Kara Johansen, Indrani Saran, Evelyn Cho, John R Weisz, Maggi A Price
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Youth and parents reported internalizing and externalizing symptoms and treatment engagement (e.g., behavioral and attitudinal). Multilevel regression models examined variations in youth symptom trajectories by racial/ethnic group.</p><p><strong>Results: </strong>While all racial/ethnic groups showed comparable attitudinal engagement scores, Black and Latinx youth attended significantly fewer sessions than White and multiracial youth (8-9 vs. 13). However, youth in all racial/ethnic groups showed significant and similar improvements in treatment outcomes.</p><p><strong>Conclusions: </strong>Black and Latinx youth attended fewer sessions than White youth, but their clinical outcomes were similar to those of White youth. Future research should examine the meaning and implications of session attendance in relation to outcomes in youth of color. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"92 11","pages":"769-778"},"PeriodicalIF":4.5000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Examining racial and ethnic differences in youth psychotherapy treatment engagement and outcomes.\",\"authors\":\"Kara Johansen, Indrani Saran, Evelyn Cho, John R Weisz, Maggi A Price\",\"doi\":\"10.1037/ccp0000919\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Research has identified racial/ethnic disparities in mental health treatment engagement, and there have been recent calls to examine effects of mental health treatment engagement on clinical outcomes among youth of color. 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引用次数: 0
摘要
目的：研究已经确定了心理健康治疗参与的种族/民族差异，并且最近有呼吁检查心理健康治疗参与对有色人种青年临床结果的影响。本研究旨在探讨种族/民族在以下方面的差异：(a)行为和态度参与；(b)治疗效果；(c)参与与治疗效果之间的关系。方法：青年200人（7 ~ 15岁）；33%为白人，28%为黑人，25%为西班牙裔/拉丁裔，14%为多种族；（52%男性）和他们的N = 200名父母参加了一项随机对照试验，测试了跨诊断心理治疗对常见青少年情绪和行为问题的有效性。青年和家长报告了内化和外化症状和治疗参与（例如，行为和态度）。多水平回归模型检验了种族/民族群体中青少年症状轨迹的变化。结果：虽然所有种族/民族群体都表现出相当的态度参与得分，但黑人和拉丁裔青年参加的会议明显少于白人和多种族青年（8-9比13）。然而，所有种族/民族群体的年轻人在治疗结果方面都表现出显著和相似的改善。结论：黑人和拉丁裔青年参加的会议比白人青年少，但他们的临床结果与白人青年相似。未来的研究应该检查参加会议的意义和影响与有色人种青年的结果有关。（PsycInfo Database Record (c) 2024 APA，版权所有）。
Examining racial and ethnic differences in youth psychotherapy treatment engagement and outcomes.
Objective: Research has identified racial/ethnic disparities in mental health treatment engagement, and there have been recent calls to examine effects of mental health treatment engagement on clinical outcomes among youth of color. This study aimed to examine racial/ethnic differences in (a) behavioral and attitudinal engagement, (b) treatment effectiveness, and (c) the associations between engagement and treatment effectiveness.
Method: N = 200 youth (ages 7-15; 33% White, 28% Black, 25% Hispanic/Latinx, and 14% multiracial; 52% male) and their N = 200 parents participated in a randomized controlled trial testing the effectiveness of a transdiagnostic psychotherapy for common youth emotional and behavioral problems. Youth and parents reported internalizing and externalizing symptoms and treatment engagement (e.g., behavioral and attitudinal). Multilevel regression models examined variations in youth symptom trajectories by racial/ethnic group.
Results: While all racial/ethnic groups showed comparable attitudinal engagement scores, Black and Latinx youth attended significantly fewer sessions than White and multiracial youth (8-9 vs. 13). However, youth in all racial/ethnic groups showed significant and similar improvements in treatment outcomes.
Conclusions: Black and Latinx youth attended fewer sessions than White youth, but their clinical outcomes were similar to those of White youth. Future research should examine the meaning and implications of session attendance in relation to outcomes in youth of color. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
期刊介绍：
The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.
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