Department of Psychiatry, University of Oxford, Oxford, UK
Oxford Health NHS Foundation Trust, Oxford, UK.
BMJ Open. 2023 Jun 18;13(6):e071387. doi: 10.1136/bmjopen-2022-071387.
This study aimed to understand young people's perception of the potential utility of arts and culture, focusing on online access, for supporting their mental health.
A qualitative interview study.
Online.
Participants were selected by purposeful sampling from an online survey of arts and culture for mental health and well-being.
Individual semi-structured interviews were conducted from 30 July 2020 to 9 September 2020. Rich interview data were analysed using reflexive thematic analysis.
Thirteen participants aged 18-24 who were socio-demographically diverse and varied in their use of online arts and culture (OAC) and in their level of psychological distress were interviewed. Six themes, 'Characteristics of other activities', 'Online engagement', 'Human connection', 'Mechanisms of impact', 'Mental health outcomes' and 'Engagement optimisation', were identified along with subthemes. Participants identified that online engagement had some advantages over in-person engagement and benefits were greater with familiarity and regular use. Participants described that human connection was the feature of OAC most likely to benefit mental health and emphasised the importance of representation. Mechanisms included improving perspective, reflection, learning, escapism, creativity, exploration and discovery. Outcomes were described as the disruption of negative thought patterns, lifting of mood and increased feelings of calm and proactivity.
This study demonstrates that young people have a critical level of insight and understanding regarding their mental health and ways in which it might be improved. These findings can be used to optimise the mental health benefits of OAC in an engaging and acceptable way for young people. These methodologies could be applied to other types of community resources for mental health.
本研究旨在了解年轻人对艺术和文化的潜在效用的看法，重点关注在线获取艺术和文化资源对他们心理健康的支持作用。
定性访谈研究。
线上。
参与者是通过对艺术和文化促进心理健康和幸福感的在线调查进行有针对性抽样选择的。
于 2020 年 7 月 30 日至 9 月 9 日进行了个人半结构化访谈。使用反思性主题分析对丰富的访谈数据进行分析。
共采访了 13 名年龄在 18-24 岁之间、社会人口统计学特征各异、在线艺术和文化使用情况和心理困扰程度不同的参与者。确定了六个主题，包括“其他活动的特点”、“在线参与”、“人际联系”、“影响机制”、“心理健康结果”和“参与优化”，以及子主题。参与者认为在线参与相对于线下参与具有一些优势，并且随着熟悉程度和定期使用，益处会更大。参与者描述说，人际联系是最有可能有益于心理健康的在线艺术和文化的特征，并强调代表性的重要性。机制包括改善观点、反思、学习、逃避现实、创造力、探索和发现。结果描述为打破消极思维模式、提升情绪、增加平静感和积极性。
本研究表明，年轻人对自己的心理健康以及可能改善心理健康的方法有相当程度的洞察力和理解。这些发现可用于以一种吸引人且可接受的方式优化在线艺术和文化对年轻人心理健康的益处。这些方法可应用于其他类型的社区心理健康资源。
