Facteurs influençant le recours aux soignants chez l’adolescent en détresse psychique : une étude participative en méthode mixte

IF 0.3 4区医学 Q4 PSYCHIATRY

Annales medico-psychologiques Pub Date : 2026-01-01 Epub Date: 2025-01-27 DOI:10.1016/j.amp.2024.12.009

Kevin-Marc Valery , Manon Laumier , Julien Bonilla-Guerrero , Meryl Caiada , Jean-Marc Destaillats , Simon Felix , Thomas Fournier , Sarah Guionnet , Emma Tison , Louis Violeau , Antoinette Prouteau

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引用次数: 0

Abstract

Context

Many adolescents report experiencing psychological distress, yet only a small percentage seek professional help. This discrepancy has significant implications, as delayed help-seeking can exacerbate issues such as social exclusion, academic struggles, and risky behaviors.

Objectives

The study aimed to: (1) Identify factors influencing professional help-seeking behaviors among adolescents with psychological distress; (2) Evaluate the perceived importance of these factors from adolescents’ perspectives. (3) Determine socio-demographic predictors of barriers to help-seeking.

Methods

This mixed-method study was conducted in two stages. In the first phase, participatory qualitative workshops were held with adolescents to generate a list of factors influencing help-seeking behaviors. These factors were then integrated into a quantitative survey disseminated among 210 high school students from a private urban school. The survey included: (1) A rating scale for the influence of 13 identified factors (e.g., parental support, societal judgment, autonomy needs); (2) Socio-demographic questions to identify potential predictors of obstacles to seeking help. The analysis employed descriptive statistics and linear regression to explore patterns and predictors.

Results

The study identified 13 factors influencing help-seeking behaviors, such as: (1) Social and relational factors: Parental support, peer support, and confidentiality were the strongest encouraging factors. For example, 98% of participants reported parental support as a motivator for seeking professional help. (2) Mental health knowledge and attitudes: Knowledge of mental health and perceived utility of care were moderate motivators, though stigma and lack of confidence in health services remained barriers for some. (3) Individual psychological factors: Autonomy, self-esteem, and past experiences with mental health care presented mixed results, often acting as barriers. Socio-demographic predictors, such as gender, age, and proximity to mental health professionals, did not significantly correlate with barriers to help-seeking.

Discussion

The findings align with existing literature, emphasizing the importance of stigma, social support, and mental health literacy. Interventions should focus on: (1) Reducing stigma and promoting mental health literacy.; (2) Enhancing adolescents’ autonomy and self-esteem; (3) Ensuring confidentiality in professional settings.

Limitations

The sample was drawn from a private urban school, potentially limiting generalizability. Future research should explore diverse populations and employ implicit measures to minimize social desirability bias.

Conclusion

This study underscores the complexity of help-seeking behaviors in adolescents, highlighting actionable factors to guide interventions. Parental support, confidentiality, and targeted educational efforts are key to fostering professional help-seeking among adolescents experiencing psychological distress.

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影响有心理健康问题的青少年求助于护理人员的因素：一项参与性混合研究

许多青少年报告称自己经历过心理困扰，但只有一小部分人寻求专业帮助。这种差异具有重要意义，因为延迟寻求帮助会加剧社会排斥、学习困难和危险行为等问题。目的：(1)探讨心理困扰青少年专业求助行为的影响因素；(2)从青少年的角度评估这些因素的感知重要性。(3)确定求助障碍的社会人口学预测因素。方法采用混合方法，分两个阶段进行。在第一阶段，为青少年举办了参与性质的讲习班，以编制影响求助行为的因素清单。然后将这些因素整合到一项定量调查中，该调查在一所私立城市学校的210名高中生中传播。调查内容包括：(1)对13个确定因素（如父母支持、社会判断、自主需求）的影响进行评分；(2)社会人口问题，以确定寻求帮助障碍的潜在预测因素。分析采用描述性统计和线性回归来探索模式和预测因子。结果共发现13个影响求助行为的因素，包括：(1)社会关系因素：父母支持、同伴支持和保密是最强烈的鼓励因素。例如，98%的参与者表示，父母的支持是他们寻求专业帮助的动力。(2)心理健康知识和态度：心理健康知识和护理效用感知是中等激励因素，尽管耻辱和对卫生服务缺乏信心仍然是一些人的障碍。(3)个体心理因素：自主性、自尊和过去的心理健康护理经历呈现出复杂的结果，通常是障碍。社会人口学预测指标，如性别、年龄和与精神卫生专业人员的接近程度，与寻求帮助的障碍没有显著相关。研究结果与现有文献一致，强调了污名、社会支持和心理健康素养的重要性。干预措施应侧重于：(1)减少耻辱感，促进心理健康素养；(2)增强青少年的自主性和自尊心；(3)在专业环境中确保保密。样本来自一所私立城市学校，可能限制了普遍性。未来的研究应该探索不同的人群，并采用隐含的措施来减少社会可取性偏见。结论本研究强调了青少年求助行为的复杂性，强调了可操作的因素来指导干预。父母的支持、保密和有针对性的教育努力是促进经历心理困扰的青少年寻求专业帮助的关键。

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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来源期刊

Annales medico-psychologiques 医学-精神病学

CiteScore

1.30

自引率

33.30%

发文量

196

审稿时长

4-8 weeks

期刊介绍： The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique. The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.