One of the most persistent health disparities is the underutilization of mental health services by people of color. Neither evidence-based treatments (universal focus) nor culturally adapted treatments (group focus) have reduced these disparities. We propose the personal relevance of psychotherapy (PROP) model, which integrates universal, group, and individual dimensions to determine the personal relevance of interventions. A cultural example of personal relevance among people of East Asian ancestry involves "face" (i.e., one's prestige and position in society), which may moderate treatment outcomes. Pragmatic intervention approaches focused on helping individuals cope with specific external problems, compared to managing a "personal" disease, can effectively "restore" face. Thus, social problem-solving interventions may be more personally relevant to many people of East Asian ancestry than are approaches that are internally focused. In addition, we posit that social neuroscience can offer unique opportunities above and beyond self-report measures when assessing the impact of PROP and the personal relevance of interventions for diverse populations. Our preliminary evidence upon testing this hypothesis indicated that among Asian Americans, exposure to problem-solving therapy content elicited significantly greater neural activity in brain areas associated with personal relevance compared to exposure to cognitive-behavioral therapy content. Identifying personally relevant interventions has the potential to reduce mental health disparities by increasing engagement with mental health services for diverse groups. The increased client engagement produced by personally relevant interventions also has the potential to make mental health services more effective for diverse groups. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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通过增加干预的个人相关性来减少心理健康差异。

最持久的健康差距之一是有色人种对心理健康服务的利用不足。循证治疗（普遍关注）和文化适应治疗（群体关注）都没有减少这些差异。我们提出了心理治疗的个人相关性 (PROP) 模型，该模型整合了普遍、群体和个人维度来确定干预措施的个人相关性。东亚血统中个人相关性的一个文化例子涉及“面子”（即一个人在社会中的声望和地位），这可能会影响治疗结果。与管理“个人”疾病相比，专注于帮助个人应对特定外部问题的务实干预方法可以有效地“恢复”面子。因此，与专注于内部的方法相比，解决社会问题的干预措施可能与许多东亚血统的人更相关。此外，我们认为，在评估 PROP 的影响和干预措施对不同人群的个人相关性时，社会神经科学可以提供超越自我报告措施的独特机会。我们测试这一假设的初步证据表明，在亚裔美国人中，与暴露于认知行为疗法内容相比，暴露于解决问题的疗法内容在与个人相关性相关的大脑区域中引起了显着更大的神经活动。确定与个人相关的干预措施有可能通过增加不同群体对心理健康服务的参与来减少心理健康差异。通过与个人相关的干预措施增加客户参与度，也有可能使心理健康服务对不同群体更有效。（PsycINFO 数据库记录 (c) 2020 APA，保留所有权利）。