心理健康專業人員和受訓人員自我護理和尋求幫助的障礙：一項系統綜述 Barriers to self-care and seeking help among mental health professionals and trainees: A systematic review ——《臨床心理學》第32卷第4期，2025年12月—— <Clinical Psychology> Volume 32, Issue 4, December 2025 【摘要】本系統綜述旨在綜合現有證據，識別心理健康專業人員和臨床培訓人員在進行自我保健和尋求幫助時面臨的障礙。本綜述按照系統評價和薈萃分析首選報告項目（PRISMA）指南進行。我們檢索了PsycINFO、Web of Science、Scopus、MEDLINE 和 Cumulative Index of Nursing and Allied Health Literature 數據庫中 1990年至2024年6月期間發表的文章。納入標準包括：以英文發表的同行評審文章；報告原始數據，且參與者樣本為心理健康專業人員或受訓人員；以及探討自我保健或尋求幫助的障礙。我們使用改編的橫斷面研究質量評估工具（AXIS）和定性研究批判性評估技能項目（CASP）清單來評估納入研究的質量。本綜述確定了14項研究（n=5,422名參與者），這些研究探討了尋求幫助或自我保健的障礙。心理健康問題在心理健康專業人員中似乎很常見。報告的障礙包括污名化、對保密性和職業影響的擔憂，以及與時間、職業競爭壓力和成本相關的實際挑戰。這些障礙和擔憂在不同職業階段和專業領域普遍存在。本綜述納入的研究存在抽樣和方法學方面的局限性，這可能低估了問題的嚴重性，並遺漏了與尋求幫助和自我保健行為相關的重要障礙或情境因素。為了改進工作場所措施和培訓項目，並促進整個行業的健康和福祉，需要更好地了解心理健康專業人員和受訓人員在尋求幫助和進行自我保健方面面臨的障礙。 【關鍵詞】臨床醫生、自我護理、尋求幫助、障礙、實習生 [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 論文原文：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 （需要英文原文的朋友，請聯繫微信：millerdeng95或iacmsp）
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