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心理治疗师对青少年抑郁及其治疗的看法:一项混合方法在线调查。

Psychological therapists' perceptions of adolescent depression and its treatment: A mixed methods online survey.

机构信息

Department of Health, 1555University of Bath, Bath, UK.

Department of Psychology, 1555University of Bath, Bath, UK.

出版信息

Clin Child Psychol Psychiatry. 2023 Apr;28(2):580-594. doi: 10.1177/13591045221104570. Epub 2022 May 29.

Abstract

BACKGROUND

Challenges to implementating interventions for adolescent depression exist. Exploring the perceptions of key stakeholders in the treatment of adolescent depression is essential for improving implementation . This study aimed to explore psychological therapists' perceptions of, and experiences treating, adolescent depression to identify future avenues for exploration.

METHOD

Data were collected opportunistically via a survey integrated within an e-learning package about adolescent depression.

RESULTS

Participants believed that adolescent depression was characterised by adolescents' lack of understanding, isolation, and a lack of hope and knowledge. Participants overcame engagement barriers by building trust. Following the e-learning, participants expressed increased understanding of the risk factors associated with adolescent depression and of assessment using different measures. Several key areas for future research to explore were identified and discussed, including (1) whether clinicians of different modalities or at different career stages have difference perceptions, (2) how to meaningfully engage adolescents in treatment and (3) how to train clinicians on different modalities so patients have a choice over their treatment.

CONCLUSION

This study demonstrates the value of knowledge gained from understanding psychological therapists' perceptions and illustrates how this can contribute to the improved treatment of adolescent depression.

摘要

背景

实施青少年抑郁症干预措施存在挑战。探索青少年抑郁症治疗中关键利益相关者的看法对于改善实施至关重要。本研究旨在探讨心理治疗师对青少年抑郁症的看法和治疗经验,以确定未来探索的方向。

方法

通过一项关于青少年抑郁症的电子学习包中整合的调查,机会性地收集数据。

结果

参与者认为青少年抑郁症的特征是青少年缺乏理解、孤立和缺乏希望和知识。参与者通过建立信任来克服参与障碍。在电子学习之后,参与者表示对与青少年抑郁症相关的风险因素以及使用不同措施进行评估的理解有所增加。确定并讨论了未来需要探索的几个关键领域,包括:(1)不同模式或不同职业阶段的临床医生是否有不同的看法;(2)如何让青少年有意义地参与治疗;(3)如何对不同模式的临床医生进行培训,以便患者可以选择自己的治疗方式。

结论

本研究证明了从理解心理治疗师的看法中获得的知识的价值,并说明了这如何有助于改善青少年抑郁症的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b63/10018054/713eafc668d5/10.1177_13591045221104570-fig1.jpg

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