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寻求外部帮助:一项关于抑郁症青少年家庭在线支持途径的研究。

Seeking offsite help: a study of online support access for families of adolescents with depression.

作者信息

Zhang Chen, Zhou Lefan

机构信息

College of Liberal Arts, Journalism and Communication, Ocean University of China, Qingdao, Shandong, China.

State Key Laboratory of Media Convergence and Communication, Communication University of China, Beijing, China.

出版信息

Front Public Health. 2025 Feb 24;13:1463900. doi: 10.3389/fpubh.2025.1463900. eCollection 2025.

Abstract

BACKGROUND

As the smallest social unit, the family is the primary source of social support for adolescent patients to withstand chronic diseases. Several rehabilitation programs have found that involving family members in the treatment process can result in greater success. However, families struggle to provide adequate support for the recovery of adolescent patients when adolescent depression occurs.

METHODS

This study examined the WeChat group for parents of adolescent patients in the "DuGuo" community, and used participatory observation, social network analysis, and extensive interviews to investigate the online support received by families with adolescent depression.

RESULTS

It was found that compared with physical diseases, adolescent depression recovery is a systemic problem, requiring all ecological contexts for adolescent growth to provide relative support. Under structural pressure, families with adolescent patients urgently require diversified social support such as medical consultation, emotional comfort, guidelines to return to school, and life planning. Insufficient offline social support leads parents to seek help from the Internet community.

CONCLUSION

Widespread factors such as communication constraints and hidden alienation in the nuclear family, render the parent-child relationship an important variable in combating depression. WeChat groups indeed provide a platform for parents with depressed children to seek help, but the real challenge for these parents is how online support from "off-site help" can be used in the family context and positively affect adolescent patients.

摘要

背景

家庭作为最小的社会单位,是青少年慢性病患者社会支持的主要来源。多项康复项目发现,让家庭成员参与治疗过程会取得更大成功。然而,当青少年出现抑郁时,家庭难以提供足够支持以助其康复。

方法

本研究对“渡过”社区青少年患者家长微信群进行考察,运用参与观察、社会网络分析及广泛访谈,探究青少年抑郁症患者家庭获得的网络支持情况。

结果

研究发现,与身体疾病相比,青少年抑郁症康复是一个系统性问题,需要青少年成长的所有生态环境提供相应支持。在结构压力下,青少年患者家庭迫切需要诸如医疗咨询、情感慰藉、复学指导及生活规划等多元化社会支持。线下社会支持不足致使家长向网络社区求助。

结论

诸如沟通受限及核心家庭中潜在疏离等普遍因素,使亲子关系成为对抗抑郁症的一个重要变量。微信群确实为有抑郁子女的家长提供了求助平台,但这些家长面临的真正挑战是如何将“场外援助”的网络支持应用于家庭环境并对青少年患者产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e87/11891485/0b5d75e448c8/fpubh-13-1463900-g001.jpg

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