Department of Psychology, Montclair State University, Montclair, New Jersey.
Center for Research on Cultural and Structural Equity at the Nathan Kline Institute for Psychiatric Research, Orangeburg, New York.
Bull Menninger Clin. 2024 Spring;88(2):171-195. doi: 10.1521/bumc.2024.88.2.171.
Social anxiety disorder (SAD) is characterized by significant distress and avoidance surrounding social and performance situations, with marked interpersonal and academic impairment. This review article highlights cultural considerations relevant to the conceptualization, identification, and treatment of SAD in Black youth. Research evaluating the utility of evidence-based measures to assess SAD suggests they are culturally relevant; however, gaps in knowledge regarding the psychometric properties of even the most widely used instruments are evident. In regard to intervention, cognitive behavioral therapy (CBT) approaches hold promise, yet there is a lack of research on the use of CBT with Black adolescents. Recommendations to incorporate cultural factors into CBT are provided, and future work investigating culturally adapted interventions is needed. Finally, given significant disparities in access and utilization of mental health services among Black youth, strategies to increase treatment engagement, such as school-based services, are important to consider.
社交焦虑障碍（SAD）的特征是在社交和表现情境周围存在明显的痛苦和回避，伴有明显的人际和学业损伤。这篇综述文章强调了与黑人青年 SAD 的概念化、识别和治疗相关的文化考虑因素。评估基于证据的措施评估 SAD 的效用的研究表明，这些措施具有文化相关性；然而，即使是最广泛使用的工具的心理测量特性方面也存在知识差距。在干预方面，认知行为疗法（CBT）方法有很大的希望，但关于 CBT 在黑人青少年中的应用的研究却很少。本文提供了将文化因素纳入 CBT 的建议，并需要进一步研究针对文化的干预措施。最后，鉴于黑人青年在获得和利用心理健康服务方面存在显著差异，增加治疗参与的策略（如基于学校的服务）非常重要。
