The role of self-disclosure by peer mentors: Using personal narratives in depression care.
The role of self-disclosure by peer mentors: Using personal narratives in depression care.
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同伴导师自我表露的作用：在抑郁症护理中使用个人叙述。
DOI：
10.1016/j.pec.2019.02.006
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发表时间：
2019
影响因子：
3.5
通讯作者：
Joo,J
中科院分区：
文献类型：
--
作者：
Truong,C;Gallo,J;Roter,D;Joo,J
自我表露被认为是同伴支持的一个重要方面，但对同伴使用自我表露的情况知之甚少。本研究旨在定性地了解老年抑郁症患者的同伴自我表露情况。同伴自我表露被定义为描述与来访者身体和/或情感相关的个人生活经历的陈述。共有3421个离散报表被组织成770个披露事件。结果同伴自我表露的作用是：1）通过重构观点、塑造积极行为、提供应对技巧、分享心理健康资源和健康信息来进行咨询; 2）通过强调与抑郁无关的相似性来建立融洽关系;（3）对个人的奋斗表现出同情和理解。此外，自我表露很少只集中在同伴的经验，没有相关性的客户端。结论和实践implicationsPeer自我表露可以有目的地用于抑郁症护理交付与老年人。应向同行提供适当的自我披露培训和监督，以确保有目的地使用。
ObjectiveSelf-disclosure is recognized as an important aspect of peer support, but little is known about its use by peers. This study aimed to qualitatively understand peer self-disclosure in the context of depression care delivery to older adults.Methods69 audio-recordings of peer-client meetings were coded for self-disclosure using the Roter Interaction Analysis System (RIAS). Peer self-disclosure was defined as a statement describing personal life experience with physical and/or emotional relevance for the client. A total of 3421 discrete statements were organized into 770 disclosure episodes. The episodes were qualitatively analyzed to identify themes related to the content and function of self-disclosure within the peer-counseling context.ResultsPeer self-disclosure was used to 1) counsel through reframing perspectives, modeling positive behaviors, offering coping skills, and sharing mental health resources and health information; 2) establish rapport by emphasizing similarities unrelated to depression; and 3) show empathy and understanding of personal struggles. In addition, self-disclosure rarely only focused on the peer experience without relevance for the client.Conclusions & practice implicationsPeer self-disclosure can be purposively used in depression care delivery with older adults. Training and supervision in appropriate self-disclosure should be provided to peers to ensure purposive use.