Kalkbrenner Michael T
Department of Counseling and Educational Psychology, New Mexico State University.
J Ment Health Couns. 2023 Jan;45(1):34-52. doi: 10.17744/mehc.45.1.03. Epub 2023 Jan 12.
The effectiveness of Global Wellness (combined mental and physical health) among samples of primarily White clients is well-documented in the literature. However, the Global Wellness literature is lacking research among ethnic minority populations who tend to face healthcare inequities. For example, Black and Latinx adults in the U.S. face inequities in the quality and accessibility of mental and physical healthcare services, including unique risks for anxiety and depression. In this study, a national random sample, ( = 4,009) was recruited (stratified by age, gender, and geographic region of the U.S.) of Latinx and Black adults to examine the association between Anxiety Severity and Depression Severity with Global Wellness as well as demographic differences in Global Wellness. Anxiety and depression emerged as significant negative predictors of Global Wellness and results revealed a number of demographic differences in Global Wellness. Implications for counseling practice and how mental health counselors can reduce healthcare disparities are discussed.
在以白人为主的客户样本中，全球健康（身心健康相结合）的有效性在文献中有充分记载。然而，全球健康文献缺乏针对往往面临医疗保健不平等的少数族裔人群的研究。例如，美国的黑人和拉丁裔成年人在精神和身体医疗服务的质量和可及性方面面临不平等，包括焦虑和抑郁的独特风险。在本研究中，招募了一个全国随机样本（(n = 4009)）（按年龄、性别和美国地理区域分层）的拉丁裔和黑人成年人，以检验焦虑严重程度和抑郁严重程度与全球健康之间的关联以及全球健康方面的人口统计学差异。焦虑和抑郁成为全球健康的显著负向预测因素，结果揭示了全球健康方面的一些人口统计学差异。还讨论了对咨询实践的影响以及心理健康咨询师如何减少医疗保健差距。
