参与包含问题解决疗法的预防抑郁试验的种族偏好。
Racial preferences for participation in a depression prevention trial involving problem-solving therapy.
机构信息
Department of Behavioral Health, U.S. Department of Veterans Affairs Pittsburgh Health Care System, 7180 Highland Dr., Pittsburgh, PA 15206, USA.
出版信息
Psychiatr Serv. 2010 Jul;61(7):722-4. doi: 10.1176/ps.2010.61.7.722.
OBJECTIVES
This study compared African Americans' and Caucasians' willingness to participate in an indicated intervention to prevent depression with problem-solving therapy. It also examined participants' problem-solving skills. Hypotheses stated that there would be no racial differences in consent rates and that social problem-solving coping skills would be lower among African Americans than Caucasians.
METHODS
Proportions of African Americans and Caucasians who consented were compared, as were Social Problem Solving Inventory scores between the groups.
RESULTS
Of 2,788 individuals approached, 82 (4%) of 1,970 Caucasians and 46 (6%) of 818 African Americans signed consent, and the difference was not significant (p=.09). Racial differences were observed in neither Social Problem Solving Inventory scores nor in the relationship between problem-solving skills and depressive symptoms.
CONCLUSIONS
African Americans with depression demonstrated a willingness to participate in an indicated trial of depression prevention. Furthermore, both groups would appear to benefit from the problem-solving process.
目的
本研究比较了非裔美国人和白种人参与旨在预防抑郁症的有针对性的干预措施（即问题解决疗法）的意愿，并检验了参与者的问题解决技能。研究假设为：在同意率方面，不同种族间不存在差异；且非裔美国人的社会问题解决应对技能会低于白种人。
方法
比较了同意参与的非裔美国人和白种人的比例，以及两组人群在社会问题解决清单上的得分。
结果
在 2788 名被调查者中，有 1970 名白种人中的 82 名（4%）和 818 名非裔美国人中的 46 名（6%）签署了同意书，差异无统计学意义（p=.09）。在社会问题解决清单的得分上，以及在解决问题的技能与抑郁症状之间的关系上，都没有观察到种族差异。
结论
患有抑郁症的非裔美国人表现出参与预防抑郁症的有针对性试验的意愿。此外，这两个群体似乎都将受益于问题解决的过程。
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