澳大利亚斯里兰卡裔人群的求助意向与抑郁症治疗观念:基于心理健康素养框架的一项调查

Help-seeking intentions and depression treatment beliefs amongst Sri Lankan Australians: A survey following a mental health literacy framework.

作者信息

Daluwatta Amanda, Fletcher Kathryn, Ludlow Chris, Murray Greg

机构信息

Centre for Mental Health, School of Health Sciences, Swinburne University of Technology, Melbourne, VIC, Australia.

Department of Psychological Sciences, School of Health Sciences, Swinburne University of Technology, Melbourne, VIC, Australia.

出版信息

Transcult Psychiatry. 2025 Jun;62(3):354-365. doi: 10.1177/13634615241272930. Epub 2024 Oct 30.

Abstract

There is evidence that Asian migrants in Australia may be relatively reluctant to seek professional help for depression. Reluctance may be related to poor mental health literacy, including limited knowledge of help-seeking options and treatments, and a preference to seek help from informal networks. This study investigated Sri Lankan Australians' knowledge about managing depression by examining their hypothetical help-seeking intentions and perceptions about interventions and help-providers' helpfulness. Following Jorm's mental health literacy framework, participants (= 374) were presented with a vignette of a Sri Lankan Australian exhibiting symptomatology consistent with Major Depressive Disorder, and asked to indicate their intentions to seek help by responding to the question: "If you had Mr Silva's problem, what would you do?". Participants also rated the likely helpfulness of various professional and informal helpers and interventions in addressing a problem akin to Mr Silva's. Participants reported being likely to seek help from GPs (35.8%), psychologists (25.7%) and friends (24.3%). Additionally, those who intended to seek informal help were significantly less likely to seek professional help, and vice versa. Furthermore, psychologists (94.1%), counsellors (93.3%), close friends (92.5%) and compatriots (91.4%) were most frequently categorised as helpful. Given participants' high endorsement of psychiatric treatment, psychological treatment, and self-help strategies such as engaging in enjoyable activities, it would be helpful for clinicians to emphasise the benefits of these interventions for managing depression. Additionally, recognising some participants' inclination towards religious practices and helpers, clinicians can consider integrating these help-seeking behaviours into therapeutic approaches. Future research is warranted to examine the predictors of help-seeking intentions.

摘要

有证据表明,澳大利亚的亚洲移民可能相对不愿意为抑郁症寻求专业帮助。这种不情愿可能与心理健康素养较差有关,包括对寻求帮助的选择和治疗方法的了解有限,以及倾向于从非正式网络寻求帮助。本研究通过考察澳大利亚斯里兰卡裔对抑郁症管理的知识、他们假设的求助意图以及对干预措施和帮助提供者有效性的看法,来对此进行调查。遵循乔姆的心理健康素养框架,向374名参与者展示了一个澳大利亚斯里兰卡裔的案例,该案例呈现出与重度抑郁症相符的症状,并要求他们通过回答问题“如果你有席尔瓦先生的问题,你会怎么做?”来表明寻求帮助的意图。参与者还对各种专业和非专业帮助者以及针对类似于席尔瓦先生问题的干预措施的可能有效性进行了评分。参与者报告称,他们可能会向全科医生(35.8%)、心理学家(25.7%)和朋友(24.3%)寻求帮助。此外,那些打算寻求非正式帮助的人寻求专业帮助的可能性显著降低,反之亦然。此外,心理学家(94.1%)、顾问(93.3%)、密友(92.5%)和同胞(91.4%)被认为最有帮助。鉴于参与者对精神治疗、心理治疗以及诸如参与有趣活动等自助策略的高度认可,临床医生强调这些干预措施对管理抑郁症的益处将是有益的。此外,认识到一些参与者对宗教活动和宗教帮助者的倾向,临床医生可以考虑将这些寻求帮助的行为纳入治疗方法。未来的研究有必要考察求助意图的预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eacc/12171073/0a23fb328796/10.1177_13634615241272930-fig1.jpg

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