Åmlid Håkon Olav, Carlsson Jan, Bjørnestad Jone, Joa Inge, Hegelstad Wenche Ten Velden
TIPS - Centre for Clinical Research in Psychosis, Stavanger University Hospital, Stavanger, Norway.
School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden.
Front Psychol. 2024 Feb 12;15:1282432. doi: 10.3389/fpsyg.2024.1282432. eCollection 2024.
It is known from the literature that men are slower to seek help and staying engaged in mental health care compared to women. Seeing that in psychosis, men more often than women have insidious onsets but also a more malign illness course, it is important to find ways to improve timely help-seeking. The aim of this study was to explore barriers and facilitators for help-seeking in young male persons struggling with early signs of psychosis.
Qualitative interviews with nine young men who suffer from a first episode of psychosis or psychosis risk symptoms.
Male stereotypical ideals, significant others, and knowledge of symptoms and where to get help as well characteristics of symptom trajectories appeared to be important determinants of help-seeking behavior.
Interviews indicated that help-seeking in the participants was delayed first, because of reluctancy to disclose distress and second, because significant others were unable to accurately recognize symptoms. Information, awareness, and easy access to care remain important in early detection and intervention in psychosis and psychosis risk. However, more emphasis should be placed on de-stigmatizing mental health problems in men and aiming information specifically at them.
从文献中可知，与女性相比，男性寻求帮助的速度较慢，且较少持续接受心理健康治疗。鉴于在精神病方面，男性比女性更常隐匿起病，且病程更凶险，因此找到改善及时求助的方法很重要。本研究的目的是探讨在有精神病早期症状的年轻男性中，寻求帮助的障碍和促进因素。
对9名患有首次发作精神病或有精神病风险症状的年轻男性进行定性访谈。
男性的刻板理想、重要他人、对症状及何处寻求帮助的了解以及症状轨迹的特征似乎是寻求帮助行为的重要决定因素。
访谈表明，参与者寻求帮助的行为首先因不愿透露痛苦而延迟，其次因重要他人无法准确识别症状而延迟。信息、意识以及获得护理的便捷性在精神病及精神病风险的早期检测和干预中仍然很重要。然而，应更加重视消除男性对心理健康问题的污名化，并专门针对他们提供信息。
