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Men, masculinities, depression: Implications for mental health services from a Delphi expert consensus study.
Professional Psychology: Research and Practice ( IF 1.5 ) Pub Date : 2019-02-01 , DOI: 10.1037/pro0000220
Zac E. Seidler , Simon M. Rice , John S. Ogrodniczuk , John L. Oliffe , Joanne M. Shaw , Haryana M. Dhillon

Tailoring psychological treatments to men’s specific needs has long been a concern considering that many men are reluctant to seek or engage with professional help. The present study aimed to seek consensus via an expert panel regarding essential aspects to include in practitioner training programs for those working with men experiencing depression. A 2-round Delphi study was conducted to gain consensus among practitioners, researchers, and educators about the importance of a pool of 30 potential training program components across the following 6 domains: masculinity frameworks; impact of gender on clinical practice; depression in men; assessment and formulation; male-specific adaptations to treatment and; language and communication. The panelists comprised 53 multidisciplinary international experts in the men’s mental health. Panelists were asked to rate each item on a 5-point likert scale from should not be included to essential. Consensus was defined as >80% of respondents scoring within 2 points on the Likert scale. After 2 Delphi rounds, consensus was reached for 22 of 30 items, and a further 2 items approached consensus. All items focused on features of depression among men and the impact of masculinities on clinical practice were endorsed. Items related to suicidality and depression diagnosis received the highest consensus, and the language and communication domain received limited support and was removed. This study provides a set of consensus-based recommendations for practitioner training. The recommendations offer actionable, gender-specific adaptations to psychological treatments for depression in men to be developed and trialed in practitioner training programs.

中文翻译:

男性、阳刚之气、抑郁症:德尔福专家共识研究对心理健康服务的影响。

考虑到许多男性不愿意寻求或接受专业帮助,长期以来,针对男性的特定需求定制心理治疗一直是一个问题。本研究旨在通过专家小组就包括在为患有抑郁症的男性工作的从业者培训计划中包含的基本方面达成共识。进行了 2 轮 Delphi 研究,以在从业者、研究人员和教育工作者之间就以下 6 个领域的 30 个潜在培训计划组成部分的重要性达成共识:男性气质框架;性别对临床实践的影响;男性抑郁症;评估和制定;男性对治疗的特异性适应和;语言和交流。小组成员由 53 名男性心理健康领域的多学科国际专家组成。小组成员被要求以 5 点李克特量表对每个项目进行评分,从不应该包括到必要。共识被定义为>80% 的受访者在李克特量表上的得分在 2 分以内。经过 2 轮 Delphi 轮次,30 项中的 22 项达成共识,另有 2 项接近共识。所有关注男性抑郁特征和男性气质对临床实践影响的项目都得到认可。与自杀和抑郁症诊断相关的项目获得了最高的共识,语言和交流领域获得了有限的支持并被删除。本研究为从业者培训提供了一套基于共识的建议。这些建议提供了可操作的,
更新日期:2019-02-01
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