真正的男人不说话?抑郁、孤独、符合男性规范与男性不披露精神痛苦之间的关系

IF 4.1 Q1 PSYCHIATRY SSM. Mental health Pub Date : 2024-01-06 DOI:10.1016/j.ssmmh.2024.100296
Anna J.M. Wagner , Doreen Reifegerste
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引用次数: 0

摘要

在心理健康交流方面,男性是一个特别具有挑战性的群体。在一般男性中,不披露精神痛苦的情况相当普遍,在抑郁男性中更是如此--尽管这会对健康产生不利影响。无论是对受精神疾病影响的男性还是未受精神疾病影响的男性而言,激励男性与可信赖的社会联系人分享他们的精神痛苦是解决和改善其心理健康的重要第一步。要克服交流精神痛苦的障碍,了解与不披露相关的方面是必不可少的。结合人际沟通和(心理)健康沟通文献中的假设,我们提出了一个关于抑郁、孤独、对男性规范的遵从、可信任的社会联系人数量和不披露精神痛苦之间关系的概念模型。为了对我们的模型进行实证检验,我们对德国的 1400 名男性进行了横截面在线调查。调查结果在很大程度上证实了我们的模型。调查结果显示,男性抑郁程度越高,其不披露精神痛苦的程度越高--这既与抑郁程度直接相关,也与其他几个变量的中介作用相关。孤独感是一个重要的中介因素,较高的抑郁度与较高的孤独感有关,而孤独感增加了男性不披露的可能性。抑郁也与更多人遵守传统的男性规范有关,这也使得不披露精神痛苦的可能性更大。
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Real men don't talk? Relationships among depressiveness, loneliness, conformity to masculine norms, and male non-disclosure of mental distress

Men are a particularly challenging group when it comes to mental health communication. Non-disclosure of mental distress is quite common among men in general, and even more so among depressed men – despite its detrimental effects on health. Motivating men to share their mental distress with trusted social contacts serves as a vital first step in addressing and improving their mental health – both for those men who are affected by mental illness and those who are not. To overcome the barriers to communicating about mental distress, knowledge about the aspects associated with non-disclosure is indispensable. Bringing together assumptions from interpersonal communication and (mental) health communication literature, we propose a conceptual model of the relationships among depressiveness, loneliness, conformity to masculine norms, number of trusted social contacts, and non-disclosure of mental distress. To empirically test our model, we conducted a cross-sectional online survey with 1,400 men in Germany. Findings largely substantiate our model. They show that a higher depressiveness is positively associated with men's non-disclosure of mental distress – both directly and mediated through several other variables. Loneliness emerged as an important mediating factor, with a higher depressiveness being linked to higher loneliness, which increased the likelihood for men's non-disclosure. Depressiveness was also associated with a higher conformity to traditional masculine norms, again making non-disclosure of mental distress more probable.

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来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
自引率
0.00%
发文量
0
审稿时长
118 days
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