关于父母与青少年心理健康交流的混合方法调查。

IF 5.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health Pub Date : 2024-09-29 DOI:10.1016/j.jadohealth.2024.07.012

Sophie Wecht M.D. , Morgann Hendrixson , Ana Radović M.D., M.Sc.

{"title":"关于父母与青少年心理健康交流的混合方法调查。","authors":"Sophie Wecht M.D. , Morgann Hendrixson , Ana Radović M.D., M.Sc.","doi":"10.1016/j.jadohealth.2024.07.012","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>Parent-adolescent communication is critical for parents' recognition of a need for mental health treatment in their adolescent children. This study aimed to explore facilitators and barriers to parent-adolescent communication about mental health in order to generate ideas for interventions that improve communication and increase adolescent uptake of mental health services.</div></div><div><h3>Methods</h3><div>Twenty adolescents aged 12 to 19 with a history of depression and/or anxiety were enrolled alongside one parent/guardian. Participants completed an online survey, followed by separate, semistructured interviews. Survey data were analyzed via paired and two-sample t tests. Separate, data-driven codebooks were developed from interview transcripts. Qualitative data were analyzed via a template analysis approach.</div></div><div><h3>Results</h3><div>Adolescents reported higher barriers to psychological help-seeking (24.0 + 7.3) when compared to parents (18.6 + 4.7), both on average (<em>p</em> = .008) and between individual dyads (<em>p</em> = .003). Parents reported better communication with their child (79.0 + 11.5), than adolescents did with their parents on average (68.7 + 17.3, <em>p</em> = .04). Fear of burdening parents, parental guilt and fear of parents' dismissal of mental health concerns were described as barriers to communication. Facilitators of communication included disclosure of familial mental health history, open-mindedness, and patience. Psychotherapy was described as positively impacting communication by assisting adolescents in understanding parents' perspectives, and teaching communication strategies.</div></div><div><h3>Discussion</h3><div>Brief clinical interventions addressing structural and emotional barriers to psychological help-seeking, depression literacy, stigma and self-blame among parents, and disclosure of familial mental health history may encourage parent-adolescent communication and increase adolescents' access to mental health care.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"75 6","pages":"Pages 904-911"},"PeriodicalIF":5.5000,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Mixed Method Investigation of Parent-Adolescent Communication About Mental Health\",\"authors\":\"Sophie Wecht M.D. , Morgann Hendrixson , Ana Radović M.D., M.Sc.\",\"doi\":\"10.1016/j.jadohealth.2024.07.012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>Parent-adolescent communication is critical for parents' recognition of a need for mental health treatment in their adolescent children. This study aimed to explore facilitators and barriers to parent-adolescent communication about mental health in order to generate ideas for interventions that improve communication and increase adolescent uptake of mental health services.</div></div><div><h3>Methods</h3><div>Twenty adolescents aged 12 to 19 with a history of depression and/or anxiety were enrolled alongside one parent/guardian. Participants completed an online survey, followed by separate, semistructured interviews. Survey data were analyzed via paired and two-sample t tests. Separate, data-driven codebooks were developed from interview transcripts. Qualitative data were analyzed via a template analysis approach.</div></div><div><h3>Results</h3><div>Adolescents reported higher barriers to psychological help-seeking (24.0 + 7.3) when compared to parents (18.6 + 4.7), both on average (<em>p</em> = .008) and between individual dyads (<em>p</em> = .003). Parents reported better communication with their child (79.0 + 11.5), than adolescents did with their parents on average (68.7 + 17.3, <em>p</em> = .04). Fear of burdening parents, parental guilt and fear of parents' dismissal of mental health concerns were described as barriers to communication. Facilitators of communication included disclosure of familial mental health history, open-mindedness, and patience. Psychotherapy was described as positively impacting communication by assisting adolescents in understanding parents' perspectives, and teaching communication strategies.</div></div><div><h3>Discussion</h3><div>Brief clinical interventions addressing structural and emotional barriers to psychological help-seeking, depression literacy, stigma and self-blame among parents, and disclosure of familial mental health history may encourage parent-adolescent communication and increase adolescents' access to mental health care.</div></div>\",\"PeriodicalId\":56278,\"journal\":{\"name\":\"Journal of Adolescent Health\",\"volume\":\"75 6\",\"pages\":\"Pages 904-911\"},\"PeriodicalIF\":5.5000,\"publicationDate\":\"2024-09-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Adolescent Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1054139X24003434\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Adolescent Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1054139X24003434","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

摘要

目的：家长与青少年之间的沟通对于家长认识到其青少年子女需要接受心理健康治疗至关重要。本研究旨在探讨父母与青少年就心理健康问题进行沟通的促进因素和障碍，从而为改善沟通和增加青少年接受心理健康服务的干预措施提供思路：20名年龄在12至19岁之间、有抑郁症和/或焦虑症病史的青少年与一名家长/监护人一起参加了调查。参与者填写了一份在线调查问卷，随后分别进行了半结构化访谈。调查数据通过配对和双样本 t 检验进行分析。根据访谈记录分别编制了数据驱动的编码本。定性数据通过模板分析方法进行分析：青少年报告的心理求助障碍（24.0 + 7.3）高于父母（18.6 + 4.7），平均值（p = .008）和个体间（p = .003）均是如此。父母与子女的沟通（79.0 + 11.5）比青少年与父母的沟通（68.7 + 17.3，p = .04）要好。害怕给父母增加负担、父母的内疚感以及害怕父母忽视心理健康问题被认为是沟通的障碍。促进沟通的因素包括披露家族心理健康史、开放的心态和耐心。心理治疗通过帮助青少年理解父母的观点和教授沟通策略，对沟通产生了积极的影响：讨论：针对心理求助的结构性障碍和情感障碍、抑郁知识、父母的耻辱感和自责以及家族心理健康史的披露等问题进行简短的临床干预，可以促进父母与青少年之间的沟通，增加青少年获得心理健康护理的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

A Mixed Method Investigation of Parent-Adolescent Communication About Mental Health

Purpose

Parent-adolescent communication is critical for parents' recognition of a need for mental health treatment in their adolescent children. This study aimed to explore facilitators and barriers to parent-adolescent communication about mental health in order to generate ideas for interventions that improve communication and increase adolescent uptake of mental health services.

Methods

Twenty adolescents aged 12 to 19 with a history of depression and/or anxiety were enrolled alongside one parent/guardian. Participants completed an online survey, followed by separate, semistructured interviews. Survey data were analyzed via paired and two-sample t tests. Separate, data-driven codebooks were developed from interview transcripts. Qualitative data were analyzed via a template analysis approach.

Results

Adolescents reported higher barriers to psychological help-seeking (24.0 + 7.3) when compared to parents (18.6 + 4.7), both on average (p = .008) and between individual dyads (p = .003). Parents reported better communication with their child (79.0 + 11.5), than adolescents did with their parents on average (68.7 + 17.3, p = .04). Fear of burdening parents, parental guilt and fear of parents' dismissal of mental health concerns were described as barriers to communication. Facilitators of communication included disclosure of familial mental health history, open-mindedness, and patience. Psychotherapy was described as positively impacting communication by assisting adolescents in understanding parents' perspectives, and teaching communication strategies.

Discussion

Brief clinical interventions addressing structural and emotional barriers to psychological help-seeking, depression literacy, stigma and self-blame among parents, and disclosure of familial mental health history may encourage parent-adolescent communication and increase adolescents' access to mental health care.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Adolescent Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

10.40

自引率

3.90%

发文量

526

审稿时长

46 days

期刊介绍： The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.