这是一个微妙的话题":冲突后哥伦比亚的耻辱、能力和年轻人的心理健康。

IF 2.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-08 DOI:10.1080/17441692.2024.2346947
Sara Donetto, Shari Ortiz Baddan Sochandamandou, Maria Camila Garcia Duran, Philipp Hessel, Annie Zimmerman, Ricardo Araya Baltra, Fabio Idrobo
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引用次数: 0

摘要

哥伦比亚年轻人的心理健康问题发生率很高,该国的国内武装冲突历史是造成这一问题的复杂原因。哥伦比亚的心理健康服务支离破碎、不足,许多人难以获得这些服务。年轻人的求助往往受到心理健康污名化和/或不良服务体验的阻碍。本文对一项混合方法研究中的定性数据进行了主题分析,该研究旨在开发和测试针对哥伦比亚青少年的心理健康干预措施。我们借鉴了有关成见的学术研究和森的 "能力方法 "的理论视角,对参与国家资助的人力资本建设项目 "Jovenes en Acción" (JeA)的工作人员和青少年的访谈和小组讨论进行了分析。通过说明研究参与者如何谈论污名化、脆弱性、心理健康服务组织,以及在学习环境中讨论心理健康话题所面临的挑战,我们揭示了心理健康支持和反污名化干预可能需要加强的方面。特别是,我们建议更多地强调 "社区能力",将其作为个人能力的补充,并与个人能力相互关联,这将加强青少年在心理健康方面的个人和集体资源,同时也符合现有人力资本提升计划的社会批判原则。
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'It's a delicate topic': Stigma, capabilities and young people's mental health in post-conflict Colombia.

Young people in Colombia present high rates of mental health problems, to which the country's history of armed internal conflict contributes in complex ways. Mental health services in Colombia are fragmented, inadequate, and difficult to access for many. Young people's help-seeking is often hindered by mental health stigma and/or poor experiences with services. This paper presents a thematic analysis of qualitative data from a mixed-methods study aimed at developing and testing a mental health intervention for Colombian youths. We draw upon theoretical lenses from scholarly work on stigma and Sen's 'capabilities approach' to inform our analysis of interviews and group discussions with staff and young people involved in the state-funded human capital building programme 'Jovenes en Acción' (JeA). By illustrating how study participants talked about stigma, vulnerability, mental health services organisation, and the challenges of discussing mental health topics in a learning environment, we illuminate aspects of mental health support and anti-stigma interventions that might need enhancing. In particular, we suggest that more emphasis on 'community competencies' as complementary to and interrelated with individual competencies would strengthen young people's individual and collective resources for mental wellbeing while being in line with the sociocritical principles of existing human capital-enhancing programmes.

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来源期刊
Global Public Health
Global Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
3.00%
发文量
120
期刊介绍: Global Public Health is an essential peer-reviewed journal that energetically engages with key public health issues that have come to the fore in the global environment — mounting inequalities between rich and poor; the globalization of trade; new patterns of travel and migration; epidemics of newly-emerging and re-emerging infectious diseases; the HIV/AIDS pandemic; the increase in chronic illnesses; escalating pressure on public health infrastructures around the world; and the growing range and scale of conflict situations, terrorist threats, environmental pressures, natural and human-made disasters.
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