Omitted data in randomized controlled trials for anxiety and depression: A systematic review of the inclusion of sexual orientation and gender identity.
Omitted data in randomized controlled trials for anxiety and depression: A systematic review of the inclusion of sexual orientation and gender identity.
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DOI：
10.1037/ccp0000123
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发表时间：
2017-01
影响因子：
5.9
通讯作者：
Flentje, Annesa
中科院分区：
文献类型：
--
作者：
Heck, Nicholas C.;Mirabito, Lucas A.;LeMaire, Kelly;Livingston, Nicholas A.;Flentje, Annesa
目前的研究检查了焦虑和抑郁的行为和心理干预的随机对照试验（RCT）包括与参与者性取向和非二元性别身份有关的数据的频率。使用系统综述方法，检索了PubMed和PsycINFO数据库，以识别2004年、2009年和2014年发表的RCT。每个数据库每年随机选择400篇文章（共2400篇文章）纳入综述。研究小组阅读并编码符合纳入标准的文章，以确定试验是否报告了与参与者性取向和非二元性别身份有关的数据。在我们的数据库中还识别并索引了其他试验特征（例如，样本量、资金来源等）。在符合纳入标准的232篇文章中，只有一篇报道了参与者的性取向，零篇文章包括非二元性别身份。共有52，769名参与者参加了试验，其中93人在美国进行，43人承认国立卫生研究院是资金来源。尽管在性取向和非二元性别认同的基础上存在已知的心理健康差异，但评估焦虑和抑郁干预措施的研究人员并没有报告这些重要的人口统计学特征。报告做法必须改变，以确保我们的干预措施普遍适用于女同性恋、男同性恋、双性恋和变性人。
The current study examined the frequency with which randomized controlled trials (RCTs) of behavioral and psychological interventions for anxiety and depression include data pertaining to participant sexual orientation and non-binary gender identities. Using systematic review methodology, the databases PubMed and PsycINFO were searched to identify RCTs published in 2004, 2009, and 2014. Random selections of 400 articles per database per year (2400 articles in total) were considered for inclusion in the review. Articles meeting inclusion criteria were read and coded by the research team to identify whether the trial reported data pertaining to participant sexual orientation and non-binary gender identities. Additional trial characteristics were also identified and indexed in our database (e.g., sample size, funding source etc.). Of the 232 articles meeting inclusion criteria, only one reported participants’ sexual orientation and zero articles included non-binary gender identities. A total of 52,769 participants were represented in the trials, 93 of which were conducted in the U.S. and 43 acknowledged the National Institutes of Health as a source of funding. Despite known mental health disparities on the basis of sexual orientation and non-binary gender identification, researchers evaluating interventions for anxiety and depression are not reporting on these important demographic characteristics. Reporting practices must change in order to ensure that our interventions generalize to lesbian, gay, bisexual, and transgender persons.
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