Young adults face major barriers to seeking help from mental health services
Young adults face major barriers to seeking help from mental health services
复制标题
DOI：
10.1016/j.pec.2008.05.006
复制
发表时间：
2008-10-01
影响因子：
3.5
通讯作者：
Verhulst, Frank C.
中科院分区：
文献类型：
--
作者：
Vanheusden, Kathleen;Mulder, Cornelis L.;Verhulst, Frank C.
目的：心理健康问题经常出现在青年时期。尽管有有效的治疗方法，但年轻人不太可能寻求专业帮助。本研究调查了具有严重内化或外化问题的年轻人的护理障碍。方法：对荷兰西南部地区 2258 名 19-32 岁的人进行基于人群的研究。对患有严重内化或外化问题且未寻求专业帮助的参与者进行了检查。一个潜在的障碍是参与者否认自己有心理健康问题。在那些承认问题的参与者中，使用护理障碍清单评估障碍，并使用潜在类别分析进行分析。结果：在 362 名存在严重内化或外化问题的参与者中，有 237 人 (65.5%) 没有寻求专业帮助。在不寻求帮助的年轻人中，36% 否认有问题；此外，潜在类别分析显示，37% 的人认为问题是自我限制的（例如，他们认为问题并不严重），24% 的人认为寻求帮助是消极的（例如，他们认为治疗无济于事）。结论：年轻人的护理障碍反映了他们对心理健康问题和可用治疗的了解有限，但也可能是现有心理健康服务未能吸引年轻人参与。迫切需要更多关于心理健康治疗特别是针对年轻人的有效性的知识。实践意义：通过提高年轻人的心理健康素养，可以提高年轻人的治疗可及性。 (C) 2008 Elsevier Ireland Ltd. 保留所有权利。
Objective: Mental health problems often emerge in young adulthood. Although effective treatments are available, young adults are unlikely to seek professional help. This study examined barriers-to-care in young adults with serious internalizing or externalizing problems.Methods: Population-based study among 2258 19-32-year olds in the south-west region of the Netherlands. Barriers-to-care were examined in participants with serious internalizing or externalizing problems who did not seek professional help. A potential barrier was that participants denied that they had mental health problems. In those admitting problems, barriers were assessed with the Barriers-to-Care checklist and analyzed with Latent Class Analysis.Results: Of 362 participants with serious internalizing or externalizing problems 237 (65.5%) and not seek professional help. Of non-help-seeking young adults 36% denied having problems; additionally Latent Class Analysis revealed that 37% Perceived Problems as Self-Limitin (e.g., they believed that problems were not serious) and 24% Perceived Help-Seeking Negatively (e.g., they believed that treatment would not help).Conclusions: Young adults' barriers-to-care reflect limitations in their knowledge of mental health problems and available treatments, but possibly also a failure of existing mental health services to engage young people. More knowledge is urgently needed about the effectiveness of mental health treatments for young adults specifically.Practice implications: Treatment accessibility for Young adults may be augmented by improving their mental health literacy. (C) 2008 Elsevier Ireland Ltd. All rights reserved.