Reczek Corinne, Thomeer Mieke Beth, Gebhardt-Kram Lauren, Umberson Debra
The Ohio State University, Columbus, OH, USA.
University of Alabama at Birmingham, Birmingham, AL, USA.
Soc Ment Health. 2020 Mar;10(1):80-96. doi: 10.1177/2156869319834335. Epub 2019 Apr 4.
This study considers when, whether, and how spouses encourage professional mental health care by analyzing qualitative data from 90 in-depth interviews with gay, lesbian, and heterosexual spouses. Findings show that a majority of spouses are engaged in promoting each other's mental health care but that the strategies used to promote care vary by gender and the gender composition of the couple. The majority of gay men and lesbian women promote care by framing mental health problems as largely biochemical, fixable only with professional care or medicine, and work to destigmatize this care. Lesbian women uniquely emphasize the influence of a spouse's symptoms on marital quality as a reason to pursue care. Some heterosexual women and men also report seeing their spouse's mental health care as something for them to deal with on their own and thus do not encourage care. This study has important implications for researchers looking to understand why some individuals seek mental health care and others do not and provides policymakers insight into mental health interventions via spouses.
本研究通过分析对男同性恋、女同性恋和异性恋配偶进行的90次深度访谈的定性数据,探讨配偶何时、是否以及如何鼓励对方寻求专业心理健康护理。研究结果表明,大多数配偶都在促进彼此的心理健康护理,但促进护理的策略因性别和夫妻的性别构成而异。大多数男同性恋者和女同性恋者通过将心理健康问题主要归结为生化问题,认为只有通过专业护理或药物才能解决,并努力消除这种护理的污名化来促进护理。女同性恋者特别强调配偶的症状对婚姻质量的影响,以此作为寻求护理的理由。一些异性恋女性和男性也表示,他们将配偶的心理健康护理视为自己需要独自处理的事情,因此不鼓励寻求护理。这项研究对于希望了解为何有些人寻求心理健康护理而另一些人不寻求的研究人员具有重要意义,并为政策制定者提供了通过配偶进行心理健康干预的见解。