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运用摄影探索年轻人的心理健康和幸福感体验及认知。

Exploring young people's experiences and perceptions of mental health and well-being using photography.

机构信息

School of Health Sciences, University of Nottingham, Nottingham, UK.

Institute of Health and Allied Professions, Nottingham Trent University, Nottingham, UK.

出版信息

Child Adolesc Ment Health. 2020 Feb;25(1):13-20. doi: 10.1111/camh.12351. Epub 2019 Oct 24.

Abstract

INTRODUCTION

The mental health of young people is a major global public health concern. A shift in focus towards children and young people's mental health in the UK has emphasized young people's voices, as of paramount importance in shaping the path for future quality care provision. The paper examines a study that aimed to explore young people's perceptions of mental health and well-being using photographs.

METHOD

The methodology employed for this study placed young people at the centre of the research process by using photographs to capture their experiences. Ten young people who attended a youth group used disposable cameras to take photographs of their experiences and perceptions of mental health and well-being. Semi-structured interviews with the young people elicited their narratives behind the images. Data were analysed using photo-elicitation and thematic analysis.

FINDINGS

Young people's experiences of mental health and well-being were internalized and located predominantly in the private and hidden regions of their everyday lives. Stigma, social isolation and marginalization were prevalent whilst spirituality and connection with the environment expressed hope.

CONCLUSION

Mental health appears to be firmly located in the private 'back regions' of young individuals' lives, demonstrating that young people conceptualize these experiences as a vulnerable and hidden part of their being. Understanding the needs of this new generation of youth including the prevalence of stigma, risk of isolation and social exclusion are paramount. Future service provision needs to recognize the extent stigma impacts upon young people's experiences of mental health and well-being.

摘要

简介

年轻人的心理健康是全球主要的公共卫生关注点之一。在英国,人们对儿童和年轻人心理健康的关注重点发生了转变,强调年轻人的声音至关重要,对于塑造未来优质护理服务的发展方向具有重要意义。本文研究了一项旨在通过照片探索年轻人对心理健康和幸福感的看法的研究。

方法

该研究采用以年轻人为中心的方法,通过照片来捕捉他们的经历,使年轻人成为研究过程的核心。10 名参加青年团体的年轻人使用一次性相机拍摄了他们对心理健康和幸福感的经历和看法的照片。对年轻人进行半结构化访谈,引出他们对图像背后的叙述。使用照片引出法和主题分析法对数据进行分析。

结果

年轻人的心理健康和幸福感体验是内化的,主要位于日常生活的私人和隐藏区域。普遍存在污名化、社会孤立和边缘化,而精神性和与环境的联系则表达了希望。

结论

心理健康似乎牢牢地位于年轻人生活的私人“背部区域”,这表明年轻人将这些体验视为他们脆弱和隐藏的一部分。了解这一代年轻人的需求,包括污名化的普遍性、隔离和社会排斥的风险至关重要。未来的服务提供需要认识到污名化对年轻人心理健康和幸福感体验的影响程度。

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