寻求帮助治疗抑郁的青少年双性人：新西兰 SPARX 的案例研究。
Intersex adolescents seeking help for their depression: the case study of SPARX in New Zealand.
机构信息
School of Health, Wellbeing and Social Care, The Open University, Milton Keynes, UK.
School of Medicine, The University of Auckland, Auckland, New Zealand.
出版信息
Australas Psychiatry. 2021 Aug;29(4):450-453. doi: 10.1177/1039856221992642. Epub 2021 Feb 24.
OBJECTIVE
SPARX is a computerized cognitive behavioral therapy self-help program for adolescent depression that is freely available in New Zealand. At registration, users identify themselves as either male, female, intersex, or transgender. We aimed to describe the mental health of adolescent intersex users.
METHOD
A secondary analysis of SPARX usage data over 5 years.
RESULTS
Of the 8922 adolescents users, 0.6% ( = 50) identified as intersex. Based on Patient Health Questionnaire 9 - modified for Adolescents (PHQ-A) results, 78.3% of intersex users had high levels of depression and/or self-harm and suicidal ideation. The mean PHQ-A scores for intersex users were significantly higher than for males and females ( < .001). As only three intersex users completed SPARX Level 4 or more (of the seven-level program), we were unable to meaningfully investigate any reductions in their depressive symptoms over time.
CONCLUSIONS
There is a dearth of empirical data on the mental health of intersex adolescents. These results suggest that intersex adolescents seeking help from an online resource have high mental health needs compared with other young people, possibly because they defer seeking help.
目的
SPARX 是一款针对青少年抑郁的计算机化认知行为疗法自助程序，在新西兰免费提供。在注册时，用户将自己标识为男性、女性、间性人或跨性别者。我们旨在描述青少年间性人用户的心理健康状况。
方法
对 SPARX 使用数据进行了 5 年的二次分析。
结果
在 8922 名青少年用户中，有 0.6%（=50 人）被认定为间性人。根据青少年患者健康问卷 9 修订版（PHQ-A）的结果，78.3%的间性人用户有严重的抑郁和/或自残和自杀意念。间性人用户的平均 PHQ-A 得分明显高于男性和女性（<0.001）。由于只有 3 名间性人用户完成了 SPARX 四级或以上（共七级），我们无法对他们的抑郁症状随时间的变化进行有意义的调查。
结论
关于间性青少年心理健康的实证数据很少。这些结果表明，与其他年轻人相比，寻求在线资源帮助的间性青少年有更高的心理健康需求，这可能是因为他们延迟了寻求帮助。
Zotero 插件