Impact of mental health stigma on help-seeking in the Caribbean: Systematic review.
Impact of mental health stigma on help-seeking in the Caribbean: Systematic review.
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DOI：
10.1371/journal.pone.0291307
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
心理健康状况往往得不到治疗，这可能导致长期不良的情绪、社会身体健康和行为结果，在某些情况下甚至导致自杀。与心理健康相关的耻辱经常被认为是寻求帮助的障碍，但之前没有系统审查专门考虑过来自加勒比地区的证据。本系统综述旨在解决两个研究问题：（1）心理健康耻辱对加勒比海地区寻求帮助有何影响？ (2) 加勒比地区的耻辱与寻求帮助之间的关系背后有哪些因素？对六个电子数据库（Medline、Embase、Global Health、PsychInfo、Scopus 和 LILACS）进行了系统检索。检索包括截至 2022 年 5 月发表的文章。咨询了该领域的专家以提供发表建议，并检查了纳入研究的参考文献。数据合成由三个部分组成：定量研究结果的叙述性综合、定性研究结果的主题分析以及结合这些结果的元综合。该综述包括 9 篇文章（反映了 8 项研究），共有 1256 名参与者。综合综合得出了一个概念模型，确定了与加勒比地区心理健康耻辱和寻求帮助有关的三个主题：(i) 理解心理健康状况； (ii) 预期/经历过的与耻辱相关的经历以及 (iii) 个人特征。这篇综述根据当前的研究证据，深入探讨了加勒比地区心理健康耻辱与寻求帮助之间的关系。这可以应用于设计适合文化的未来研究，并支持减少耻辱的政策和实践，并改善加勒比地区的精神护理寻求帮助。
Mental health conditions often go untreated, which can lead to long-term poor emotional, social physical health and behavioural outcomes, and in some cases, suicide. Mental health-related stigma is frequently noted as a barrier to help seeking, however no previous systematic review has considered evidence from the Caribbean specifically. This systematic review aimed to address two research questions: (1) What is the impact of mental health stigma on help-seeking in the Caribbean? (2) What factors underlie the relationship between stigma and help-seeking in the Caribbean? A systematic search was conducted across six electronic databases (Medline, Embase, Global Health, PsychInfo, Scopus and LILACS). The search included articles published up to May 2022. Experts in the field were consulted to provide publication recommendations and references of included studies were checked. Data synthesis comprised of three components: a narrative synthesis of quantitative findings, a thematic analysis of qualitative findings, and a meta-synthesis combining these results. The review included nine articles (reflecting eight studies) totaling 1256 participants. A conceptual model was derived from the meta-synthesis, identifying three themes in relation to mental health stigma and help-seeking in the Caribbean: (i) Making sense of mental health conditions’; (ii) Anticipated/Experienced stigma-related experiences and (iii) Individual characteristics. This review provides insights into the relationship between mental health stigma and help-seeking in the Caribbean based upon the current research evidence. This can be applied in the design of culturally appropriate future research, and to support policy and practice towards stigma reduction, and improved mental care help-seeking in the Caribbean.
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3.2
作者：
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