在同时发生的创伤后压力和物质使用障碍研究中揭示本土忽视的模式:系统性审查
Mallet R Reid1, Nikki K Apana2, Steffi M Kim3
1Department of Family Medicine, Michigan State University, United States of America.
Journal of substance use and addiction treatment
|February 8, 2026
概括
关于创伤后应激障碍和物质使用障碍 (PTSD/SUD) 的临床研究显著低于美国印第安人/阿拉斯加原住民和夏威夷原住民/太平洋岛民人口. 对这些土著群体而言,文化适应的干预措施和结果评估严重缺乏.
科学领域:
- 心理健康研究 心理健康研究
- 健康差异 在健康上的差异
- 临床心理学 临床心理学
背景情况:
- 美国印第安人/阿拉斯加原住民 (AI/AN) 和夏威夷原住民/太平洋岛民 (NH/PI) 面临着高频率的同时发生的创伤后应激障碍 (PTSD) 和物质使用障碍 (SUD).
- 历史创伤,结构性不平等和歧视导致这些情况在土著人口中的严重性和慢性.
- 现有的临床研究可能无法充分解决这些群体的独特经验和风险因素.
研究的目的:
- 系统地审查美国的PTSD/SUD临床研究.
- 评估将AI/AN和NH/PI参与者纳入PTSD/SUD研究的情况.
- 确定干预措施是否设计或适应土著人口的特定需求.
主要方法:
- 对66项符合纳入标准的PTSD/SUD研究进行系统审查.
- 提取人口统计数据来量化土著 (AI/AN和NH/PI) 的代表性.
- 评估了干预措施的文化适应性,跨种族群体的有效性,以及土著参与者的独特招聘策略.
主要成果:
- 原住民参与者仅占所有研究参与者的2.2%;超过一半的研究排除了他们.
- 只有一项研究测试了文化适应的干预措施;超过一半的研究集中在女性或退伍军人身上.
- 很少有研究通过种族来评估结果,没有一个研究包括土著参与者.
结论:
- 在PTSD/SUD研究中存在原住民被忽视的模式,其特点是缺乏包容性和缺乏量身定制的干预措施.
- 对治疗结果的评估不足,限制了对原住民群体有效干预措施的理解.
- 建议建议解决这些研究差距,并改善土著人口的结果.
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