当前位置: X-MOL 学术J. Acad. Consult. Liaison Psych. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
The Effectiveness of Collaborative Care on Depression Outcomes for Racial/Ethnic Minority Populations in Primary Care: A Systematic Review
Journal of the Academy of Consultation-Liaison Psychiatry ( IF 2.3 ) Pub Date : 2020-11-01 , DOI: 10.1016/j.psym.2020.03.007
Jennifer Hu 1 , Tina Wu 1 , Swathi Damodaran 1 , Karen M Tabb 2 , Amy Bauer 3 , Hsiang Huang 1
Affiliation  

BACKGROUND Racial/ethnic minorities experience a greater burden of mental health problems than white adults in the United States. The collaborative care model is increasingly being adopted to improve access to services and to promote diagnosis and treatment of psychiatric diseases. OBJECTIVE This systematic review seeks to summarize what is known about collaborative care on depression outcomes for racial/ethnic minorities in the United States. METHODS This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses method. Collaborative care studies were included if they comprised adults from at least one racial/ethnic minority group, were located in primary care clinics in the United States, and had depression outcome measures. Core principles described by the University of Washington Advancing Integrated Mental Health Solutions Center were used to define the components of collaborative care. RESULTS Of 398 titles screened, 169 full-length articles were assessed for eligibility, and 19 studies were included in our review (10 randomized controlled trials, 9 observational). Results show there is potential that collaborative care, with or without cultural/linguistic tailoring, is effective in improving depression for racial/ethnic minorities, including those from low socioeconomic backgrounds. CONCLUSIONS Collaborative care should be explored as an intervention for treating depression for racial/ethnic minority patients in primary care. Questions remain as to what elements of cultural adaptation are most helpful, factors behind the difficulty in recruiting minority patients for these studies, and how the inclusion of virtual components changes access to and delivery of care. Future research should also recruit individuals from less studied populations.

中文翻译:

协作护理对初级保健中种族/少数民族人口抑郁结果的有效性:系统评价

背景与美国的白人成年人相比,种族/族裔少数群体经历了更大的心理健康问题负担。越来越多地采用协作护理模式来改善获得服务的机会并促进精神疾病的诊断和治疗。目的 本系统评价旨在总结美国种族/少数族裔对抑郁症结果的协作护理的已知信息。方法 本次审查遵循系统评价和荟萃分析的首选报告项目方法。如果协作医疗研究包括来自至少一个种族/族裔少数群体的成年人,位于美国的初级保健诊所,并且有抑郁症的结果测量,则纳入。华盛顿大学推进综合心理健康解决方案中心描述的核心原则用于定义协作护理的组成部分。结果 在筛选出的 398 篇文章中,169 篇全文进行了资格评估,19 项研究被纳入我们的评价(10 项随机对照试验,9 项观察性试验)。结果表明,无论有没有文化/语言剪裁,协作护理都有可能有效改善少数种族/少数民族的抑郁症,包括来自低社会经济背景的人。结论 应探索协作护理作为治疗初级保健中种族/少数族裔患者抑郁症的干预措施。关于哪些文化适应要素最有帮助的问题仍然存在,为这些研究招募少数族裔患者困难背后的因素,以及虚拟组件的加入如何改变获得和提供护理的机会。未来的研究还应该从研究较少的人群中招募个体。
更新日期:2020-11-01
down
wechat
bug