公共卫生 公共卫生
Amirah Akhtar1, Emmanuel Sunday Nwofe1, Sahdia Parveen1
1University of Bradford, Bradford, West Yorkshire, United Kingdom.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
本综述强调了对英国少数民族 (ME) 成年人的文化适应的非药物抑郁干预措施的需要. 需要更多的研究来弥补这个差距,并可能减少痴呆风险.
科学领域:
- 心理健康研究 心理健康研究
- 预防痴呆症 预防痴呆症
- 健康差异 在健康上的差异
背景情况:
- 抑郁症是一种可修改的痴呆风险因素,不成比例地影响到接受较少治疗的少数民族 (ME) 人口.
- 非药物干预是抑郁症的第一线治疗方法,可以预防痴呆症.
- 现有的评论忽略了40岁以上的ME个体的非药物抑郁症治疗方法.
研究的目的:
- 绘制40岁及以上的ME患者抑郁症非药物干预的国际证据.
- 为了确定这个服务不足的群体的研究和临床实践的差距.
主要方法:
- 在2024年12月之前进行了全面的范围审查.
- 搜索了多个数据库,包括Medline, PsycINFO, CINAHL 和 Embase.
- 包括对40岁以上ME患者的非药物抑郁干预的研究,由两位作者进行独立查.
主要成果:
- 二十一项研究确定了六种干预措施:认知行为疗法,行为激活,基于正念,标志自传,社会群体和回忆疗法.
- 干预措施通过翻译,目标语言的使用和文化规范的纳入来进行调整.
- 大多数研究都集中在美国的非洲裔美国人群体上,这表明英国缺乏针对ME成年人的干预措施.
结论:
- 对于ME成年人来说,有很大的需要以英国为重点,文化适应的非药物抑郁症干预措施.
- 增加40岁以上ME个体的随机对照试验的招聘至关重要.
- 建议采取文化适应,联合制作的干预措施和综合认知评估,以改善抑郁症的康复,并可能预防痴呆症.
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