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印度尼西亚青少年心理健康挑战与需求认知:一项描述性定性研究

Perceptions of Mental Health Challenges and Needs of Indonesian Adolescents: A Descriptive Qualitative Study.

作者信息

Yani Desy Indra, Chua Joelle Yan Xin, Wong John Chee Meng, Pikkarainen Minna, Goh Yong Shian Shawn, Shorey Shefaly

机构信息

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia.

出版信息

Int J Ment Health Nurs. 2025 Feb;34(1):e13505. doi: 10.1111/inm.13505.

DOI:10.1111/inm.13505
PMID:39835345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11747947/
Abstract

Indonesian adolescents face an increased risk of developing mental health conditions such as depression and anxiety, largely due to insufficient mental health literacy and awareness. This lack of knowledge often leads to delayed recognition and treatment. To address this, the present descriptive qualitative study explores Indonesian adolescents' perceptions of mental health challenges and needs. Fourteen adolescents from two public schools in Indonesia were selected through purposive sampling based on their mental health literacy scores (either high or low). One-on-one semi-structured interviews were conducted in December 2023, and thematic analysis was used to uncover key patterns and themes. The study follows the consolidated criteria for reporting qualitative research guidelines. Three main themes emerged: (1) Transitioning to Adulthood: Journeys Through Emotional Turmoil and Societal Expectations, (2) Navigating Challenges: Diverse Adolescent Responses and (3) Breaking the Silence: Empowering Adolescents Through Comprehensive Mental Health Education and Support. This study found that adolescents faced specific challenges related to emotional regulation, body image and self-esteem, academic pressure and the influence of social media. In response to these difficulties, they employed various coping mechanisms, both adaptive and maladaptive. Despite the adversities, adolescents expressed a strong desire to learn how to better manage these challenges and pursue their future career goals. These findings highlight the importance of developing culturally appropriate mental health education and support programs for Indonesian adolescents. Future studies should include a more diverse sample of adolescents and incorporate perspectives from parents and educators to gain a more comprehensive understanding of adolescent mental health in Indonesia.

摘要

印度尼西亚青少年面临着患抑郁症和焦虑症等心理健康问题的风险增加,这主要是由于心理健康素养和意识不足。这种知识的缺乏往往导致识别和治疗的延迟。为了解决这个问题,本描述性定性研究探讨了印度尼西亚青少年对心理健康挑战和需求的看法。根据他们的心理健康素养得分(高或低),通过目的抽样从印度尼西亚两所公立学校中选取了14名青少年。2023年12月进行了一对一的半结构化访谈,并采用主题分析来揭示关键模式和主题。该研究遵循报告定性研究指南的统一标准。出现了三个主要主题:(1)向成年过渡:经历情绪动荡和社会期望的旅程,(2)应对挑战:青少年的不同反应,以及(3)打破沉默:通过全面的心理健康教育和支持赋予青少年权力。本研究发现,青少年面临与情绪调节、身体形象和自尊、学业压力以及社交媒体影响相关的特定挑战。针对这些困难,他们采用了各种应对机制,包括适应性和适应不良的机制。尽管面临逆境,青少年表达了强烈的愿望,即学习如何更好地应对这些挑战并追求他们未来的职业目标。这些发现凸显了为印度尼西亚青少年制定适合文化背景的心理健康教育和支持项目的重要性。未来的研究应纳入更多样化的青少年样本,并纳入家长和教育工作者的观点,以更全面地了解印度尼西亚青少年的心理健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84a1/11747947/7f87dae221d9/INM-34-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84a1/11747947/7f87dae221d9/INM-34-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84a1/11747947/7f87dae221d9/INM-34-0-g001.jpg

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本文引用的文献

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Why do adolescents attempt suicide? Insights from leading ideation-to-action suicide theories: a systematic review.为什么青少年会试图自杀?从主要的自杀意念到行为理论中得到的见解:系统综述。
Transl Psychiatry. 2024 Jun 27;14(1):266. doi: 10.1038/s41398-024-02914-y.
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Conceptual framework of mental health literacy: Results from a scoping review and a Delphi survey.
心理健康素养的概念框架:一项范围综述和德尔菲调查的结果
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Factors associated with depressive symptoms among adolescents in Indonesia: A cross-sectional study of results from the Indonesia Family Life Survey.印度尼西亚青少年抑郁症状的相关因素:来自印度尼西亚家庭生活调查结果的横断面研究
Malays Fam Physician. 2023 Mar 11;18:29. doi: 10.51866/oa.265. eCollection 2023.
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Associations Between Mother-Adolescent and Father-Adolescent Relationships and Young Adult Health.母亲-青少年和父亲-青少年关系与青年健康的关联。
JAMA Netw Open. 2023 Mar 1;6(3):e233944. doi: 10.1001/jamanetworkopen.2023.3944.
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