Which resources help young people to prevent and overcome mental distress in deprived urban areas in Latin America? A protocol for a prospective cohort study.

Which resources help young people to prevent and overcome mental distress in deprived urban areas in Latin America? A protocol for a prospective cohort study.
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DOI:
10.1136/bmjopen-2021-052339
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发表时间:
2021-09-13
期刊:
影响因子:
2.9
通讯作者:
Bird V
Bird V
中科院分区:
医学3区
文献类型:
--
作者:
Priebe S;Fung C;Brusco LI;Carbonetti F;Gómez-Restrepo C;Uribe M;Diez-Canseco F;Smuk M;Holt N;Kirkbride JB;Araya R;Morgan C;Eldridge S;Heritage P;Bird V

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改善年轻人的心理健康是全球公共卫生的优先事项。在拉丁美洲,生活在贫困城市地区的年轻人面临着各种精神困扰的风险因素。然而,大多数人要么不会出现抑郁和焦虑形式的精神困扰,要么在没有心理健康服务治疗的情况下在一年内康复。该研究计划旨在确定有助于年轻人预防精神困扰并从中恢复的个人和社会资源。一项横断面研究将比较 1020 名有抑郁和/或焦虑症状的年轻人(15-16 岁和 20-24 岁)和 1020 名没有抑郁和/或焦虑症状的年轻人(15-16 岁和 20-24 岁)使用的个人和社会资源。一项纵向队列研究将在 6 个月和 1 年后对患有精神困扰的年轻人进行随访,并比较那些康复和未康复的人的资源使用情况。经验抽样方法研究将集中评估短期内亚组的活动、经历和精神困扰。最后,我们将开展案例研究,重点介绍有效支持年轻人预防精神困扰并从中康复的现有举措。该分析将使用 t 检验和 χ2 检验评估基线时有或没有痛苦的年轻人之间的差异。在患有精神困扰的群体中,使用随机效应模型的多变量逻辑回归分析将评估预测变量与恢复之间的关系。获得布宜诺斯艾利斯大学医学院生物医学研究伦理委员会的伦理批准;波哥大哈维里亚纳教皇大学医学系研究和伦理委员会;秘鲁大学卡耶塔诺·埃雷迪亚大学研究机构伦理委员会和玛丽女王研究委员会伦理委员会。传播将包括基于艺术的方法,并针对不同的受众,例如国家利益相关者、不同学科的研究人员和公众。 ISRCTN72241383。
Improving the mental health of young people is a global public health priority. In Latin America, young people living in deprived urban areas face various risk factors for mental distress. However, most either do not develop mental distress in the form of depression and anxiety, or recover within a year without treatment from mental health services. This research programme seeks to identify the personal and social resources that help young people to prevent and recover from mental distress. A cross-sectional study will compare personal and social resources used by 1020 young people (aged 15–16 and 20–24 years) with symptoms of depression and/or anxiety and 1020 without. A longitudinal cohort study will follow-up young people with mental distress after 6 months and 1 year and compare resource use in those who do and do not recover. An experience sampling method study will intensively assess activities, experiences and mental distress in subgroups over short time periods. Finally, we will develop case studies highlighting existing initiatives that effectively support young people to prevent and recover from mental distress. The analysis will assess differences between young people with and without distress at baseline using t-tests and χ2 tests. Within the groups with mental distress, multivariate logistic regression analyses using a random effects model will assess the relationship between predictor variables and recovery. Ethics approvals are received from Ethics Committee in Biomedical Research, Faculty of Medicine, University of Buenos Aires; Faculty of Medicine-Research and Ethics Committee of the Pontificia Universidad Javeriana, Bogotá; Institutional Ethics Committee of Research of the Universidad Peruana Cayetano Heredia and Queen Mary Ethics of Research Committee. Dissemination will include arts-based methods and target different audiences such as national stakeholders, researchers from different disciplines and the general public. ISRCTN72241383.
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