一个

Harburg Schwaben
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引用次数: 0

摘要

与女性相比,男性不太可能因心理健康问题寻求帮助。尽管有相当大的兴趣,但解决这一问题的循证解决方案仍然缺乏。目前的审查试图综合男性特定干预措施中的具体技术,这些技术可能有助于改善心理求助(态度、意图或行为)。系统评价从三个数据库(MEDLINE, EMBASE和PsychInfo)中确定了6598篇潜在的文章。9项研究符合条件。由于不同的干预措施、结果和人群,荟萃分析存在问题。决定采用一种创新的方法,采用行为改变技术(bct)分类法,综合每种干预措施的关键特征,可能负责改善寻求帮助。在9项研究中,4项是参与策略(即小册子/纪录片),2项随机对照试验,2项试点随机对照试验和1项回顾性评价。在质量评估方面,3个被评为“强”,5个被评为“中等”,1个被评为“弱”。改善男子寻求帮助的态度、意图或行为的关键过程包括:使用榜样来传达信息、使用心理教育材料来提高心理健康知识、帮助识别和管理症状、主动解决问题的任务、激励行为改变、张贴标志服务,最后是建立在积极男性特征(例如责任和力量)基础上的内容。这是第一次使用这种使用bct的新方法来总结和确定可能有助于改善男性求助干预的具体技术的综述,无论是参与治疗还是干预本身。总的来说,这篇综述总结了以前的男性求助干预措施,为未来的研究/临床发展提供了信息。已发表的测量求助行为的干预措施从MEDLINE、EMBASE和PsychINFO的电子数据库中识别出来。2019年3月1日进行了全面审查,不受出版年份、语言或方法的限制。该搜索策略首先是为Ovid (MEDLINE)制定的,然后才适用于其他数据库。使用了“寻求帮助”或“障碍”相关术语、“心理健康”相关术语、“干预”相关术语和“男性性别”相关术语的主题标题(见补充附录1)。此外,还包括从手动参考资料检查中确定的出版物,以确保全面的搜索策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A
Compared to women, men are less likely to seek help for mental health difficulties. Despite considerable interest, a paucity in evidence-based solutions remains to solve this problem. The current review sought to synthesise the specific techniques within male-specific interventions that may contribute to an improvement in psychological help-seeking (attitudes, intentions or behaviours). A systematic review identified 6,598 potential articles from three databases (MEDLINE, EMBASE and PsychInfo). Nine studies were eligible. A meta-analysis was problematic due to disparate interventions, outcomes and populations. The decision to use an innovative approach that adopted the Behavioural Change Techniques (BCTs) taxonomy to synthesise each intervention’s key features likely to be responsible for improving help-seeking was made. Of the nine studies, four were engagement strategies (i.e. brochures/documentaries), two RCTs, two pilot RCTs and one retrospective review. Regarding quality assessment, three were scored as ‘strong’, five as ‘moderate’ and one as ‘weak’. Key processes that improved help-seeking attitudes, intentions or behaviours for men included: using role-models to convey information, psycho-educational material to improve mental health knowledge, assistance with recognising and managing symptoms, active problem-solving tasks, motivating behaviour change, sign posting services and finally, content that built on positive male traits (e.g. responsibility and strength). This is the first review to use this novel approach of using BCTs to summarise and identify specific techniques that may contribute to an improvement in male help-seeking interventions, whether engagement with treatment or the intervention itself. Overall, this review summarises previous male help-seeking interventions, informing future research/clinical developments. Published interventions measuring help-seeking behaviours were identified from the electronic databases of MEDLINE, EMBASE, and PsychINFO. A comprehensive review was conducted on the 1 st of March 2019 without any restrictions for publication year, language or method. The search strategy was first formulated for Ovid (MEDLINE) before being adapted for other databases. Subject headings of ‘help-seeking’ OR ‘barrier’ related terms AND ‘mental health’ related terms AND ‘intervention’ related terms AND ‘male sex’ related terms were used (see supplementary appendix 1). Furthermore, publications identified from manual reference checks were also included to ensure a comprehensive search strategy.
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