Oujiang Laboratory (Zhejiang Lab for Regenerative Medicine, Vision and Brain Health), Postgraduate Training Base Alliance of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, China.
School of Public Health, Fudan University, Shanghai, China.
BMC Psychiatry. 2024 Nov 21;24(1):840. doi: 10.1186/s12888-024-06271-4.
Globally, adolescent depression is prevalent. There is, however, a dearth of studies investigating behavioral intention to professional help-seeking regarding mental health problems among adolescents having probable depression. Based on the Stress Coping Theory, the hypothesis that personal resources and active coping would mediate between interpersonal resources and behavioral intention to professional help-seeking was investigated.
Students from five junior middle schools, three senior high schools, and one vocational school were selected to participate in the survey from February to March 2022 via convenient sampling. The questionnaire collected participants' characteristics, depression, peer acceptance/support, resilience, self-compassion, active coping, and behavioral intention to professional help-seeking. The final sample included 1,425 Chinese adolescents having probable depression (Patient Health Questionnaire score ≥ 10). SPSS 23.0 and Mplus 8.3 were employed to analyze the data.
The prevalence of behavioral intention to professional help-seeking was 15.4%. Adjusted for background factors, peer acceptance, resilience, self-compassion, and active coping were significantly associated with behavioral intention to professional help-seeking (ORa ranged from 1.05 to 1.31). The indirect effects via active coping (β = 0.020) and a serial indirect effect via personal resources and active coping (β = 0.029) were statistically significant. The direct effect from interpersonal resources to behavioral intention to professional help-seeking was non-significant.
The prevalence of behavioral intention to professional help-seeking among adolescents with probable depression was low and might render early detection/intervention ineffective. It is important to increase the intention to seek help from professionals. One possibility is to enhance interpersonal/personal resources and active coping.
全球范围内，青少年抑郁较为普遍。然而，针对可能患有抑郁症的青少年心理健康问题寻求专业帮助的行为意向，相关研究却相对匮乏。基于压力应对理论，本研究假设个人资源和积极应对在人际资源与寻求专业帮助的行为意向之间起中介作用。
2022 年 2 月至 3 月，采用便利抽样法，从五所初中、三所高中和一所职业学校选取学生参与调查。问卷收集了参与者的特征、抑郁、同伴接纳/支持、韧性、自我同情、积极应对和寻求专业帮助的行为意向。最终样本包括 1425 名可能患有抑郁症的中国青少年（患者健康问卷得分≥10）。采用 SPSS 23.0 和 Mplus 8.3 分析数据。
寻求专业帮助的行为意向的流行率为 15.4%。调整背景因素后，同伴接纳、韧性、自我同情和积极应对与寻求专业帮助的行为意向显著相关（ORa 范围为 1.05-1.31）。通过积极应对的间接效应（β=0.020）和通过个人资源和积极应对的序列间接效应（β=0.029）具有统计学意义。人际资源对寻求专业帮助行为意向的直接效应不显著。
可能患有抑郁症的青少年寻求专业帮助的行为意向流行率较低，可能会使早期发现/干预无效。增加寻求专业帮助的意愿很重要。一种可能性是增强人际/个人资源和积极应对。
