基于CBT和DBT的部分医院计划在跨种族身份的有效性
Kevin O Narine1, Melanie A Hom2, Emily Bowers3
1Department of Clinical Psychology, William James College, 1 Wells Ave, Newton, MA 02459, United States.
Psychiatry research
|December 28, 2025
概括
基于证据的精神病治疗,如CBT和DBT在部分医院计划中,在种族群体中表现出类似的有效性. 一些少数群体报告了更好的结果和更高的护理质量.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有色人种 (POC) 经常面临比非西班牙裔白人 (NHW) 个人更严重的精神症状.
- 有限的研究存在于各种民族种族群体的基于证据的治疗结果.
- 部分医院计划 (PHP) 提供密集治疗,但可能缺乏文化适应的干预措施.
研究的目的:
- 在不同种族群体中使用非文化适应的认知行为疗法 (CBT) 和辩证行为疗法 (DBT) 来比较PHP中的治疗结果.
- 评估不同患者群体的症状减缓,治疗反应和对护理的看法.
主要方法:
- 分析了3284名成年参与者的大量队列,包括拉丁裔/亚裔,亚裔,黑人,多种族和NHW个人.
- 参与者使用行为和症状识别尺度-24和通用焦虑障碍选仪-7.7进行评估.
- 治疗结果包括完成率,感知改善,以及患者对整体护理和工作人员尊重的看法.
主要成果:
- 亚洲人报告说,在治疗后,他们的关系功能更好.
- 黑人报告了更高的治疗改善和更大的员工尊重和尊严.
- 在对14个基线特征进行控制后,这些发现得到了维持.
结论:
- 在PHP中非文化适应的CBT和DBT在种族群体中似乎普遍有效.
- 某些少数群体经历了更好的结果,并感知到更高的护理质量.
- 需要进一步的研究来优化所有种族群体的PHP治疗方法,特别是像拉丁人和多种族人士这样的边缘化人口.
相关概念视频
Rational Emotive Behavior Therapy
324
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
324
Community Based Intervention
256
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
256
Ethnic Identity within a Larger Culture
208
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
208
Cognitive Therapy
814
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
814
Treatment Strategies for Psychological Disorders
630
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
630
Psychodynamic Therapy
447
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
447


