Young men’s attitudes and behaviour in relation to mental health and technology: implications for the development of online mental health services

BMC Psychiatry

Ian B Hickie⁴  Jane M Burns²  Tracey A Davenport⁴  Patrick J Hurley³  Philippa Collin¹  Louise A Ellis⁴ 

[1]Young and Well Cooporative Research Centre, Abbotsford, VIC 3067, Australia

[2]Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Parkville, VIC 3052, Australia

[3]Inspire Foundation, Camperdown, NSW 2050, Australia

[4]Brain & Mind Research Institute, The University of Sydney, 94 Mallett Street, Camperdown, NSW 2050, Australia

关键词: Internet;    Technology;    Help-seeking;    Mental health;    Young men;   

Others  :  1124075
DOI  :  10.1186/1471-244X-13-119

 received in 2012-08-13, accepted in 2013-03-23,  发布年份 2013

【 摘 要 】

Background

This mixed-methods study was designed to explore young Australian men’s attitudes and behaviour in relation to mental health and technology use to inform the development of online mental health services for young men.

Methods

National online survey of 486 males (aged 16 to 24) and 17 focus groups involving 118 males (aged 16 to 24).

Results

Young men are heavy users of technology, particularly when it comes to entertainment and connecting with friends, but they are also using technology for finding information and support. The focus group data suggested that young men would be less likely to seek professional help for themselves, citing a preference for self-help and action-oriented strategies instead. Most survey participants reported that they have sought help for a problem online and were satisfied with the help they received. Focus group participants identified potential strategies for how technology could be used to overcome the barriers to help-seeking for young men.

Conclusions

The key challenge for online mental health services is to design interventions specifically for young men that are action-based, focus on shifting behaviour and stigma, and are not simply about increasing mental health knowledge. Furthermore, such interventions should be user-driven, informed by young men’s views and everyday technology practices, and leverage the influence of peers.

【 授权许可】

   
2013 Ellis et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Australian Institute of Health and Welfare: Young Australians: Their health and wellbeing. Canberra: AIHW; 2007. AIHW Cat. No. PHE 87
• [2]Rickwood D, Deane FP, Wilson CJ, Ciarrochi J: Young people’s help-seeking for mental health problems. Aust e-J for the Advance Ment Health 2005, 4:1-34.
• [3]Slade T, Johnston A, Teesson M, Whiteford H, Burgess P, Pirkis J, Saw S: The Mental Health of Australians: Report on the 2007 National survey of Mental Health and Wellbeing. Canberra: Department of Health and Ageing; 2009.
• [4]Smith J, Braunack-Mayer A, Wittert G: What do we know about men’s help seeking and health service use? Med J Aust 2006, 184:81-83.
• [5]Chandra A, Minkovitz CS: Stigma starts early: gender differences in teen willingness to use mental health services. J Adolesc Health 2006, 38:754.e1-754.e8.
• [6]Cotton SM, Wright A, Harris MG, Jorm AF, McGorry PD: The influence of gender on mental health literacy in young Australians. Aust N Z J Psychiatry 2006, 40:790-796.
• [7]Emslie C, Ridge D, Ziebland S, Hunt K: Men’s accounts of depression: reconstructing or resisting hegemonic masculinity? Soc Sci Med 2006, 62:2246-2257.
• [8]Möller-Leimkühler AM: Barriers to help-seeking by men: a review of sociocultural and clinical literature with particular reference to depression. J Affect Disorders 2002, 71:1-9.
• [9]O’Brien R, Hunt K, Hart G: ‘It’s caveman stuff, but that is to a certain extent how guys still operate’: Men’s accounts of masculinity and help seeking. Soc Sci Med 2005, 61:503-516.
• [10]Smith JA, Braunack-Mayer A, Wittert G, Warin M: “It’s sort of like being a detective”: understanding how Australian men self-monitor their health prior to seeking help. BMC Health Serv Res 2008, 8:56. BioMed Central Full Text
• [11]Burns JM, Webb M, Durkin LA, Hickie IB: Reach Out Central: a serious game designed to engage young men to improve mental health and wellbeing. Med J Aust 2010, 192(Suppl 11):27-30.
• [12]Macdonald JJ: Shifting paradigms: a social-determinants approach to solving problems in men’s health policy and practice. Med J Aust 2006, 185:456-458.
• [13]Borezekowski DL, Rickert VI: Adolescents, the internet, and health issues of access and content. J Appl Dev Psychol 2001, 22:49-59.
• [14]Gould MS, Munfakh JL, Lubell K, Kleinman M, Parker S: Seeking help from the internet during adolescence. J Am Acad Child Psy 2002, 41:1182-1189.
• [15]Australia M: National Youth Survey: key emerging issues. Dandenong, Victoria: Mission Australia; 2006.
• [16]Griffiths KM, Christensen H: Review of randomised controlled trials of internet interventions for mental disorders and related conditions. Clin Psychologist 2006, 10:16-29.
• [17]Stefanic N: The current status of research regarding the efficacy of internet-based psychological interventions for mental disorders and health conditions. Wollongong, NSW: University of Wollongong; 2008.
• [18]Valentine G, Holloway S: Cyberkids? Exploring children’s identities and social networks in on-line and off-line worlds. Ann Assoc Am Geogr 2002, 92:302-319.
• [19]Stinson J, Wilson R, Gill N, Yanada J, Holt J: A systematic review of internet-based self-management interventions for youth with health conditions. J Pediatr Psychol 2009, 34:495-510.
• [20]Calear AL, Christensen H, Mackinnon A, Griffiths KM, O’Kearney R: The YouthMood project: a cluster randomized controlled trial of an online cognitive-behavioral program with adolescents. J Consult Clin Psych 2009, 77:1021-1032.
• [21]O’Kearney R, Gibson M, Christensen H, Griffiths KM: Effects of a cognitive-behavioural internet program on depression, vulnerability to depression and stigma in adolescent males: a school based controlled trial. Cogn Behav Ther 2006, 35:43-54.
• [22]Coyle D, Sharry J, Nisbet A, Matthews M: Virtual perspectives: developing a therapeutic 3D virtual environment for adolescents. Q J Couns and Psychotherapy 2003, 2:27-31.
• [23]Christensen H, Griffiths KM, Jorm AF: Delivering interventions for depression by using the internet: randomised controlled trial. Br Med J 2004, 328(7434):265.
• [24]Umbach P: Web surveys: best practices. New Directions for Institutional 2004, 121:23-38.
• [25]Hickie IB, Davenport TA, Luscombe GM, Fogarty AS: Findings from the headspace National Youth and Parent Community Survey. Sydney: Brain and Mind Research Institute; 2008.
• [26]Patton MQ: Qualitative evaluation and research methods. California: Sage; 1990.
• [27]Boyd D: Why Youth (Heart) Social Network Sites: The Role of Networked Publics in Teenage Social Life. In MacArthur Foundation Series on Digital Learning – Youth, Identity, and Digital Media Volume. Edited by Buckingham D. Cambridge, MA: MIT Press; 2007.
• [28]Booth ML, Bernard D, Quine S: Access to health care among Australian adolescents. Young people’s perspectives and their sociodemographic distribution. J Adolesc Health 2004, 34:97-103.
• [29]Rickwood DJ, Deane FP, Wilson CJ: When and how do young people seek professional help for mental health problems. Med J Aust 2007, 187(Suppl 7):35-39.
• [30]Australian Bureau of Statistics: Household use of information technology, Australia 2010–2011. Canberra: ABS; 2011. ABS Cat. No. 8146.0
• [31]Nielson: The Australian Internet & Technology Report. 12th edition. Sydney: Nielson; 2010.
• [32]Barak A, Grohol JM: Current and future trends in Internet-supported mental health interventions. J Technol Hum Serv 2011, 29:155-196.
• [33]Jorm AF, Morgan AJ, Wright A: Actions that young people can take to prevent depression, anxiety and psychosis: beliefs of health professionals and young people. J Affect Disord 2010, 126:278-81.
• [34]Jorm AF, Wright A: Beliefs of young people and their parents about the effectiveness of interventions for mental disorders. Aust N Z J Psychiatry 2007, 41:656-66.
• [35]Reavley NJ, Cvetkovski S, Jorm AF, Lubman DI: Help-seeking for substance use, anxiety and affective disorders among young people: results from the 2007 Australian National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry 2010, 44:729-35.
• [36]Australia M: Youth Survey 2012. Sydney: Mission Australia; 2012.
• [37]Addis M, Mahalik J: Men, masculinity, and the contexts of help seeking. Am Psychol 2003, 58:5-14.
• [38]Barak A, Proudfoot JG, Klein B: Defining Internet-supported therapeutic interventions. Ann Behav Med 2009, 38:4-17.
• [39]Monk A, Hassenzahl M, Blythe M, Reed D: Funology: designing enjoyment. In Proceedings of the ACM CHI 2002 Conference on Human Factors in Computing Systems Conference: April 20–25 2002. Edited by Terveen L. Minneapolis, USA: ACM Press; 2002.
• [40]Doherty G, Coyle D, Sharry J: Engagement with Online Mental Health Interventions: An Exploratory Clinical Study of a Treatment for Depression. In Proceedings of the SIGCHI 2012 Conference on Human Factors in Computing Systems Conference: May 5–10 2012. Edited by Chi H, Höök K. Texas, USA: ACM Press; 2012.
• [41]Pew Internet & American Life Project: How Women and Men Use the Internet. In  . Princeton NJ: Pew Research Centre; 2005.
• [42]Australian Bureau of Statistics: Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA), Australia, 2006. Canberra: ABS; 2008. ABS Cat. No. 2033.0.55.001
• [43]Jorm AF, Christensen H, Griffiths K: Changes in depression awareness and attitudes in Australia: the Impact of beyondblue: the national depression initiative. Aust N Z J Psychiatry 2006, l40:42-46.