An experimental study exploring the impact of vignette gender on the quality of university students' mental health first aid for peers with symptoms of depression.
An experimental study exploring the impact of vignette gender on the quality of university students' mental health first aid for peers with symptoms of depression.
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DOI：
10.1186/s12889-016-2887-2
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发表时间：
2016-02-25
影响因子：
4.5
通讯作者：
Glazebrook C
中科院分区：
文献类型：
--
作者：
Davies EB;Wardlaw J;Morriss R;Glazebrook C
大学生有很高的抑郁率，朋友往往是这一人群中最常用的情绪困扰支持来源。本研究旨在探讨学生为有抑郁症状的同伴提供有效支持的能力，以及影响学生心理健康急救技能质量的因素，包括学生的性别、学习课程和经历抑郁的学生的性别。通过一项在线调查，英国两所大学的学生（N = 483）被准随机分配观看一段描述抑郁症症状的男女学生视频。一个开放式问题探讨了MHFA为帮助小插曲角色而采取的行动，这些行动是使用基于MHFA指南的标准化评分方案进行评分的。学生报告MHFA分数较低（平均2.89，满分12分）。最常报告的行动是提供支持和信息，但只有8名（1.6%）学生表示打算评估伤害风险。那些学习临床上不相关的学位，心理健康内容有限的人报告了更差的MHFA（p = <0.001），并且对他们支持抑郁症朋友的能力缺乏信心（p = 0.04）。小插曲性别没有主要影响，但在非相关课程的学生组内，男性小插曲收到显着较差的MHFA比女性小插曲（p = 0.02）。一个显着的三向互动发现，男性参与者学习非相关学位谁看了男性的小插曲有较差的MHFA相比，女性学习非相关学位谁看了女性的小插曲（p = 0.005）。大多数学生缺乏必要的MHFA技能，以支持患有抑郁症症状的朋友，或帮助他们获得适当的支持和预防伤害的风险。学习不包括心理健康相关内容的课程的学生特别没有能力支持男生，男生从这些课程的男生那里得到的MHFA质量最差。MHFA培训有可能改善抑郁症学生的结果，并可能在降低男性学生的过度伤害风险方面发挥重要作用。本文的在线版本（doi：10.1186/s12889-016-2887-2）包含补充材料，可供授权用户使用。
University students have high rates of depression, and friends are often the most commonly-used source of support for emotional distress in this population. This study aimed to explore students’ ability to provide effective support for their peers with depressive symptoms and the factors influencing the quality of their mental health first aid (MHFA) skills, including students’ gender, course of study, and gender of student experiencing depression. Via an online survey, students at two British universities (N = 483) were quasi-randomly allocated to view a video vignette of either a male or female student depicting symptoms of depression. An open-ended question probed MHFA actions they would take to help the vignette character, which were rated using a standardised scoring scheme based on MHFA guidelines. Students reported low MHFA scores (mean 2.89, out of possible 12). The most commonly reported action was provision of support and information, but only eight (1.6 %) students stated an intention to assess risk of harm. Those studying clinically non-relevant degrees with limited mental health content reported poorer MHFA (p = <0.001) and were less confident about their ability to support a friend with depression (p = 0.04). There was no main effect of vignette gender, but within the group of students on non-relevant courses the male vignette received significantly poorer MHFA than the female vignette (p = 0.02). A significant three-way interaction found that male participants studying non-relevant degrees who viewed a male vignette had poorer MHFA compared to females studying non-relevant degrees who viewed the female vignette (p = 0.005). Most students lack the necessary MHFA skills to support friends suffering from symptoms of depression, or to help them get appropriate support and prevent risk of harm. Students on courses which do not include mental health related content are particularly ill-equipped to support male students, with male students receiving the poorest quality MHFA from fellow male students on these courses. MHFA training has the potential to improve outcomes for students with depression, and could have a valuable role in reducing the excess risk of harm seen in male students. The online version of this article (doi:10.1186/s12889-016-2887-2) contains supplementary material, which is available to authorized users.