OBJECTIVE A growing literature supports mindfulness and acceptance-based interventions (MABIs) for depression prevention and treatment with individuals from dominant cultural groups, and MABIs have been theorized to be well suited to resonate with individuals from nondominant groups. The aim of the current meta-analysis was to determine whether this promise is realized in practice by evaluating the efficacy of MABIs for depression symptoms in Black Americans. METHOD Thirty studies with an adequate proportion (>20%) of Black Americans were identified using previous reviews and electronic databases, yielding a total of 1,703 participants with an average proportion of 70% Black Americans. Data on moderators (i.e., geographic location, study design, and intervention protocol) and outcomes were extracted and analyzed using metaregression. RESULTS Results indicated a moderate effect of MABIs on symptom outcomes in the full sample g = 0.48. Effect sizes were similar in study subsets comprising majority (>50%; k = 19) g = 0.39, and predominantly (>90%; k = 10) g = 0.35, Black participants, with no significant moderating effect of racial composition. Effects were moderated by both sample and intervention level characteristics. CONCLUSIONS The current findings support the conclusion that MABIs are efficacious to varying degrees for Black Americans; with stronger support for use in adult samples than youth samples. These results are promising, and further support efforts to expand research on evidence-based treatments (EBTs) to meet the specific mental health needs of Black Americans. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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美国黑人的正念和基于接受的干预：抑郁症状干预效果的荟萃分析。

目标 越来越多的文献支持正念和基于接受的干预 (MABI) 对来自主流文化群体的个人进行抑郁症的预防和治疗，并且 MABI 已被理论化为非常适合与来自非主流群体的个人产生共鸣。当前荟萃分析的目的是通过评估 MABI 对美国黑人抑郁症状的疗效来确定这一承诺是否在实践中实现。方法 使用以前的评论和电子数据库确定了 30 项具有足够比例（>20%）美国黑人的研究，共有 1,703 名参与者，平均比例为 70% 的美国黑人。使用元回归提取和分析关于调节因素（即地理位置、研究设计和干预方案）和结果的数据。结果 结果表明，MABI 对整个样本中的症状结果有中等影响，g = 0.48。研究子集中的影响大小相似，包括大多数 (>50%; k = 19) g = 0.39，主要 (>90%; k = 10) g = 0.35，黑人参与者，种族构成没有显着的调节作用。效果受到样本和干预水平特征的影响。结论 目前的研究结果支持 MABI 在不同程度上对美国黑人有效的结论。与青少年样本相比，在成人样本中使用的支持更强。这些结果很有希望，并进一步支持扩大循证治疗 (EBT) 研究的努力，以满足美国黑人的特定心理健康需求。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。