First aid for depression: A Delphi consensus study with consumers, carers and clinicians
First aid for depression: A Delphi consensus study with consumers, carers and clinicians
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DOI：
10.1016/j.jad.2007.05.004
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发表时间：
2008-01-01
影响因子：
6.6
通讯作者：
Kitchener, Betty A.
中科院分区：
文献类型：
--
作者：
Langlands, Robyn L.;Jorm, Anthony F.;Kitchener, Betty A.
背景：目前尚不清楚公众在获得适当的专业帮助之前如何才能最好地支持正在发生抑郁症的个人。方法：为了评估专家共识，我们使用了德尔菲法。从英语发达国家招募了 167 名心理健康消费者、护理人员和临床医生组成的专家小组。一份关于如何帮助抑郁症患者的 99 项调查问卷是根据各种资源制定的。小组成员根据他们是否认为该声明应包含在急救建议中对每个项目进行评分。通过比较三组的共识率来分析结果。需要进行三轮来巩固共识水平。结果：来自所有三个小组的 80% 以上的小组成员都认可 64 项项目是必要或重要的。这些项目分为以下几个标题：认识和承认抑郁症；接近可能患有抑郁症的人；如何提供支持；什么对可能患有抑郁症的人没有帮助？是否鼓励该人寻求专业帮助；是否鼓励该人使用自助策略；局限性：这些建议可能不适用于发达英语国家之外的地区。结论：通过告知培训课程的内容，这些建议将改善对抑郁症患者的急救服务，并促进他们获得适当的专业帮助。 (C) 2007 Elsevier B.V. 保留所有权利。
Background: It is unclear how members of the public can best support individuals who are developing a depressive episode before appropriate professional help is received.Methods: To assess expert consensus, we used the Delphi Method. An expert panel consisting of 167 mental health consumers, carers and clinicians was recruited from developed English-speaking countries. A 99-item questionnaire about how to help someone with depression was developed from a variety of resources. The panel members rated each item according to whether they believed the statement should be included in the first aid recommendations. The results were analysed by comparing consensus rates across the three groups. Three rounds were required to consolidate consensus levels.Results: Sixty-four items were endorsed by >= 80% of panel members from all three groups as essential or important. These items were grouped under the following headings: recognising and acknowledging depression; approaching someone who may be depressed; how to be supportive; what is not helpful for a person who may have depression; whether to encourage the person to seek professional help; whether to encourage the person to use self-help strategies; what to do if the person does not want help.Limitations: These recommendations may not be applicable outside developed English-speaking countries.Conclusions: By informing the content of training courses, these recommendations will improve the provision of first aid to individuals who are developing a depressive episode and facilitate the uptake of appropriate professional help. (C) 2007 Elsevier B.V. All rights reserved.