Danielsson Klara, Ahlborg Mikael, Mortazavi Rebecca, Jarbin Håkan, Larsson Ingrid
Department of Health and Care, School of Health and Welfare, Halmstad University, Halmstad, Sweden.
Department of Paediatric Care, Uppsala University Hospital, Section of Obesity in Children and Adolescents, Region Uppsala, Uppsala, Sweden.
PLoS One. 2025 Jan 27;20(1):e0318061. doi: 10.1371/journal.pone.0318061. eCollection 2025.
Health is multifaceted, with divergent interpretations in diverse cultures and groups of individuals. The ways individuals understand health might aid in developing future interventions. There is scant knowledge on how adolescents with depression conceptualise health. A descriptive qualitative design with a phenomenographic approach was used to describe the different ways adolescents with depression conceptualise health. Interviews were performed with adolescents 13-17 years old (n = 33) who participated in a randomised controlled trial evaluating the effects of aerobic group exercise versus leisure group activities for adolescents with depression. The results were interpreted into four metaphors to embody the understanding of health as described by adolescents with depression: 1) establishing sound routines by managing everyday life, 2) connecting to others by having access to social resources, 3) managing depression symptoms by having control over the mental illness, and 4) attaining inner drive by experiencing joy in everyday life. The various conceptions of health among adolescents with depression provide valuable insights for enhancing evidence-based treatments with person-centred care. Key aspects include establishing routines, fostering connections, finding strategies for symptom control, and incorporating joy through exercise. Given that adolescents highlighted these aspects as essential to health, future research could explore individualised health promotion, particularly focusing on routine-building, social connections, or finding an inner drive as an add-on to evidence-based treatments for adolescent depression.
健康是多方面的，在不同文化和个体群体中有不同的诠释。个体理解健康的方式可能有助于制定未来的干预措施。关于患有抑郁症的青少年如何理解健康，我们所知甚少。本研究采用现象学方法的描述性定性设计，来描述患有抑郁症的青少年理解健康的不同方式。对13至17岁的青少年（n = 33）进行了访谈，这些青少年参与了一项随机对照试验，该试验评估有氧团体运动与休闲团体活动对患有抑郁症的青少年的影响。研究结果被解读为四个隐喻，以体现患有抑郁症的青少年对健康的理解：1）通过管理日常生活来建立良好的生活习惯，2）通过获取社会资源与他人建立联系，3）通过控制精神疾病来管理抑郁症状，4）通过在日常生活中体验快乐来获得内在动力。患有抑郁症的青少年对健康的各种概念为加强以患者为中心的循证治疗提供了宝贵的见解。关键方面包括建立生活习惯、促进人际关系、找到控制症状的策略以及通过运动融入快乐。鉴于青少年强调这些方面对健康至关重要，未来的研究可以探索个性化的健康促进，特别是侧重于建立生活习惯、社会联系，或者找到内在动力作为青少年抑郁症循证治疗的补充。
