Mental Health Practitioners' and Young People's Experiences of Talking About Social Media During Mental Health Consultations: Qualitative Focus Group and Interview Study.
Mental Health Practitioners' and Young People's Experiences of Talking About Social Media During Mental Health Consultations: Qualitative Focus Group and Interview Study.
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心理健康从业者和青少年在心理健康咨询中谈论社交媒体的经历： 焦点小组和访谈定性研究。
DOI：
10.2196/43115
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发表时间：
2023-04-07
影响因子：
2.2
通讯作者：
Biddle, Lucy
中科院分区：
文献类型：
--
作者：
Derges, Jane;Bould, Helen;Gooberman-Hill, Rachael;Moran, Paul;Linton, Myles-Jay;Rifkin-Zybutz, Raphael;Biddle, Lucy
关键词：
精神卫生保健专业人员越来越关注年轻人使用数字技术和社交媒体对其心理健康的影响。有人建议，在与年轻人进行心理健康临床咨询时，应定期探讨数字技术和社交媒体的使用。这些对话是否发生以及临床医生和年轻人如何体验这些对话目前尚不清楚。本研究旨在探讨心理健康从业者和年轻人的经验，谈论年轻人的基于网络的活动，与他们的心理健康在临床咨询。基于网络的活动包括使用社交媒体、网站和消息。我们的目的是找出有效沟通的障碍和良好做法的例子。特别是，我们想了解在研究中代表性不足的年轻人对与心理健康相关的社交媒体和数字技术使用的看法。一项定性研究是使用焦点小组（3组11名参与者）与16至24岁的年轻人和访谈（n=8）和焦点小组（2组7名参与者）在英国的精神卫生从业人员。年轻人有精神健康问题的经历，并得到法定精神健康服务或第三部门组织的支持。从业人员在儿童和青少年的心理健康服务，法定服务，或第三部门组织，如大学咨询服务。采用主位分析法对数据进行分析。从业人员和年轻人一致认为，讨论年轻人的网络活动及其对心理健康的影响很重要。心理健康从业者对这样做的信心各不相同，他们渴望得到更多的指导。年轻人说，从业人员很少询问他们的网络活动，但当被问及时，他们往往感到受到评判或误解。这阻止了他们披露困难的基于Web的体验，并阻止了关于基于Web的安全性和如何访问适当的基于Web的支持的有用对话。青年人支持为从业人员提供指导或培训的想法，并热衷于分享他们的经验和参与向从业人员提供的培训或指导。从业人员将受益于结构化的指导和专业发展，使他们能够支持年轻人感到更愿意透露和谈论他们的网络经验及其对他们的心理健康的影响。这反映在从业人员希望得到指导，以提高他们的信心和技能，安全地支持年轻人应对网络世界的挑战。年轻人希望在与心理健康从业人员进行咨询时能够轻松地讨论他们的网络活动，无论是在应对挑战还是利用机会讨论他们的经验，获得支持，并制定与网络安全相关的应对策略。
Increasing concerns among mental health care professionals have focused on the impact of young people’s use of digital technology and social media on their mental well-being. It has been recommended that the use of digital technology and social media be routinely explored during mental health clinical consultations with young people. Whether these conversations occur and how they are experienced by both clinicians and young people are currently unknown. This study aimed to explore mental health practitioners’ and young people’s experiences of talking about young people’s web-based activities related to their mental health during clinical consultations. Web-based activities include use of social media, websites, and messaging. Our aim was to identify barriers to effective communication and examples of good practice. In particular, we wanted to obtain the views of young people, who are underrepresented in studies, on their social media and digital technology use related to mental health. A qualitative study was conducted using focus groups (11 participants across 3 groups) with young people aged 16 to 24 years and interviews (n=8) and focus groups (7 participants across 2 groups) with mental health practitioners in the United Kingdom. Young people had experience of mental health problems and support provided by statutory mental health services or third-sector organizations. Practitioners worked in children and young people’s mental health services, statutory services, or third-sector organizations such as a university counseling service. Thematic analysis was used to analyze the data. Practitioners and young people agreed that talking about young people’s web-based activities and their impact on mental health is important. Mental health practitioners varied in their confidence in doing this and were keen to have more guidance. Young people said that practitioners seldom asked about their web-based activities, but when asked, they often felt judged or misunderstood. This stopped them from disclosing difficult web-based experiences and precluded useful conversations about web-based safety and how to access appropriate web-based support. Young people supported the idea of guidance or training for practitioners and were enthusiastic about sharing their experiences and being involved in the training or guidance provided to practitioners. Practitioners would benefit from structured guidance and professional development to enable them to support young people in feeling more willing to disclose and talk about their web-based experiences and their impact on their mental health. This is reflected in practitioners’ desire for guidance to improve their confidence and skills to safely support young people in navigating the challenges of the web-based world. Young people want to feel comfortable discussing their web-based activities during their consultations with mental health practitioners, both in tackling the challenges and using the opportunity to discuss their experiences, gain support, and develop coping strategies related to web-based safety.
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