关键词: African Americans Asians Coordinated specialty care Latines Latinxs Schizophrenia

Mesh : Humans Randomized Controlled Trials as Topic Psychotic Disorders / therapy psychology Treatment Outcome North America

来  源:   DOI:10.1016/j.psychres.2023.115221

Abstract:
The population of persons of color (POC) are increasing in the United States. Unfortunately, POC are significantly impacted by serious mental illness; psychosis represents a mental health disparity among POC. Fortunately, first episode coordinated specialty care (CSC) is an effective treatment for individuals who are in the early phases of a psychotic disorder. This systematic review of the literature examined POC inclusion rates in randomized controlled trials (RCT) examining First Episode Psychosis (FEP) programs. Our review yielded seven articles that met inclusion criteria. Our findings were mixed-researchers conducting RCTs on FEP programs did an excellent job including African American participants suggesting that findings from RCTs on FEP programs may generalize to African American participants. Regarding Latines, they were broadly underrepresented in RCTs on FEP CSC. Based on the data, we cannot definitively conclude to what extent findings from RCTs on FEP CSC generalize to Latines although results from studies that included a reasonable number of Latines offer promising results. Asians were overrepresented in three of the seven studies included in this review; thus it seems that the findings from RCTs on FEP CSC generalize to the Asian population in the United States.
摘要:
在美国,有色人种(POC)的人口正在增加。不幸的是,POC受到严重精神疾病的显着影响;精神病代表POC之间的心理健康差异。幸运的是,首发协调专科护理(CSC)对于处于精神障碍早期阶段的患者是一种有效的治疗方法.这篇系统的文献综述检查了随机对照试验(RCT)中的POC纳入率,该试验检查了第一集精神病(FEP)计划。我们的审查产生了七篇符合纳入标准的文章。我们的发现是混合研究人员在FEP计划中进行RCT做得很好,包括非裔美国人参与者,这表明RCT在FEP计划中的发现可能会推广到非裔美国人参与者。关于拉丁人,他们在FEPCSC的RCT中的代表性普遍不足。根据数据,尽管纳入合理数量的Latines的研究结果提供了有希望的结果,但我们无法明确得出结论,FEPCSC的RCT结果在多大程度上推广到Latines.在这篇综述中包括的七项研究中,有三项亚洲人的比例过高;因此,RCT对FEPCSC的发现似乎适用于美国的亚洲人群。
公众号