美国与焦虑相关疾病的随机对照试验中的社会人口统计代表:系统性审查 (1993-2023)
Clarissa W Ong1, Alexa M Skolnik1, Hannah M Johnson2
1Department of Psychology, University of Toledo, USA.
Clinical psychology review
|May 26, 2024
概括
基于证据的焦虑治疗方法可能不适用于所有群体,因为研究经常过度代表白人和女性参与者. 研究必须增加多样性,以确保治疗对每个人都具有包容性和有效性.
科学领域:
- 精神病学和临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 认知行为疗法 (CBT) 是对焦虑障碍的既定治疗方法.
- 目前的证据往往来自人口多样性有限的研究,质疑普遍适用性.
研究的目的:
- 评估焦虑障碍在美国随机对照试验 (RCT) 中的社会人口代表性.
- 评估这些RCT中社会人口统计报告的质量.
- 为了确定"基于证据"是否在不同的人口中公平适用.
主要方法:
- 针对焦虑障碍的CBT在美国的RCT系统性文献综述 (1993-2023).
- 提取了社会人口统计数据,并评估了报告质量.
- 分析了各种人口群体的代表性.
主要成果:
- 55项研究 (N=4492) 显示白人和女性参与者的比例过高.
- 残疾状况,性取向和宗教认同在很大程度上没有被检查.
- 社会人口统计报告质量很差 (平均3.6/10),对人口统计因素的分析或讨论不足.
结论:
- 目前关于焦虑治疗的"基于证据"的说法可能不适用于代表性不足的群体.
- 迫切需要提高临床试验样本的多样性.
- 未来的研究和临床实践必须优先考虑包容性,以确保公平的心理健康护理.
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