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信任如何影响俄罗斯和澳大利亚的抑郁症患者寻求帮助?

How does trust affect help-seeking for Depression in Russia and Australia?

机构信息

HSE University, Moscow, Russia.

Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Carlton, VIC, Australia.

出版信息

Int J Soc Psychiatry. 2022 Dec;68(8):1561-1570. doi: 10.1177/00207640211039253. Epub 2021 Aug 31.

DOI:10.1177/00207640211039253
PMID:34461759
Abstract

BACKGROUND

Depression is a major contributor to the global burden of disease that affects more than 300 million people worldwide. Cross cultural studies find that culture influences levels of trust which can impact upon an individual's likelihood to seek psychological help when experiencing Depression.

AIMS

Help seeking is essential for improved mental health outcomes. This study aims to consider how trust affects help-seeking as well as examine the differences in stigma and social distance between participants in Russia and Australia.

METHOD

Participants consisted of two separate samples from Australian ( = 229) and Russia ( = 259) which were recruited based on a vignette of a diagnostically unlabelled psychiatric case history with Depression using a cross-cultural research design. They completed items on the level of trust in health professionals, stigma and endorsement of help-seeking.

RESULTS

Findings suggest that trust can predict the endorsement of seeking help from a psychologist. Moreover, trust was lower for participants in Russia compared to those in Australia for mental health professionals. Participants in Russia had higher levels of stigma and social distance than their counterparts in Australia. Overall, participants in Australia were more likely to seek professional help than those in Russia.

CONCLUSIONS

Trust can predict the endorsement of help-seeking from mental health professionals cross culturally. Barriers to help-seeking such as stigma continue to negatively affect mental health outcomes, particularly in Russia.

摘要

背景

抑郁症是全球疾病负担的主要原因之一,影响着全球超过 3 亿人。跨文化研究发现,文化会影响信任水平,而信任水平又会影响个体在出现抑郁症时寻求心理帮助的可能性。

目的

寻求帮助对于改善心理健康结果至关重要。本研究旨在探讨信任如何影响寻求帮助的行为,并考察俄罗斯和澳大利亚参与者之间在污名化和社会距离方面的差异。

方法

参与者来自澳大利亚(n=229)和俄罗斯(n=259)的两个独立样本,使用跨文化研究设计,根据一个未标记诊断的精神科病例史的描述来招募参与者。他们完成了关于对卫生专业人员信任程度、污名化和寻求帮助的认可的项目。

结果

研究结果表明,信任可以预测寻求心理学家帮助的意愿。此外,与澳大利亚的参与者相比,俄罗斯的参与者对心理健康专业人员的信任程度较低。与澳大利亚的参与者相比,俄罗斯的参与者表现出更高的污名化和社会距离感。总体而言,澳大利亚的参与者比俄罗斯的参与者更有可能寻求专业帮助。

结论

信任可以预测跨文化寻求心理健康专业人员帮助的意愿。寻求帮助的障碍,如污名化,继续对心理健康结果产生负面影响,特别是在俄罗斯。

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