Kodzo Lalit Dzifa, Danso Nana Ama Asi, Budu Jemima Twumwaa, Akriti Kafle Baral, Hussain Abid, Zhang Ruixing
School of Nursing and Health, Zhengzhou University, Zhengzhou, China.
Nursing and Midwifery Training College, Central Region, Twifo Praso, Ghana.
Eur Child Adolesc Psychiatry. 2024 Dec;33(12):4303-4312. doi: 10.1007/s00787-024-02473-z. Epub 2024 May 29.
Given the multifaceted character of depression and its related symptoms, an adolescent living with it is at increased risk for a wide range of adverse events. This research aimed to understand and characterize the psychosocial rehabilitation experiences of depressed teenage participants in the Greater Accra Region of Ghana. A cross-sectional semi-structured interview design influenced by an interpretive phenomenological analysis (IPA) technique was adopted. We employed a nonprobability, purposeful sampling approach to recruit twenty-one adolescents (6 males, 15 females) diagnosed with depression from the community after one month of discharge from admission and undergoing psychosocial rehabilitation. Using separate interviews, we gathered and analyzed data using interpretive phenomenological analysis to produce themes and sub-themes. These were presented with the participants' direct quotations. We discovered that the perspectives of adolescents' psychosocial rehabilitation experience include hopelessness and suicide ideation, coping difficulties, undesirable attitudes from support networks, challenges related to school, and isolation. Participants suggested appropriate therapeutic environments, encouraging support systems, and the media's role in preventing and treating depression among young people as rehabilitation approaches that could assist adolescents to remain lucid for longer intervals. These results shed light on the tragic realities faced by depressed adolescents. There is an urgent need to put well-defined structures in place to aid their rehabilitation and develop coping strategies for a better life.
鉴于抑郁症及其相关症状具有多面性，患有抑郁症的青少年面临各种不良事件的风险会增加。本研究旨在了解并描述加纳大阿克拉地区患有抑郁症的青少年参与者的心理社会康复经历。采用了一种受解释现象学分析（IPA）技术影响的横断面半结构化访谈设计。我们采用非概率、有目的的抽样方法，从社区中招募了21名青少年（6名男性，15名女性），他们在入院出院一个月后被诊断患有抑郁症，并正在接受心理社会康复治疗。通过单独访谈，我们使用解释现象学分析方法收集和分析数据，以得出主题和子主题。这些都呈现了参与者的直接引语。我们发现，青少年心理社会康复经历的观点包括绝望和自杀意念、应对困难、来自支持网络的不良态度、与学校相关的挑战以及孤立感。参与者建议，合适的治疗环境、鼓励性的支持系统以及媒体在预防和治疗青少年抑郁症方面的作用，作为康复方法，可以帮助青少年更长时间地保持清醒。这些结果揭示了抑郁症青少年所面临的悲惨现实。迫切需要建立明确的结构来帮助他们康复，并制定应对策略以过上更好的生活。
