Columbia University Irving Medical Center/New York State Psychiatric Institute, New York, NY, USA.
Adelphi University School of Social Work, Garden City, NY, USA.
Trauma Violence Abuse. 2024 Jul;25(3):2078-2089. doi: 10.1177/15248380231206113. Epub 2023 Nov 8.
There is a dearth of evidence indicating the effectiveness of psychological interventions targeting depression and/or posttraumatic stress disorder (PTSD) for Black women in the United States (US) exposed to intimate partner violence (IPV). We searched PubMed, MEDLINE, PsycINFO, EBSCOhost, Social Sciences, Social Sciences Full Text, Social Work Abstracts, and Cochrane databases between September 2021 and October 2022, for original studies of randomized control trials (RCTs) reporting depression and/or PTSD interventions delivered to US Black women with histories of IPV. Of the 1,276 articles, 46 were eligible and 8 RCTs were ultimately included in the review; interventions for depression (four interventions, = 1,518) and PTSD (four interventions, = 477). Among Depression and PTSD interventions (one intervention, = 208), Beck's Depression Inventory II indicated = 35.2, = 12.6 versus = 29.5, = 13.1, <.01, and Davidson Trauma Scale indicated = 79.4, = 31.5 versus = 72.1, = 33.5, <.01, at pre- and post-intervention respectively. Also, some interventions reported severity of depression = 13.9 ( = 5.4) versus = 7.9 ( = 5.7) < 0.01, and PTSD ( = 8.08 vs. = 14.13, (1,117) = 9.93, < .01) at pre- and post-intervention respectively. Publication bias was moderate and varied between 12 and 17 via the Downs and Black Checklist for Methodological Rigor for RCTs. Psychological interventions targeting depression and/or PTSD for Black women with histories of IPV reflect moderate improvement. Interventions that account for cultural nuances specific to Black women are fundamental for improving outcomes for survivors presenting with depression and/or PTSD.
针对在美国(US)遭受亲密伴侣暴力(IPV)的黑人女性的抑郁和/或创伤后应激障碍(PTSD)的心理干预措施,目前缺乏有效性的证据。我们在 2021 年 9 月至 2022 年 10 月期间,在 PubMed、MEDLINE、PsycINFO、EBSCOhost、Social Sciences、Social Sciences Full Text、Social Work Abstracts 和 Cochrane 数据库中搜索了针对有 IPV 史的美国黑人女性的抑郁和/或 PTSD 干预措施的原始研究的随机对照试验(RCT)。在 1276 篇文章中,有 46 篇符合条件,最终有 8 项 RCT 纳入了综述;干预措施为抑郁(四项干预,n=1518)和 PTSD(四项干预,n=477)。在抑郁和 PTSD 干预措施(一项干预,n=208)中,贝克抑郁量表 II 表明,干预后分别为 35.2,12.6,而干预前为 29.5,13.1,<0.01,以及 Davidson 创伤量表表明,干预后分别为 79.4,31.5,而干预前为 72.1,33.5,<0.01。此外,一些干预措施报告抑郁严重程度为 13.9(n=5.4),<0.01,而 PTSD 为 8.08(n=14.13),(1,117)=9.93,<0.01,干预后分别为 7.9(n=5.7)和 14.13(n=11.17)。通过 Downs 和 Black 对 RCT 的方法学严谨性清单,偏倚程度为中度,介于 12 和 17 之间。针对有 IPV 史的黑人女性的抑郁和/或 PTSD 的心理干预措施显示出中度改善。针对黑人女性的文化细微差别的干预措施是改善抑郁和/或 PTSD 幸存者预后的基础。