Ning Song, Siobhan Hugh-Jones, Robert M West, John Pickavance, Ghazala Mir
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引用次数: 0
摘要
在青春期经历心理健康污名会加剧心理健康状况,降低生活质量,并抑制年轻人寻求心理健康需求的帮助。对于年轻人来说,教育和接触往往被视为减少耻辱感的合适方法。然而,关于这些反污名干预措施有效性的证据并不一致。这项系统综述评估了减少10-19岁青年心理健康污名化的干预措施的有效性。该综述遵循了Cochrane和PRISMA指南。检索了PubMed、PsycINFO、MEDLINE、Web of Science、Scopus、EMBASE、British Education Index和CNKI等8个数据库。还对纳入的研究进行了手部搜索。随机对照试验和实验设计包括对干预措施和对照组的随机分配。采用叙述综合法对结果进行分析。进行了一项荟萃分析,以确定纳入干预措施的有效性。审查中包括22项研究。8项研究报告了积极影响,11项研究发现了混合影响,3项研究报告对青年心理健康污名化指标没有影响。七项有效的研究是基于教育的。11项研究适合进行荟萃分析,多变量荟萃分析模型显示,干预后的效果很小,很显著(d=.21,p<.001),但在随访时没有(d=.069,p=.347)。减少与心理健康状况相关的污名的干预措施在年轻人中显示出很小的短期效果。与其他类型的干预措施相比,基于教育的干预措施显示出相对更显著的效果。
The effectiveness of anti-stigma interventions for reducing mental health stigma in young people: A systematic review and meta-analysis.
Experiencing mental health stigma during adolescence can exacerbate mental health conditions, reduce quality of life and inhibit young people's help-seeking for their mental health needs. For young people, education and contact have most often been viewed as suitable approaches for stigma reduction. However, evidence on the effectiveness of these anti-stigma interventions has not been consistent. This systematic review evaluated the effectiveness of interventions to reduce mental health stigma among youth aged 10-19 years. The review followed Cochrane and PRISMA guidelines. Eight databases were searched: PubMed, PsycINFO, MEDLINE, Web of Science, Scopus, EMBASE, British Education Index and CNKI. Hand searching from included studies was also conducted. Randomised controlled trials and experimental designs that included randomised allocation to interventions and control groups were included in the review. Narrative synthesis was employed to analyse the results. A meta-analysis was conducted to determine the effectiveness of included interventions. Twenty-two studies were included in the review. Eight studies reported positive effects, 11 studies found mixed effects and 3 studies reported no effect on indicators of mental health stigma among youth. Seven of the effective studies were education-based. Eleven studies were suitable for meta-analysis, and the multivariate meta-analytic model indicated a small, significant effect at post-intervention (d = .21, p < .001), but not at follow-up (d = .069, p = .347). Interventions to reduce stigma associated with mental health conditions showed small, short-term effects in young people. Education-based interventions showed relatively more significant effects than other types of interventions.
期刊介绍:
lobal Mental Health (GMH) is an Open Access journal that publishes papers that have a broad application of ‘the global point of view’ of mental health issues. The field of ‘global mental health’ is still emerging, reflecting a movement of advocacy and associated research driven by an agenda to remedy longstanding treatment gaps and disparities in care, access, and capacity. But these efforts and goals are also driving a potential reframing of knowledge in powerful ways, and positioning a new disciplinary approach to mental health. GMH seeks to cultivate and grow this emerging distinct discipline of ‘global mental health’, and the new knowledge and paradigms that should come from it.