低收入城市美国黑人对迷幻辅助疗法看法的定性分析
Qualitative Analysis of Views of Psychedelic-Assisted Therapy in Low-Income, Urban, Black Americans.
作者信息
Carter Sierra, Packard Grace, Maples-Keller Jessica L
机构信息
Department of Psychology, Georgia State University, Atlanta, Georgia, USA.
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
出版信息
Psychedelic Med (New Rochelle). 2025 May 26;3(2):103-112. doi: 10.1089/psymed.2024.0015. eCollection 2025 Jun.
INTRODUCTION
Black Americans are significantly underrepresented in psychedelic trials despite significant mental health disparities. Growing research suggests that psychedelic-assisted therapy (PAT) is an effective treatment for post-traumatic stress disorder and depression. It is important to understand perceptions of PAT among populations with unmet mental health needs.
METHODS
We conducted four focus groups to understand perceptions of psychedelic therapy within a low-income, Black, urban population.
METHODS
Three main themes were identified using an inductive thematic analysis approach: (1) informed hesitation mixed with increasing openness; (2) trust, autonomy, and choice; and (3) practical solutions to increase accessibility.
CONCLUSIONS
Participants described many concerns related to legacies of racism in healthcare, research, drug prescription, and criminalization. Healthcare systems must invest in trust building with Black Americans to adequately meet healthcare needs. Participants emphasized ways of building trust through supporting autonomy and choice, investing in community building and agency, and suggestions to address barriers (e.g., providing childcare, providing transportation). These findings support calls to center the needs of Black American people given the lack of culturally salient therapeutic paradigms specifically for Black Americans utilized within PAT, improve access and address barriers to healthcare for Black Americans, and increase the quality of care available.
引言
尽管存在显著的心理健康差异，但美国黑人在迷幻剂试验中的代表性严重不足。越来越多的研究表明，迷幻剂辅助疗法（PAT）是治疗创伤后应激障碍和抑郁症的有效方法。了解心理健康需求未得到满足的人群对PAT的看法很重要。
方法
我们开展了四个焦点小组，以了解低收入城市黑人人群对迷幻剂疗法的看法。
方法
采用归纳主题分析方法确定了三个主要主题：（1）明智的犹豫与日益开放的态度；（2）信任、自主权和选择；（3）提高可及性的实际解决方案。
结论
参与者描述了许多与医疗保健、研究、药物处方和刑事定罪中的种族主义遗留问题相关的担忧。医疗保健系统必须投入精力与美国黑人建立信任，以充分满足医疗保健需求。参与者强调了通过支持自主权和选择、投资社区建设和机构以及提出解决障碍的建议（如提供儿童保育、提供交通）来建立信任的方式。鉴于PAT中缺乏专门针对美国黑人的具有文化显著性的治疗模式，这些发现支持了以美国黑人的需求为中心的呼吁，改善美国黑人获得医疗保健的机会并消除障碍，提高可获得的护理质量。
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