有情绪问题的青少年的自我管理、自我护理和自助:范围界定综述。

IF 6 2区 医学 Q1 PEDIATRICS European Child & Adolescent Psychiatry Pub Date : 2024-09-01 Epub Date: 2023-01-15 DOI:10.1007/s00787-022-02134-z
Rosa Town, Daniel Hayes, Anna March, Peter Fonagy, Emily Stapley
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引用次数: 0

摘要

本研究旨在回顾现有的公开出版文献和灰色文献,这些文献描述了有情绪问题的青少年的自我管理、自我照顾和自助等概念,并总结了与这些概念相关的策略或技巧。青少年的情绪问题日益增多,但及时获得专业心理健康治疗的机会却仅限于那些有较严重心理健康问题的青少年。有情绪问题的青少年可能会采用自我管理、自我护理和自助的策略来等待治疗和防止复发。鉴于现有的定义存在重叠,而且这些概念在青少年心理健康方面还不够明确,因此有必要对相关文献进行一次范围界定审查,以澄清这些概念。符合条件的研究是那些涉及有情绪问题症状的 10 至 19 岁青少年的研究。研究内容涉及该人群的自我管理、自我护理或自助,不涉及专业人士。2000年以后的定量、定性、经济和混合方法研究,以及系统、范围界定和文献综述,均符合纳入条件。我们对已发表的文献和灰色文献进行了系统性检索。检索的数据库包括 PsycINFO、Medline、Embase、Web of Science 和 CINAHL Plus。此外,还检索了 Mednar 中未发表的研究报告和灰色文献。在对结果进行主题分析的同时,还列出了主题、术语和相关策略表。共纳入 62 篇文章。其中包括 20 篇定量研究、14 篇系统综述、10 篇定性研究、5 篇综述论文、4 篇书籍章节、4 篇混合方法研究、2 篇学位论文、2 篇荟萃分析以及 1 篇范围界定综述和系统综述。大部分收录的文章都提到了自助(51 篇),其次是自我管理(17 篇)和自我护理(6 篇)。通过对收录文章中关于自我管理、自助或自我护理的描述(及相关策略)进行反思性专题分析,共确定了 12 个主题。本范围界定综述阐明了相关文献中讨论这些概念的方式以及与每个概念相关的策略之间的异同。此外,还讨论了制定青少年心理健康自我管理、自助和自我保健政策和干预措施的意义。无论是对这些概念的描述方式,还是针对这些概念提出的策略或方法,都有相当多的重叠之处,这也支持了之前的研究提出的建议,即这些策略应归为一个单一的术语,如 "自我或社区方法"。需要对边缘化群体的自我管理、自助和自我保健进行更多的研究,因为这些青少年对心理健康支持的需求可能是最得不到满足的。
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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Self-management, self-care, and self-help in adolescents with emotional problems: a scoping review.

This study aimed to review the existing published and grey literature describing the concepts of self-management, self-care, and self-help, and to capture strategies or techniques related to these concepts, for adolescents with emotional problems. Emotional problems are rising amongst adolescents, yet timely access to specialist mental health treatment is limited to those with greater severity of mental health difficulties. Self-management, self-care, and self-help strategies may be used by adolescents with emotional problems both in terms of those waiting for treatment and to prevent relapse. Given the overlap in existing definitions and the lack of clarity around these concepts in an adolescent mental health context, a scoping review of the literature is warranted to provide clarity. Eligible studies were those involving adolescents aged 10 to 19 years with symptoms of emotional problems. Studies referenced self-management, self-care, or self-help, not involving a professional, in this population. Quantitative, qualitative, economic, and mixed methods studies, as well as systematic, scoping, and literature reviews, from 2000 onwards and in the English language, were eligible for inclusion. A systematic search was conducted of both published and grey literature. Databases searched included PsycINFO, Medline, Embase, Web of Science, and CINAHL Plus. Mednar was also searched for unpublished studies and grey literature. Tables  of themes, terms, and associated strategies are presented alongside a thematic analysis of the results. 62 articles were included. These were 20 quantitative studies, 14 systematic reviews, 10 qualitative studies, five review papers, four book chapters, four mixed methods studies, two dissertations, two meta-analyses and one scoping review and systematic review. Most of the included articles referenced self-help (n = 51), followed by self-management (n = 17) and self-care (n = 6). A total of 12 themes were identified from a reflexive thematic analysis of descriptions (and associated strategies) of self-management, self-help, or self-care in included texts. This scoping review provides clarity on the similarities and differences between how these concepts are discussed, and the strategies which are associated with each of these concepts in the relevant literature. Implications for policy and intervention development for adolescents' self-management, self-help, and self-care of their mental health are discussed. There is considerable overlap in both the ways in which these concepts are described, and the strategies or approaches proposed in relation to them, supporting previous research suggesting these strategies should be grouped under a single term, such as "self or community approaches." More research is needed for self-management, self-help, and self-care amongst marginalized groups as these adolescents may have the highest unmet need for mental health support.

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来源期刊
CiteScore
12.80
自引率
4.70%
发文量
186
审稿时长
6-12 weeks
期刊介绍: European Child and Adolescent Psychiatry is Europe''s only peer-reviewed journal entirely devoted to child and adolescent psychiatry. It aims to further a broad understanding of psychopathology in children and adolescents. Empirical research is its foundation, and clinical relevance is its hallmark. European Child and Adolescent Psychiatry welcomes in particular papers covering neuropsychiatry, cognitive neuroscience, genetics, neuroimaging, pharmacology, and related fields of interest. Contributions are encouraged from all around the world.
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