MD Undergraduate Program, University of British Columbia, Canada; Provincial OCD Program, BC Children's Hospital, Vancouver, BC, Canada.
Provincial OCD Program, BC Children's Hospital, Vancouver, BC, Canada.
Psychiatry Res. 2023 Aug;326:115275. doi: 10.1016/j.psychres.2023.115275. Epub 2023 Jun 2.
Disclosure of an OCD diagnosis in the high school setting could allow for timely provision of individualized school-based supports. As few studies have examined adolescent perspectives on the disclosure process in schools, we adopted a qualitative approach to explore this, and to gather recommendations for making disclosure of OCD at school safer and more helpful. Twelve participants, ranging from 13 to 17 years old, were recruited using maximum variance-based heterogeneous purposive sampling. Semi-structured interviews were conducted and analyzed inductively through Interpretive Description. From participants' stories, we generated a theoretical model describing the journey from concealment of an OCD diagnosis to disclosure. Four phases of youth disclosure were identified: managing enacted and perceived stigma related to the diagnosis, internal bargaining to determine their individualized disclosure boundaries, trust building with school members, and empowerment by being treated as a person first. Participants' recommendations for the school setting included meaningful education, safe spaces, deep reciprocal connections, and confidential personalized support. The model we developed can help inform school disclosure strategies and optimize support to promote best outcomes for youth with OCD.
在高中环境中披露 OCD 诊断结果，可以及时提供个性化的学校支持。由于很少有研究探讨过青少年对学校披露过程的看法，我们采用定性方法来探索这一点，并为在学校更安全、更有帮助地披露 OCD 提出建议。我们采用最大变异基于异质目的抽样，招募了 12 名年龄在 13 岁至 17 岁之间的参与者。通过解释性描述进行半结构化访谈并进行归纳分析。从参与者的故事中，我们生成了一个理论模型，描述了从隐瞒 OCD 诊断到披露的过程。确定了青少年披露的四个阶段：管理与诊断相关的实际和感知污名，内部协商确定个人披露界限，与学校成员建立信任，以及首先被视为一个人而获得赋权。参与者对学校环境的建议包括有意义的教育、安全空间、深入的互惠关系和保密的个性化支持。我们开发的模型可以帮助为学校披露策略提供信息，并优化支持，以促进 OCD 青少年的最佳结果。
