Real-World Adoption of Mental Health Support Among Adolescents: Cross-Sectional Analysis of the California Health Interview Survey.

IF 2.7 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Journal of Pediatric Psychology Pub Date : 2025-01-01 DOI:10.1093/jpepsy/jsad082

Xin Zhao, Stephen M Schueller, Jeongmi Kim, Nicole A Stadnick, Elizabeth Eikey, Margaret Schneider, Kai Zheng, Dana B Mukamel, Dara H Sorkin

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Abstract

Objective: We aim to examine: (a) the extent to which patterns of adoption of counseling services and digital mental health interventions (DMHIs) shifted in recent years (2019-2021); (b) the impact of distress on adoption of mental health support; and (c) reasons related to adolescents' low adoption of DMHIs when experiencing distress.

Methods: Data were from three cohorts of adolescents aged 12-17 years (n = 847 in 2019; n = 1,365 in 2020; n = 1,169 in 2021) recruited as part of the California Health Interview Survey. We estimated logistic regression models to examine the likelihood of using mental health support as a function of psychological distress, sociodemographic characteristics, and cohorts. We also analyzed adolescents' self-reported reasons for not trying DMHIs as a function of distress.

Results: The proportion of adolescents reporting elevated psychological distress (∼50%) was higher than those adopting counseling services (<20%) or DMHIs (<10%). A higher level of distress was associated with a greater likelihood of receiving counseling (OR = 1.15), and using DMHIs to connect with a professional (Odds ratio (OR) = 1.11) and for self-help (OR = 1.17). Among those experiencing high distress, adolescents' top reason for not adopting an online tool was a lack of perceived need (19.2%).

Conclusion: Adolescents' main barriers to DMHI adoption included a lack of perceived need, which may be explained by a lack of mental health literacy. Thoughtful marketing and dissemination efforts are needed to increase mental health awareness and normalize adoption of counseling services and DMHIs.

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现实世界中青少年心理健康支持的采用:加州健康访谈调查的横断面分析。

目的:我们旨在研究:(a)近年来(2019-2021年)咨询服务和数字心理健康干预(DMHIs)的采用模式发生变化的程度;(b)痛苦对获得心理健康支助的影响;(c)与青少年在经历痛苦时较少采用DMHIs有关的原因。方法:数据来自三个12-17岁青少年队列(2019年n = 847;2020年N = 1365;n = 1169(2021年)，作为加州健康访谈调查的一部分招募。我们估计了逻辑回归模型来检验使用心理健康支持作为心理困扰、社会人口学特征和队列的功能的可能性。我们还分析了青少年不尝试DMHIs的自我报告原因作为痛苦的功能。结果:报告心理困扰加剧的青少年比例(约50%)高于采用咨询服务的青少年(结论:青少年采用DMHI的主要障碍包括缺乏感知需求，这可能是由于缺乏心理健康素养。需要深思熟虑的营销和传播工作，以提高心理健康意识，并使咨询服务和DMHIs的采用正常化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.