Meta-analysis: Are Psychotherapies Less Effective for Black Youth in Communities With Higher Levels of Anti-Black Racism?
Meta-analysis: Are Psychotherapies Less Effective for Black Youth in Communities With Higher Levels of Anti-Black Racism?
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DOI：
10.1016/j.jaac.2021.07.808
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发表时间：
2022-06
影响因子：
13.3
通讯作者：
Hatzenbuehler ML
中科院分区：
文献类型：
--
作者：
Price MA;Weisz JR;McKetta S;Hollinsaid NL;Lattanner MR;Reid AE;Hatzenbuehler ML
We examined whether anti-Black cultural racism moderates the efficacy of psychotherapy interventions among youth. We analyzed a subset of studies from a previous meta-analysis of five decades of youth psychotherapy randomized controlled trials. Studies were published in English between 1963 and 2017 and identified through a systematic search. The 194 studies (N = 14,081; ages 2–19) across 34 states comprised 2,678 effect sizes (ESs) measuring mental health problems (e.g., depression) targeted by interventions. Anti-Black cultural racism was operationalized using a composite index of 31 items measuring explicit racial attitudes (obtained from publicly available sources; e.g., General Social Survey), aggregated to the state level and linked to the meta-analytic database. Analyses were conducted with samples of majority (i.e., ≥50%) Black (n = 36 studies) and majority-White (n = 158 studies) youth. Two-level random effects meta-regression analyses indicated that higher anti-Black cultural racism was associated with lower ESs for studies with majority-Black youth (β = −0.2, 95% CI: −0.35, −0.04, p = .02) but was unrelated to ESs for studies with majority-White youth (β = 0.0004, 95% CI: −0.03, 0.03, p = .98), controlling for relevant area-level covariates. In studies with majority-Black youth, mean ESs were significantly lower in states with the highest anti-Black cultural racism (>1 SD above the mean; g = 0.19) compared to states with the lowest racism (<1 SD below the mean; g = 0.60). Psychotherapy randomized controlled trials with samples comprised of majority-Black youth were significantly less effective in states with higher (vs. lower) levels of anti-Black cultural racism, suggesting that anti-Black cultural racism may be one contextual moderator of treatment effect heterogeneity.
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DOI：
10.1097/ede.0b013e3181d61eeb
发表时间：
2010-05
期刊：
Epidemiology (Cambridge, Mass.)
影响因子：
--
作者：
Lipsitch M;Tchetgen Tchetgen E;Cohen T
通讯作者：
Cohen T
影响因子：
4.2
作者：
Oliver, JE;Mendelberg, T
通讯作者：
Mendelberg, T
影响因子：
--
作者：
Kessler, Ronald C.;Avenevoli, Shelli;Costello, E. Jane;Georgiades, Katholiki;Green, Jennifer Greif;Gruber, Michael J.;He, Jian-ping;Koretz, Doreen;McLaughlin, Katie A.;Petukhova, Maria;Sampson, Nancy A.;Zaslavsky, Alan M.;Merikangas, Kathleen Ries
通讯作者：
Merikangas, Kathleen Ries
影响因子：
9.8
作者：
Hedges, Larry V.;Tipton, Elizabeth;Johnson, Matthew C.
通讯作者：
Johnson, Matthew C.
影响因子：
3.8
作者：
Costello, E. Jane;He, Jian-ping;Merikangas, Kathleen Ries
通讯作者：
Merikangas, Kathleen Ries