PDF(Pubmed)
Abstract：
BACKGROUND: Culturally competent early mental health interventions for ethnic minorities (EMs) with no formal diagnoses are needed.
OBJECTIVE: To determine whether 8-12 weeks culturally adapted counselling (CAC) is better than waiting (waitlist (WL) group) to reduce depressive and anxiety symptoms and stress levels among EMs with elevated mental distress.
METHODS: Hong Kong EMs with mild and above-mild mental distress were randomly assigned to CAC or WL in this pragmatic, randomised, WL-controlled trial. The CAC group received the intervention after randomisation and the WL group received the intervention after 8-12 weeks (T1). The prespecified primary outcomes were depressive and anxiety symptoms and stress levels measured by the Depression, Anxiety and Stress subscales of the Depression, Anxiety and Stress Scale (DASS-D, DASS-A and DASS-S, respectively) at postintervention (T1, 8-12 weeks).
RESULTS: A total of 120 participants were randomly assigned to either CAC (n=60) or WL (n=60), of whom 110 provided primary outcome data. At T1, CAC led to significantly lower depressive and anxiety symptom severity and stress levels compared with waiting, with unstandardised regression coefficients of -8.91 DASS-D points (95% CI -12.57 to -5.25; d=-0.90),-6.33 DASS-A points (95% CI -9.81 to -2.86; d=-0.68) and -8.60 DASS-S points (95% CI -12.14 to -5.06; d=-0.90).
CONCLUSIONS: CAC clinically outperformed WL for mild and above-mild levels of mental distress in EMs.
CONCLUSIONS: Making CAC routinely available for EMs in community settings can reduce healthcare burden.
BACKGROUND: NCT04811170.
OBJECTIVE: To determine whether 8-12 weeks culturally adapted counselling (CAC) is better than waiting (waitlist (WL) group) to reduce depressive and anxiety symptoms and stress levels among EMs with elevated mental distress.
METHODS: Hong Kong EMs with mild and above-mild mental distress were randomly assigned to CAC or WL in this pragmatic, randomised, WL-controlled trial. The CAC group received the intervention after randomisation and the WL group received the intervention after 8-12 weeks (T1). The prespecified primary outcomes were depressive and anxiety symptoms and stress levels measured by the Depression, Anxiety and Stress subscales of the Depression, Anxiety and Stress Scale (DASS-D, DASS-A and DASS-S, respectively) at postintervention (T1, 8-12 weeks).
RESULTS: A total of 120 participants were randomly assigned to either CAC (n=60) or WL (n=60), of whom 110 provided primary outcome data. At T1, CAC led to significantly lower depressive and anxiety symptom severity and stress levels compared with waiting, with unstandardised regression coefficients of -8.91 DASS-D points (95% CI -12.57 to -5.25; d=-0.90),-6.33 DASS-A points (95% CI -9.81 to -2.86; d=-0.68) and -8.60 DASS-S points (95% CI -12.14 to -5.06; d=-0.90).
CONCLUSIONS: CAC clinically outperformed WL for mild and above-mild levels of mental distress in EMs.
CONCLUSIONS: Making CAC routinely available for EMs in community settings can reduce healthcare burden.
BACKGROUND: NCT04811170.
摘要：
背景：对于没有正式诊断的少数民族（EMs），需要有文化能力的早期心理健康干预措施。
目的：确定8-12周的文化适应咨询（CAC）是否比等待（等待（WL）组）更好地减少抑郁和焦虑症状以及精神困扰升高的EMs的压力水平。
方法：在此语用中，将患有轻度和轻度以上精神困扰的香港EMs随机分配到CAC或WL，随机化，WL对照试验。CAC组在随机分组后接受干预，WL组在8-12周(T1)后接受干预。预设的主要结果是抑郁和焦虑症状以及由抑郁症测量的压力水平，抑郁症的焦虑和压力分量表，焦虑和压力量表(DASS-D，DASS-A和DASS-S,分别）在干预后（T1，8-12周）。
结果：总共120名参与者被随机分配到CAC（n=60）或WL（n=60），其中110人提供了主要结果数据。与等待相比，在T1，CAC导致抑郁和焦虑症状严重程度和压力水平显着降低，不标准化回归系数为-8.91DASS-D点(95%CI-12.57至-5.25；d=-0.90)，-6.33DASS-A点（95%CI-9.81至-2.86；d=-0.68）和-8.60DASS-S点（95%CI-12.14至-5.06；d=-0.90）。
结论：CAC在临床上优于WL，在EMs中具有轻度和轻度以上的精神困扰。
结论：使社区环境中的EMs常规使用CAC可以减轻医疗负担。
背景：NCT04811170。
目的：确定8-12周的文化适应咨询（CAC）是否比等待（等待（WL）组）更好地减少抑郁和焦虑症状以及精神困扰升高的EMs的压力水平。
方法：在此语用中，将患有轻度和轻度以上精神困扰的香港EMs随机分配到CAC或WL，随机化，WL对照试验。CAC组在随机分组后接受干预，WL组在8-12周(T1)后接受干预。预设的主要结果是抑郁和焦虑症状以及由抑郁症测量的压力水平，抑郁症的焦虑和压力分量表，焦虑和压力量表(DASS-D，DASS-A和DASS-S,分别）在干预后（T1，8-12周）。
结果：总共120名参与者被随机分配到CAC（n=60）或WL（n=60），其中110人提供了主要结果数据。与等待相比，在T1，CAC导致抑郁和焦虑症状严重程度和压力水平显着降低，不标准化回归系数为-8.91DASS-D点(95%CI-12.57至-5.25；d=-0.90)，-6.33DASS-A点（95%CI-9.81至-2.86；d=-0.68）和-8.60DASS-S点（95%CI-12.14至-5.06；d=-0.90）。
结论：CAC在临床上优于WL，在EMs中具有轻度和轻度以上的精神困扰。
结论：使社区环境中的EMs常规使用CAC可以减轻医疗负担。
背景：NCT04811170。
