耻辱影响父母对孩子心理健康的反应,但孩子的性别会使故事复杂化吗?

IF 2.2 Q2 PSYCHOLOGY, SOCIAL
Alice P Villatoro, Melissa J DuPont-Reyes, Jo C Phelan, Bruce G Link
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引用次数: 0

摘要

父母是为患有精神健康问题的儿童提供精神健康服务的有影响力的看门人,他们对精神疾病的污名化态度和行为可能会阻碍寻求帮助。父母在寻求帮助过程中的性别期望可能会影响他们为子女寻求正式或非正式的支持。我们通过研究耻辱如何影响父母根据孩子的性别为他们的孩子寻求正式和非正式的心理健康支持的决定来推进耻辱研究。利用一项以学校为基础的六年级学生抗污名干预研究的纵向数据,我们分析了报告有高心理健康症状的儿童的子样本(n=217)。回归模型评估了父母的污名化态度和行为以及儿童性别对父母正式和非正式求助的影响,包括儿童对精神药物的使用。为了研究污名化和寻求帮助的性别模式,我们测试了父母污名化态度和儿童自我报告的性别对寻求帮助行为的相互作用。心理健康标签和读写能力与父母主动寻求帮助行为相关,而社会距离等歧视性污名维度会降低父母寻求帮助的行为。这些耻辱感的影响因儿童性别而异,特别是在正式的护理途径方面:在正式环境中,标签会促进女孩向父母寻求帮助,而社交距离则会阻碍女孩使用药物。研究结果表明,针对精神疾病和寻求帮助的有效干预措施必须积极纳入父母的观点,解决心理健康中的性别偏见,并考虑在寻求帮助的决定中,性别可能使耻辱过程复杂化的微妙方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Stigma Affects How Parents Respond to their Children's Mental Health, But Does Child Gender Complicate the Story?

Parents are influential gatekeepers to mental health services for children struggling with mental health issues, and their stigmatizing attitudes and behaviors towards mental illness may hinder help-seeking. Parents' gendered expectations throughout the help-seeking process may influence whether they pursue formal or informal support for their children. We advance stigma research by examining how stigma affects a parent's decision to seek formal and informal mental health support for their child depending on the child's gender. Using longitudinal data from a school-based anti-stigma intervention study among sixth-grade students, we analyzed the subsample of children who reported high mental health symptoms (n=217). Regression models assessed the role of parental stigmatizing attitudes and behaviors and child gender on parental formal and informal help-seeking, including the child's use of psychiatric medications. To examine gendered patterns to stigma and help-seeking, we tested interactions between parental stigmatizing attitudes and the child's self-reported gender on help-seeking behaviors. Mental health labeling and literacy were associated with proactive parental help-seeking behaviors, while discriminatory stigma dimensions like social distance decreased help-seeking. These stigma effects varied by child gender, particularly when it came to formal avenues of care: Labeling enhanced parental help-seeking for girls in formal settings, while social distance deterred medication use among girls. The results of the study suggest that effective interventions targeting mental illness and help-seeking must actively incorporate parental perspectives, address gender biases in mental health, and consider the nuanced ways in which gender may complicate stigma processes when it comes to help-seeking decisions.

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来源期刊
Stigma and Health
Stigma and Health Multiple-
CiteScore
4.70
自引率
6.70%
发文量
94
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