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*Dagens forskningsoversigt fra Scias Update:*
Predictors of Mental Health Service Use by Young Adults: A Systematic
Review.
Psychiatr Serv. 2016 Sep 01;67(9):946-56
Authors: Li W, Dorstyn DS, Denson LA
Abstract
OBJECTIVE: The purpose of this review was to systematically evaluate the
available heterogeneous research examining determinants of mental health
service use among young adults.
METHODS: Nine electronic databases were searched to identify quantitative
studies examining sociodemographic and psychological variables predictive
of or associated with mental health service use. Included studies were
examined against the Strengthening the Reporting of Observational Studies
in Epidemiology (STROBE) guidelines. Effect size estimates in the form of
odds ratios were calculated and classified according to predisposing,
enabling, and need factors, consistent with Andersen's behavioral model of
health care.
RESULTS: Eighteen studies met all of the inclusion criteria (N=96,297
participants). Studies generally followed the STROBE recommendations for
external validity, although limitations in internal validity were noted.
Prior service contact and being homosexual or bisexual, female, or
Caucasian were predisposing factors significantly associated with mental
health service use. Social support was the single enabling factor
identified, although this finding was based on limited data. In relation to
need, young adults who reported higher perceived need for professional help
or more mental health difficulties were more likely to have utilized
services.
CONCLUSIONS: This review identified subgroups of young adults who are less
likely to access mental health support. Future research should focus on
developing psychoeducational interventions targeted at young men and
racial-ethnic minority groups, in addition to informing young adults of the
success of mental health counseling in the absence of a diagnosis.
PMID: 27079988
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
<https://www.ncbi.nlm.nih.gov/home/about/policies>.
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