Barriers and facilitating factors to help-seeking for symptoms of clinical anxiety in adolescent males
Barriers and facilitating factors to help-seeking for symptoms of clinical anxiety in adolescent males
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DOI：
10.1111/ajpy.12191
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发表时间：
2018-09-01
影响因子：
2.7
通讯作者：
Clark, Gavin, I
中科院分区：
文献类型：
--
作者：
Clark, Laura H.;Hudson, Jennifer L.;Clark, Gavin, I
目的：年轻男性非常不愿意为焦虑症寻求帮助。特别是，人们对促进青春期男性寻求心理健康帮助的因素知之甚少。本研究旨在探讨澳大利亚青春期男性临床焦虑求助行为的障碍和促进因素。方法：采用半结构化访谈和焦点小组访谈的方法，对29名有和无临床焦虑症状的青春期男性进行问卷调查。使用扎根理论对逐字记录进行分析。结果：寻求帮助的主要障碍包括耻辱(特别是与男子气概的社会规范有关)、努力、对焦虑症状的有限认识/知识以及通过寻求帮助而被私人情感“对峙”的感觉。促进因素包括增加以学校为基础的心理健康扫盲方案的可及性，以及提供更广泛的正式和非正式求助选择。其他促进者涉及对精神健康信息提供方式的修订，以及对高速/低效求助选择的投资。提出了临床焦虑青少年男性心理健康求助的初步模型。结论：青春期男性认为他们因心理健康问题寻求帮助而面临严重耻辱的风险，但缺乏关于寻求帮助的好处或经验的信息。应该评估为这一人群提供心理健康支持和信息的选择的分步方法。
Objective: Young men are very reluctant to seek help for anxiety disorders. In particular, the factors that facilitate mental health help-seeking in adolescent males are poorly understood. This study aimed to investigate the barriers and facilitating factors to help-seeking behaviour for clinical anxiety in Australian adolescent males. Method: The views of 29 adolescent males, both with and without experience of clinical anxiety symptoms, were elicited using semi-structured interviews and focus groups. Verbatim transcripts were analysed using grounded theory. Results: Primary barriers to help-seeking included stigma (particularly in relation to social norms of masculinity), effort, limited awareness/knowledge of symptoms of anxiety and a sense of being 'confronted' by private emotions through help-seeking. Facilitating factors included increasing the accessibility of school-based mental health literacy programs and providing a wider range of formal and informal help-seeking options. Other facilitators related to amendments in how mental health information is presented and investments into high speed/low effort help-seeking options. A preliminary model of mental health help-seeking in adolescent males with clinical anxiety is presented. Conclusion: Adolescent males feel that they risk significant stigma by help-seeking for mental health problems but lack information as to the benefits or the experience of help seeking. A stepped approach to options for mental health support and information for this population should be evaluated.