Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas.
NOCD Inc., Chicago, Illinois.
Bull Menninger Clin. 2024 Spring;88(2):148-170. doi: 10.1521/bumc.2024.88.2.148.
Research specific to obsessive-compulsive disorder (OCD) among individuals of Hispanic and Latin American (H/L) ancestry is limited, as are culturally relevant assessment and treatment recommendations. This article discusses the implications of underrepresentation of H/L populations in OCD research and emphasizes the need to consider issues related to assessment, treatment, and structural barriers that hinder delivery of culturally appropriate first-line psychotherapy. Recommendations for assessment and treatment are provided to aid clinicians in distinguishing culturally normative thoughts and behaviors from OCD, as well as to inform the implementation of psychotherapeutic interventions with cultural humility. This manuscript offers recommendations for future research to tackle health equity concerns with respect to assessment and treatment and structural factors limiting access to culturally appropriate psychotherapy. Wide-scale efforts are needed to comprehensively understand how H/L cultures intersect with various OCD presentations and to further disseminate treatments to populations that have historically lacked access to mental health care.
针对西班牙裔和拉丁裔(H/L)个体强迫症(OCD)的研究有限,文化相关的评估和治疗建议也是如此。本文讨论了在 OCD 研究中代表性不足的 H/L 人群的影响,并强调需要考虑与评估、治疗和结构障碍相关的问题,这些障碍阻碍了提供文化上合适的一线心理治疗。本文提供了评估和治疗建议,以帮助临床医生区分文化上正常的思维和行为与 OCD,以及告知实施具有文化谦逊的心理治疗干预措施。本文为未来的研究提供了建议,以解决与评估和治疗以及限制获得文化上合适心理治疗机会的结构性因素有关的健康公平问题。需要广泛的努力来全面了解 H/L 文化如何与各种 OCD 表现相交织,并将治疗方法进一步传播到历史上缺乏心理健康服务的人群。