Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies.
Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies.
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DOI：
10.1007/s00787-019-01469-4
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发表时间：
2021-03
影响因子：
6.4
通讯作者：
Waite P
中科院分区：
文献类型：
--
作者：
Radez J;Reardon T;Creswell C;Lawrence PJ;Evdoka-Burton G;Waite P
儿童和青少年的精神健康问题非常普遍，但治疗不足。详细了解年轻人认为没有寻求或获得帮助的原因，是消除这一差距的关键。我们对定量和定性研究进行了系统的回顾(PROSPERO 42018088591)，报告了儿童和青少年寻求和获得心理健康问题专业帮助的障碍和促进者。我们确定了53项符合条件的研究；22项提供了定量数据，30项提供了定性数据，一项同时提供了这两项数据。确定了四个主要障碍/促进者主题。几乎所有的研究(96%)都报告了与年轻人的个人因素有关的障碍，例如有限的心理健康知识和对寻求帮助的更广泛的看法。第二个最常见的(92%)报告的主题与社会因素有关，例如，感觉到的社会耻辱和尴尬。第三个主题反映了年轻人对与专业人士的治疗关系的看法(68%)，包括感知的保密性和信任陌生人的能力。第四个主题涉及系统性和结构性障碍和促进者(58%)，例如与心理健康服务、后勤障碍和提供专业帮助相关的财务费用。这一发现突显了一系列复杂的内部和外部因素，这些因素决定了年轻人是否会因精神健康问题寻求和获得帮助。除了提供更有效的支持外，还需要有针对性的循证干预措施，以减少公众的耻辱，并提高年轻人对心理健康问题和现有支持的了解，包括从专业人员和服务中期待什么。本文的在线版本(10.1007/s00787-019-01469-4)包含向授权用户提供的补充材料。
Mental health disorders in children and adolescents are highly prevalent yet undertreated. A detailed understanding of the reasons for not seeking or accessing help as perceived by young people is crucial to address this gap. We conducted a systematic review (PROSPERO 42018088591) of quantitative and qualitative studies reporting barriers and facilitators to children and adolescents seeking and accessing professional help for mental health problems. We identified 53 eligible studies; 22 provided quantitative data, 30 provided qualitative data, and one provided both. Four main barrier/facilitator themes were identified. Almost all studies (96%) reported barriers related to young people’s individual factors, such as limited mental health knowledge and broader perceptions of help-seeking. The second most commonly (92%) reported theme related to social factors, for example, perceived social stigma and embarrassment. The third theme captured young people’s perceptions of the therapeutic relationship with professionals (68%) including perceived confidentiality and the ability to trust an unknown person. The fourth theme related to systemic and structural barriers and facilitators (58%), such as financial costs associated with mental health services, logistical barriers, and the availability of professional help. The findings highlight the complex array of internal and external factors that determine whether young people seek and access help for mental health difficulties. In addition to making effective support more available, targeted evidence-based interventions are required to reduce perceived public stigma and improve young people’s knowledge of mental health problems and available support, including what to expect from professionals and services. The online version of this article (10.1007/s00787-019-01469-4) contains supplementary material, which is available to authorized users.
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