Disparities in mental health care among marginalized populations have been well-documented. Without research designed to study interventions for diverse populations, disparities in the quality of services will persist. A systematic review of articles evaluating couple and family therapy (CFT) interventions was conducted to evaluate the representation of diverse populations. More specifically, researchers sought to examine race/ethnicity, sexual orientation, income level, and age of sample participants. One hundred ninety-six studies evaluating CFT interventions in the United States in ten journals were included in the analysis. Findings indicate that family therapy research is more representative of racial minority and low-income participants compared with studies of couple interventions. Couple therapy research is often still conducted with predominately white, middle- to high-income samples. Following whites, African Americans and Hispanic/Latinos were the most common racial/ethnic groups included in both couple therapy research and family therapy research. Participants in same-sex relationships were absent from family intervention research and under-researched in couple intervention studies. Only one couple therapy study recruited a sample in which the average age was late adulthood. These findings are cause for concern given the widening mental health disparities in the United States.

中文翻译：

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夫妻和家庭治疗干预研究中不同人群的代表：2014 年至 2019 年美国种族/民族、性取向、年龄和收入的系统回顾

边缘化人群在精神卫生保健方面的差异已得到充分证明。如果没有旨在研究针对不同人群的干预措施的研究，服务质量的差异将持续存在。对评估夫妻和家庭治疗 (CFT) 干预的文章进行了系统审查，以评估不同人群的代表性。更具体地说，研究人员试图检查样本参与者的种族/民族、性取向、收入水平和年龄。分析中纳入了 10 份期刊中评估美国 CFT 干预措施的 196 项研究。结果表明，与夫妻干预研究相比，家庭治疗研究更能代表少数族裔和低收入参与者。夫妻治疗研究通常仍然以白人、中高收入样本为主。继白人之后，非裔美国人和西班牙裔/拉丁裔是夫妻治疗研究和家庭治疗研究中最常见的种族/族裔群体。家庭干预研究中没有同性关系的参与者，夫妻干预研究中也没有得到充分研究。只有一项夫妻治疗研究招募了平均年龄为成年晚期的样本。鉴于美国心理健康差距不断扩大，这些发现令人担忧。家庭干预研究中没有同性关系的参与者，夫妻干预研究中也没有得到充分研究。只有一项夫妻治疗研究招募了平均年龄为成年晚期的样本。鉴于美国心理健康差距不断扩大，这些发现令人担忧。家庭干预研究中没有同性关系的参与者，夫妻干预研究中也没有得到充分研究。只有一项夫妻治疗研究招募了平均年龄为成年晚期的样本。鉴于美国心理健康差距不断扩大，这些发现令人担忧。