检查心理健康服务使用与心理健康症状之间的纵向,相互关系
Jennifer Murphy1, Youngmi Kim2, Kyeongmo Kim3
1School of Social Work, University of Texas at Arlington, Arlington, TX, 76010, USA.
The journal of behavioral health services & research
|August 26, 2025
概括
青少年使用心理健康服务可以预测未来的使用情况,并减少抑郁症状. 早期干预,尤其是在学校,对于长期的心理健康和长期服务至关重要.
科学领域:
- 青少年心理健康
- 纵向研究
- 公共卫生
背景情况:
- 青春期是心理健康需求出现的关键时期.
- 在青少年心理健康需求与服务利用之间存在很大的差距.
- 心理健康服务对未来需求的长度影响还没有得到充分研究.
研究的目的:
- 研究青少年使用心理健康服务与抑郁症状之间的纵向双向关系.
- 了解过去的服务使用和症状如何预测未来的结果.
- 提供青少年心理健康服务策略.
主要方法:
- 使用了全国青少年健康纵向研究 (Add Health; N = 7,902) 的四个波段的数据.
- 使用交叉差距小组分析来检查心理健康服务 (MHS) 的使用情况和抑郁症状.
- 根据社会人口特征进行调整的分析.
主要成果:
- 在学校使用MHS在一个时间点预测增加MHS使用在下一个 (ORs=1.34-1.61).
- 一个时间点的抑郁症状预测了未来的抑郁症状 (βs = .21-.30).
- 使用MHS预测未来抑郁症状减少 (βs = .14- 27),而抑郁症状预测未来使用MHS (ORs = 1. 05-1. 15).
结论:
- 青少年使用心理健康服务与抑郁症状之间存在相互关系.
- 基于学校的心理健康服务对于促进长期使用服务至成年至关重要.
- 早期和一致的MHS参与是青少年心理健康轨迹的关键.
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