Pathways Through Early Psychosis Care for U.S. Youths From Ethnically and Racially Minoritized Groups: A Systematic Review.

Pathways Through Early Psychosis Care for U.S. Youths From Ethnically and Racially Minoritized Groups: A Systematic Review.
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DOI:
10.1176/appi.ps.20220121
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发表时间:
2023-08-01
影响因子:
3.8
通讯作者:
Taylor-Zoghby, Jessica
Taylor-Zoghby, Jessica
中科院分区:
医学3区
文献类型:
--
作者:
Myers, Neely;Hutnyan, Matthew;Daley, Tamara C.;Bello, Iruma;Chacon, Marne;Currie, Ariel;Davis, Beshaun J.;Dixon, Lisa B.;George, Preethy E.;Giannicchi, Anna;Kwashie, Anita N.;McCormick, Katie A.;Meyer-Kalos, Piper;Nagendra, Arundati;Nayar, Swati;Sarpal, Deepak K.;Sepahpour, Tiana Y.;Shapiro, Daniel I.;Taylor-Zoghby, Jessica

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这项系统性综述的作者研究了来自少数民族群体的年轻人在开始治疗精神病后的服务利用和结果-也就是年轻人的“护理途径”。还检查了潜在的调节变量的途径,通过照顾这些年轻人在诊所,家庭和文化层面。其目标是描述方法,总结相关的研究结果,突出知识差距,并提出未来的研究途径,通过照顾年轻人从少数民族群体谁经历早期精神病。系统检索了PubMed、PsycInfo和Web of Science文献数据库中2010年1月1日至2021年6月1日期间发表的研究。纳入的文章来自美国,重点关注开始治疗早期精神病后的年轻人。18项研究符合纳入标准。18项研究中有16项是在过去5年中发表的,其中11项明确关注研究作者定义的种族和民族。研究在术语、成果计量、方法和分析深度方面各不相同。作为一个人从一个种族少数群体出现影响护理利用和结果。在临床、家庭和文化层面上,对潜在的调节变量的研究不足。通过照顾少数群体人员的途径进行的研究值得进一步资助和关注。
The authors of this systematic review examined service utilization and outcomes among youths from ethnoracially minoritized groups after the youths initiated treatment for a psychotic disorder—that is, the youths’ “pathway through care.” Also examined were potential moderating variables in pathways through care for these youths at the clinic, family, and cultural levels. The goal was to describe methodologies, summarize relevant findings, highlight knowledge gaps, and propose future research on pathways through care for young persons from ethnoracially minoritized groups who experience early psychosis. The PubMed, PsycInfo, and Web of Science literature databases were systematically searched for studies published between January 1, 2010, and June 1, 2021. Included articles were from the United States and focused on young people after they initiated treatment for early psychosis. Eighteen studies met inclusion criteria. Sixteen of the 18 studies were published in the past 5 years, and 11 had an explicit focus on race and ethnicity as defined by the studies’ authors. Studies varied in terminology, outcomes measures, methodologies, and depth of analysis. Being an individual from an ethnoracially minoritized group appeared to affect care utilization and outcomes. Insufficient research was found about potential moderating variables at the clinic, family, and cultural levels. Studies of pathways through care for persons from minoritized groups warrant further funding and attention.
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