南印度精神障碍青年寻求精神健康服务的障碍:一项定性研究。

Q3 Medicine
P Solomon, A Lidiya, H Arulvendan, B Priyadarshini, G Sanjana, S Syed, C Arumugam, F Azariah, M Sinha, V Raghavan, M S Kumar, R Thara
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引用次数: 0

摘要

目的:利用一项定性研究,探讨印度南部钦奈年轻人寻求精神卫生服务的障碍。方法:在2022年4月至2023年3月期间,有目的地从印度南部钦奈的一家三级精神卫生中心招募年龄在18至24岁之间被诊断为任何精神障碍的年轻人。进行了面对面的深度访谈。与求助障碍有关的问题包括个人和情感障碍、社会和文化障碍、环境障碍和经济障碍。每次采访都录音并逐字抄写或翻译成英文。进行了专题分析。结果:共纳入8名男性和7名女性参与者,平均年龄21.2岁。出现了五大主题:(1)耻辱和歧视(包括孤立和被忽视的感觉、社会标签以及因精神疾病导致的就业机会减少),(2)宗教和精神因素(以无知和高度耻辱为特征),(3)心理健康素养(对心理健康的了解不足),(4)后勤障碍(获得医疗保健设施的机会有限和交通困难),(5)资金障碍(高昂的治疗费用和难以获得政府医疗计划)。结论:印度患有精神障碍的年轻人在获得精神卫生服务方面面临多重障碍。这些发现可以为研究人员、临床医生和政策制定者制定有针对性的干预措施、战略框架和政策改革提供信息,以促进这一人群的早期求助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers to seeking mental health services among young persons with mental disorders in South India: a qualitative study.

Objectives: To explore barriers to seeking mental health services among young people in Chennai, South India, using a qualitative study.

Methods: Young people aged 18 to 24 years with a diagnosis of any mental disorder were purposively recruited from a tertiary mental health centre in Chennai, South India, between April 2022 and March 2023. Face-to-face in-depth interviews were conducted. Questions pertaining to barriers to help-seeking included personal and emotional, social and cultural, environmental, and financial barriers. Each interview was audio-recorded and transcribed verbatim or translated into English. Thematic analysis was performed.

Results: In total, eight male and seven female participants (mean age 21.2 years) were included in the analysis. Five major themes emerged: (1) stigma and discrimination (including feelings of isolation and neglect, societal labelling, and reduced employment opportunities due to mental illness), (2) religious and spiritual factors (characterised by ignorance and high levels of stigma), (3) mental health literacy (poor understanding of mental health), (4) logistical barriers (limited access to healthcare facilities and transportation difficulties), and (5) financial barriers (high treatment costs and difficulties accessing government medical schemes).

Conclusion: Young people with mental disorders in India face multiple barriers to accessing mental health services. These findings may inform researchers, clinicians, and policymakers in developing targeted interventions, strategic frameworks, and policy reforms to promote early help-seeking among this population.

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来源期刊
East Asian Archives of Psychiatry
East Asian Archives of Psychiatry Medicine-Medicine (all)
CiteScore
1.60
自引率
0.00%
发文量
13
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