Association between interpersonal resources and mental health professional help-seeking among Chinese adolescents with probable depression: mediations via personal resources and active coping.

IF 3.4 2区 医学 Q2 PSYCHIATRY BMC Psychiatry Pub Date : 2024-11-21 DOI:10.1186/s12888-024-06271-4
Hui Lu, Yanqiu Yu, Deborah Baofeng Wang, Anise M S Wu, Juliet Honglei Chen, Guohua Zhang, Yili Wu, Joseph T F Lau
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Abstract

Background: Globally, adolescent depression is prevalent. There is, however, a dearth of studies investigating behavioral intention to professional help-seeking regarding mental health problems among adolescents having probable depression. Based on the Stress Coping Theory, the hypothesis that personal resources and active coping would mediate between interpersonal resources and behavioral intention to professional help-seeking was investigated.

Methods: Students from five junior middle schools, three senior high schools, and one vocational school were selected to participate in the survey from February to March 2022 via convenient sampling. The questionnaire collected participants' characteristics, depression, peer acceptance/support, resilience, self-compassion, active coping, and behavioral intention to professional help-seeking. The final sample included 1,425 Chinese adolescents having probable depression (Patient Health Questionnaire score ≥ 10). SPSS 23.0 and Mplus 8.3 were employed to analyze the data.

Results: The prevalence of behavioral intention to professional help-seeking was 15.4%. Adjusted for background factors, peer acceptance, resilience, self-compassion, and active coping were significantly associated with behavioral intention to professional help-seeking (ORa ranged from 1.05 to 1.31). The indirect effects via active coping (β = 0.020) and a serial indirect effect via personal resources and active coping (β = 0.029) were statistically significant. The direct effect from interpersonal resources to behavioral intention to professional help-seeking was non-significant.

Conclusion: The prevalence of behavioral intention to professional help-seeking among adolescents with probable depression was low and might render early detection/intervention ineffective. It is important to increase the intention to seek help from professionals. One possibility is to enhance interpersonal/personal resources and active coping.

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中国疑似抑郁症青少年的人际资源与心理健康专业人员求助之间的关系:个人资源和积极应对的中介作用。
背景:在全球范围内,青少年抑郁症十分普遍。然而,对可能患有抑郁症的青少年就心理健康问题寻求专业帮助的行为意向进行调查的研究却很少。基于压力应对理论,研究假设个人资源和积极应对将在人际资源和专业求助行为意向之间起到中介作用:方法:2022 年 2 月至 3 月,通过方便抽样的方式,选取了 5 所初中、3 所高中和 1 所职业学校的学生参与调查。问卷收集了参与者的特征、抑郁、同伴接纳/支持、复原力、自我同情、积极应对和专业求助行为意向。最终样本包括1425名可能患有抑郁症(患者健康问卷得分≥10分)的中国青少年。采用 SPSS 23.0 和 Mplus 8.3 对数据进行分析:结果:青少年寻求专业帮助的行为意向发生率为 15.4%。经背景因素调整后,同伴接纳、复原力、自我同情和积极应对与寻求专业帮助的行为意向显著相关(ORa 在 1.05 至 1.31 之间)。通过积极应对产生的间接效应(β = 0.020)以及通过人际资源和积极应对产生的连续间接效应(β = 0.029)在统计学上具有重要意义。人际资源对专业求助行为意向的直接效应不明显:结论:在可能患有抑郁症的青少年中,寻求专业帮助的行为意向发生率较低,可能导致早期发现/干预无效。提高向专业人士寻求帮助的意愿非常重要。其中一种可能是加强人际/个人资源和积极应对。
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来源期刊
BMC Psychiatry
BMC Psychiatry 医学-精神病学
CiteScore
5.90
自引率
4.50%
发文量
716
审稿时长
3-6 weeks
期刊介绍: BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
期刊最新文献
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