在英国背景下探索种族和人格障碍:对文献的范围审查

IF 1 Q4 PSYCHIATRY
Gary Lamph, Peggy Mulongo, Paul Boland, Tamar Jeynes, Colin King, Rachel-Rose Burrell, Catherine Harris, Sarah Shorrock
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引用次数: 0

摘要

关于种族和民族问题的《联合王国精神卫生法》改革(2021年)促进了新的政府战略,以解决在《精神卫生法》下被拘留的种族化社区所面临的不平等问题。然而,在人格障碍和种族方面的研究却很少。本研究旨在调查英国在不同种族患者的人格障碍患病率、病因学和治疗规定方面的可用性,并了解其与心理健康和刑事司法服务规定的相互联系。回顾了调查的三个关键领域,(1)英国不同种族个体中人格障碍的患病率;(2)人格障碍病因学与民族性;(3)对多民族人格障碍患者的治疗规定。设计/方法/方法一项范围界定研究综述包括对2003年至2022年间发表的文献进行全面扫描。筛选和数据提取工具是由一个种族多样化的研究小组共同制作的,其中包括具有精神健康生活经验和职业专业知识的人。在整个审查过程中完成了协作工作,确保了研究的有效性和可靠性。结果共纳入10篇论文。结果表明文献中存在明显的差距。其中,9篇论文讨论了其流行情况,3篇论文介绍了治疗方法,只有1篇论文提到了病因学。这篇综述进一步支持了人格障碍在少数民族人群中代表性不足的观点,特别是非洲人、加勒比人和英国人的遗产,然而,造成这种情况的原因是多方面的和复杂的,因此需要进一步的调查。收集到的有关人格障碍治疗规定的证据有限,质量较低,无法就不同种族患者的有效治疗得出明确的结论。关于患病率、病因和治疗规定的研究结果不足,强调需要优先考虑这一领域的进一步研究。从英国的角度来看,研究结果为这一有限的知识体系提供了宝贵的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring ethnicity and personality disorder in a UK context: a scoping review of the literature
Purpose The UK Mental Health Act (MHA) Reform (2021) on race and ethnicity promotes new governmental strategies to tackle inequalities faced by ethnically racialised communities detained under the MHA. However, there is a scarcity in personality disorder and ethnicity research. This study aims to investigate what is available in the UK in relation to prevalence, aetiology and treatment provisions of personality disorder for ethnically diverse patients, and to understand their interconnectedness with mental health and criminal justice service provisions. Three key areas of investigations were reviewed, (1) UK prevalence of personality disorder amongst ethnically diverse individuals; (2) aetiology of personality disorder and ethnicity; (3) treatment provisions for ethnically diverse individuals diagnosed with personality disorder. Design/methodology/approach A scoping study review involved a comprehensive scanning of literature published between 2003 and 2022. Screening and data extraction tools were co-produced by an ethnically diverse research team, including people with lived experience of mental health and occupational expertise. Collaborative work was complete throughout the review, ensuring the research remained valid and reliable. Findings Ten papers were included. Results demonstrated an evident gap in the literature. Of these, nine papers discussed their prevalence, three papers informed on treatment provisions and only one made reference to aetiology. This review further supports the notion that personality disorder is under-represented within ethnic minority populations, particularly of African, Caribbean and British heritage, however, the reasons for this are multi-facetted and complex, hence, requiring further investigation. The evidence collected relating to treatment provisions of personality disorder was limited and of low quality to reach a clear conclusion on effective treatments for ethnically diverse patients. Originality/value The shortage of findings on prevalence, aetiology and treatment provisions, emphasises the need to prioritise further research in this area. Results provide valuable insights into this limited body of knowledge from a UK perspective.
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来源期刊
CiteScore
2.20
自引率
8.30%
发文量
32
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