心理健康专业人员和受训人员自我护理和寻求帮助的障碍：一项系统综述
心理健康专业人员和受训人员自我护理和寻求帮助的障碍：一项系统综述
Barriers to self-care and seeking help among mental health professionals and trainees: A systematic review
——《临床心理学》第32卷第4期，2025年12月——
【摘要】本系统综述旨在综合现有证据，识别心理健康专业人员和临床培训人员在进行自我保健和寻求帮助时面临的障碍。本综述按照系统评价和荟萃分析首选报告项目（PRISMA）指南进行。我们检索了PsycINFO、Web of Science、Scopus、MEDLINE 和 Cumulative Index of Nursing and Allied Health Literature 数据库中 1990年至2024年6月期间发表的文章。纳入标准包括：以英文发表的同行评审文章；报告原始数据，且参与者样本为心理健康专业人员或受训人员；以及探讨自我保健或寻求帮助的障碍。我们使用改编的横断面研究质量评估工具（AXIS）和定性研究批判性评估技能项目（CASP）清单来评估纳入研究的质量。本综述确定了14项研究（n=5,422名参与者），这些研究探讨了寻求帮助或自我保健的障碍。心理健康问题在心理健康专业人员中似乎很常见。报告的障碍包括污名化、对保密性和职业影响的担忧，以及与时间、职业竞争压力和成本相关的实际挑战。这些障碍和担忧在不同职业阶段和专业领域普遍存在。本综述纳入的研究存在抽样和方法学方面的局限性，这可能低估了问题的严重性，并遗漏了与寻求帮助和自我保健行为相关的重要障碍或情境因素。为了改进工作场所措施和培训项目，并促进整个行业的健康和福祉，需要更好地了解心理健康专业人员和受训人员在寻求帮助和进行自我保健方面面临的障碍。
【关键词】临床医生、自我护理、寻求帮助、障碍、实习生
[Abstract] The aim of this systematic review was to synthesize evidence identifying the barriers mental health professionals and clinicians in training face in both engaging in self-care and seeking help when in need. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PsycINFO, Web of Science, Scopus, MEDLINE, and Cumulative Index of Nursing and Allied Health Literature databases were searched for articles published between 1990 and June 2024. Inclusion criteria reflected peer-reviewed articles published in English, report of original data where the participant sample targeted mental health professionals or trainees, and examination of barriers to self-care or help seeking. An adapted critical appraisal tool to assess the quality of cross-sectional studies (AXIS) and the Critical Appraisal Skills Programme checklist for qualitative research were used to assess the quality of included studies. The review identified 14 studies (n = 5,422 participants) that examined barriers to seeking help or self-care. Mental health concerns appeared common among mental health professionals. Reported barriers reflected stigma, concern for confidentiality and career implications, and practical challenges associated with time, the competing demands of the profession, and cost. Barriers and concerns were shared across career stage and profession. The studies reviewed were limited by sampling and methodological issues that may underestimate the problem and miss important barriers or contextual factors associated with help-seeking and self-care behaviors. Improved understanding of the barriers mental health professionals and trainees face in seeking help and engaging in self-care is needed to inform improvements to workplace initiatives and training programs and the promotion of better health and well-being across the workforce.
[Key words] clinician, self-care, help seeking, barriers, trainee
论文原文：Dimity Crisp, Mik Bartels (2025). Barriers to self-care and seeking help among mental health professionals and trainees: A systematic review. Clinical Psychology, Volume 32, Issue 4, Pages 375–387. December 2025.
https://doi.org/10.1037/cps0000285
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