LGBTQA+ 精神病患者获得和参与心理健康治疗的障碍和促进因素：系统评价方案。

Barriers and facilitators to mental health treatment access and engagement for LGBTQA+ people with psychosis: a scoping review protocol.

机构信息

Institute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, VIC, 3220, Australia.

Telethon Kids Institute, University of Western Australia, Perth, WA, 6009, Australia.

出版信息

Syst Rev. 2024 May 30;13(1):143. doi: 10.1186/s13643-024-02566-5.

DOI:10.1186/s13643-024-02566-5

PMID:38816775

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11137929/

Abstract

BACKGROUND

The prevalence of psychosis has been shown to be disproportionately high amongst sexual and gender minority individuals. However, there is currently little consideration of the unique needs of this population in mental health treatment, with LGBTQA+ individuals facing barriers in accessing timely and non-stigmatising support for psychotic experiences. This issue deserves attention as delays to help-seeking and poor engagement with treatment predict worsened clinical and functional outcomes for people with psychosis. The present protocol describes the methodology for a scoping review which will aim to identify barriers and facilitators faced by LGBTQA+ individuals across the psychosis spectrum in help-seeking and accessing mental health support.

METHODS

A comprehensive search strategy will be used to search Medline, PsycINFO, Embase, Scopus, LGBTQ+ Source, and grey literature. Original studies of any design, setting, and publication date will be included if they discuss barriers and facilitators to mental health treatment access and engagement for LGBTQA+ people with experiences of psychosis. Two reviewers will independently screen titles/abstracts and full-text articles for inclusion in the review. Both reviewers will then extract the relevant data according to pre-determined criteria, and study quality will be assessed using the Joanna Briggs Institute (JBI) critical appraisal checklists. Key data from included studies will be synthesised in narrative form according to the Guidance on the Conduct of Narrative Synthesis in Systematic Reviews.

DISCUSSION

The results of this review will provide a comprehensive account of the current and historical barriers and facilitators to mental healthcare faced by LGBTQA+ people with psychotic symptoms and experiences. It is anticipated that the findings from this review will be relevant to clinical and community services and inform future research. Findings will be disseminated through publication in a peer-reviewed journal and presented at conferences.

SCOPING REVIEW REGISTRATION

This protocol is registered in Open Science Framework Registries ( https://doi.org/10.17605/OSF.IO/AT6FC ).

摘要

背景

性少数群体和性别少数群体个体中精神疾病的发病率不成比例地高。然而，目前在精神卫生治疗中很少考虑到这一人群的特殊需求，LGBTQA+ 个体在获得及时和无污名化的精神体验支持方面面临障碍。由于寻求帮助的延迟和治疗参与度差会预测精神疾病患者的临床和功能结果恶化，因此这个问题值得关注。本方案描述了一项范围综述的方法学，该综述旨在确定 LGBTQA+ 个体在精神疾病谱系中寻求帮助和获得精神卫生支持时面临的障碍和促进因素。

方法

将使用全面的搜索策略在 Medline、PsycINFO、Embase、Scopus、LGBTQ+ 来源和灰色文献中进行搜索。如果研究讨论了 LGBTQA+ 有精神体验的个体在获得心理健康治疗和参与方面的障碍和促进因素，无论其设计、设置和发布日期如何，都将纳入原始研究。两名审查员将独立筛选标题/摘要和全文文章以确定是否纳入综述。两名审查员将根据预先确定的标准提取相关数据，并使用 Joanna Briggs 研究所 (JBI) 批判性评估清单评估研究质量。根据系统评价中叙事综合的指南，将根据纳入研究的关键数据以叙述形式进行综合。