What teens want: barriers to seeking care for depression.
What teens want: barriers to seeking care for depression.
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青少年想要什么：寻求抑郁症治疗的障碍。
DOI：
10.1007/s10488-006-0036-4
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
Green,CarlaA
中科院分区：
文献类型：
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作者：
Wisdom,JenniferP;Clarke,GregoryN;Green,CarlaA
本研究调查了从初级保健提供者那里寻求和接受抑郁症治疗的青少年的经历。我们调查了青少年在获得护理方面的感知障碍，以确定初级保健如何有效地解决抑郁青少年的陈述需求。对青少年进行了深入的个人（n= 15）和焦点小组（n= 7）访谈，并使用扎根理论进行了分析，确定了突出的主题。青少年报告说，当提供者积极考虑和反映青少年对正常、感觉联系和自我的发展适当的愿望时，他们的表现最好。这些目标是通过提供者建立关系、交流抑郁症病因和治疗信息、帮助青少年做出治疗决定来实现的。在某种程度上，提供者提高了帮助青少年感到正常、自主和联系的努力，青少年报告说他们更有可能接受抑郁症治疗，并报告治疗成功。
This study examined the experiences of teenagers seeking and receiving care for depression from primary care providers. We investigated teens’ perceived barriers in obtaining care to determine how primary care can effectively address depressed teens’ stated needs. In-depth individual (n= 15) and focus group (n= 7) interviews with adolescents were conducted and analyzed using grounded theory and prominent themes were identified. Teenagers reported faring best when providers actively considered and reflected upon the teenagers’ developmentally appropriate desires to be normal, to feel connected, and to be autous. These goals are achieved by providers establishing rapport, exchanging information about depression etiology and treatment, and helping teens make decisions about their treatment. To the extent that providers improve efforts to help teens feel normal, autonomous, and connected, the teens report they are more likely to accept treatment for depression and report success in treatment.