Lyons Phoebe, Edwardes Auden, Bladon Laura, Abel Kathryn M
The University of Manchester, Manchester, UK.
BMC Psychiatry. 2025 Mar 3;25(1):190. doi: 10.1186/s12888-025-06575-z.
Given disparities in healthcare outcomes between ethnocultural groups, there is a need for research to be sensitive to cultural needs and differences to consequently address health inequalities. As part of a project aiming to co-produce a publicly acceptable core mental health dataset (CMHDS) for use in physical health research, evidence was sought as to how this could be made inclusive of a diverse population. The objective was to answer the following questions: What is best practice for culturally sensitive mental health research? How should mental health research be adapted to be culturally sensitive?
A comprehensive literature search was conducted using the following four electronic databases: PsychINFO, EMBASE, CINAHL and Medline as well as a capped Google search (using both the generic search engine and Google Scholar). Articles were screened at the title and abstract level and at full text by two reviewers. Key topics and conclusions from the included papers were tabulated and grouped in order to identify themes.
575 results were identified from the database searches after removing duplicates, which were narrowed down to 95 potential studies after the first round of screening by title and abstract. Full text article review in the second round of screening resulted in a total of 41 included articles for the final analysis. The 100 Google results were all assessed for eligibility with 2 being included. In total, 43 results were identified of relevance and included in the review. Overarching themes identified were as follows: the definition of ethnocultural groups, the impact of language, the influence of research team composition, appropriate research methodologies, and ethical responsibilities of researchers.
The authors conclude that culturally sensitive research requires ongoing commitment to critical analysis, self-reflection, and collaboration from both researchers and institutions. Ethical considerations, including the historical context of racism and colonisation in mental health research, must be acknowledged to build trust and ensure that research outputs are equitable and applicable to diverse populations.
鉴于不同种族文化群体在医疗保健结果方面存在差异，有必要开展对文化需求和差异敏感的研究，从而解决健康不平等问题。作为一个旨在共同制作一个可被公众接受的核心心理健康数据集（CMHDS）以供身体健康研究使用的项目的一部分，我们探寻了如何使该数据集能够包容多样化人群的证据。目标是回答以下问题：文化敏感型心理健康研究的最佳实践是什么？心理健康研究应如何进行调整以具备文化敏感性？
使用以下四个电子数据库进行了全面的文献检索：心理学文摘数据库（PsychINFO）、荷兰医学文摘数据库（EMBASE）、护理学与健康领域数据库（CINAHL）和医学文献数据库（Medline），以及一次有限制的谷歌搜索（同时使用通用搜索引擎和谷歌学术）。文章由两名评审人员在标题和摘要层面以及全文层面进行筛选。将纳入论文的关键主题和结论制成表格并进行分组，以确定主题。
去除重复项后，从数据库搜索中识别出575条结果，在第一轮标题和摘要筛选后，这些结果被缩减至95项潜在研究。第二轮全文筛选后，共有41篇文章纳入最终分析。对100条谷歌搜索结果均进行了资格评估，其中2条被纳入。总共确定了43条相关结果并纳入综述。确定的总体主题如下：种族文化群体的定义、语言的影响、研究团队构成的影响、适当的研究方法以及研究人员的伦理责任。
作者得出结论，文化敏感型研究需要研究人员和机构持续致力于批判性分析、自我反思及合作。必须承认包括心理健康研究中种族主义和殖民化历史背景在内的伦理考量，以建立信任并确保研究成果公平且适用于多样化人群。
