Breland-Noble Alfiee M, Bell Carl C, Burriss Antoinette
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA,
J Clin Psychol Med Settings. 2011 Sep;18(3):225-34. doi: 10.1007/s10880-011-9235-6.
This manuscript focuses on qualitative data collected for AAKOMA Project, a 2-phase treatment engagement intervention trial for depressed African American adolescents and families. Data are presented from our phase I study of adult perspectives on African American adolescent depression, depression treatment, and research engagement. The research team conducted four focus groups (N = 24) and generated major themes from the data including ideas regarding the manifestations of depression in African American youth and psychosocial barriers to participation in depression research and treatment. Findings indicate that success in recruiting and retaining African American youth in depression research and treatment may include using innovative means to overcome the culturally embedded attributions of depression to non-biological causes, beliefs about the cultural insensitivity of treatments and challenges in the logistics of obtaining care. Adults report that encouraging youth and familial involvement in treatments and research should include targeted, community-partnered activities involving diverse staff in leadership roles and including community members as equal partners.
本手稿聚焦于为AAKOMA项目收集的定性数据，该项目是一项针对非裔美国青少年及其家庭的两阶段治疗参与干预试验。数据来自我们第一阶段的研究，该研究探讨了成年人对非裔美国青少年抑郁症、抑郁症治疗以及研究参与的看法。研究团队开展了四个焦点小组（N = 24），并从数据中提炼出主要主题，包括非裔美国青少年抑郁症的表现形式以及参与抑郁症研究和治疗的社会心理障碍。研究结果表明，在招募和留住非裔美国青少年参与抑郁症研究和治疗方面取得成功，可能需要采用创新方法，以克服将抑郁症归因于非生物学原因的文化观念、对治疗文化不敏感性的看法以及获得护理过程中的后勤挑战。成年人报告称，鼓励青少年及其家庭参与治疗和研究应包括开展有针对性的、与社区合作的活动，让不同的工作人员担任领导角色，并让社区成员作为平等伙伴参与其中。
