Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review.
Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review.
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DOI：
10.1186/1471-244x-10-113
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发表时间：
2010-12-30
期刊：
影响因子：
4.4
通讯作者：
Christensen H
中科院分区：
文献类型：
--
作者：
Gulliver A;Griffiths KM;Christensen H
青少年和年轻人经常经历精神障碍，但往往不寻求帮助。这一系统的审查旨在总结报告的障碍和促进者的帮助，在年轻人使用两个定性研究调查，焦点小组，访谈和定量数据从公布的调查。它通过其系统的研究方法，并通过纳入已发表的研究来扩展以前的审查，这些研究描述了年轻人自己认为是寻求常见心理健康问题帮助的障碍和促进因素。通过检索PubMed、PsycInfo和科克伦数据库，确定了22项已发表的关于青少年或年轻人感知障碍或促进因素的研究。对定性文献和定量文献中报告的结果进行了专题分析。确定了15项定性研究和7项定量研究。年轻人认为耻辱和尴尬，识别症状的问题（精神卫生知识贫乏），以及自力更生的偏好是寻求帮助的最重要障碍。相对而言，对辅导员的研究不足。然而，有证据表明，年轻人认为过去积极的经历、社会支持和他人的鼓励有助于寻求帮助。改善青少年和年轻人寻求帮助的战略应侧重于提高心理健康知识，减少耻辱感，并考虑到年轻人自力更生的愿望。
Adolescents and young adults frequently experience mental disorders, yet tend not to seek help. This systematic review aims to summarise reported barriers and facilitators of help-seeking in young people using both qualitative research from surveys, focus groups, and interviews and quantitative data from published surveys. It extends previous reviews through its systematic research methodology and by the inclusion of published studies describing what young people themselves perceive are the barriers and facilitators to help-seeking for common mental health problems. Twenty two published studies of perceived barriers or facilitators in adolescents or young adults were identified through searches of PubMed, PsycInfo, and the Cochrane database. A thematic analysis was undertaken on the results reported in the qualitative literature and quantitative literature. Fifteen qualitative and seven quantitative studies were identified. Young people perceived stigma and embarrassment, problems recognising symptoms (poor mental health literacy), and a preference for self-reliance as the most important barriers to help-seeking. Facilitators were comparatively under-researched. However, there was evidence that young people perceived positive past experiences, and social support and encouragement from others as aids to the help-seeking process. Strategies for improving help-seeking by adolescents and young adults should focus on improving mental health literacy, reducing stigma, and taking into account the desire of young people for self-reliance.