Why Teens Don't Talk: Understanding the Role of Stigma Within Barriers to Help Seeking.

Focus (American Psychiatric Publishing) Pub Date : 2025-01-01 Epub Date: 2025-01-15 DOI:10.1176/appi.focus.20240029

Kamla Modi, Michelle G Mullen, Kristia Tolode, Laura Erickson-Schroth, Katie Hurley, John MacPhee

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Abstract

The stigma of mental illness, among a larger set of barriers to help seeking, has been understudied among teens. These barriers and the sources of support were examined through an online survey with 1,428 U.S. 13- to 17-year-olds. Data were analyzed using Q, with indexing and Z tests calculated for significant group differences. Parents were cited as the top support source for depression compared with mental health professionals. Nonstigma barriers were the top barriers for teens, including discomfort with difficult emotions and being misunderstood when reaching out for support. Stigma barriers were significantly higher for Hispanic and LGBTQ+ teens, and stigma-adjacent barriers were significantly higher among Black/African American teens. Results are discussed in terms of the differential support that teens need to navigate emotional challenges and for further understanding barriers to help seeking that are not weighed heavily by stigma, as in past studies.

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为什么青少年不说话：理解耻辱在寻求帮助障碍中的作用。

在青少年寻求帮助的诸多障碍中，精神疾病的耻辱感一直没有得到充分的研究。通过对1428名13至17岁的美国青少年进行在线调查，研究人员对这些障碍和支持来源进行了调查。数据用Q进行分析，用索引检验和Z检验计算显著组间差异。与心理健康专家相比，父母被认为是抑郁症的最大支持来源。非污名化障碍是青少年面临的最大障碍，包括对困难情绪的不适，以及在寻求支持时被误解。西班牙裔和LGBTQ+青少年的耻辱感障碍显著更高，黑人/非裔青少年的耻辱感障碍显著更高。研究结果讨论了青少年应对情感挑战所需的不同支持，以及进一步了解寻求帮助的障碍，这些障碍不像过去的研究那样被污名所严重影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Focus (American Psychiatric Publishing)

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