (28%). Lower stigma scores were associated with greater likelihood to seek psychotherapy or visit a psychiatrist, while higher stigma scores were associated with increased likelihood to seek help from a school counselor or a family member. Jordanian adolescents experience significant barriers to seeking professional help for depression. However, even among adolescents with greater depression severity and depression stigma, school counselors were identified as a key resource for help. These findings suggest that school-based interventions may fill a critical service need for adolescents with depression and other mental health problems. School nurses should be leveraged along with counselors to address mental health issues in this vulnerable population.
对于约旦青少年中抑郁症求助情况了解甚少,他们是一个弱势群体,抑郁症状发生率高且心理健康服务匮乏。本研究的目的是:(1)探究约旦青少年对抑郁症的求助意愿;(2)检验抑郁污名、抑郁严重程度或它们的相互作用是否与约旦青少年寻求抑郁症帮助的意愿以及他们会寻求的治疗类型相关。我们与约旦教育部合作,对12至17岁的青少年进行了一项具有全国代表性的基于学校的调查(N = 2349)。四分之一的青少年表示他们不会寻求专业的抑郁症帮助,这些受访者的平均抑郁得分更高。在那些愿意寻求帮助的青少年中,最可能的求助对象包括家庭成员(57%)、学校辅导员(46%)、精神科医生(43%)、宗教领袖(39%)和全科医生(28%)。较低的污名得分与寻求心理治疗或看精神科医生的可能性更大相关,而较高的污名得分与向学校辅导员或家庭成员寻求帮助的可能性增加相关。约旦青少年在寻求抑郁症专业帮助方面面临重大障碍。然而,即使在抑郁严重程度和抑郁污名较高的青少年中,学校辅导员也被视为关键的求助资源。这些发现表明,基于学校的干预措施可能满足抑郁症及其他心理健康问题青少年的关键服务需求。应利用学校护士和辅导员来解决这一弱势群体的心理健康问题。