Osman Muna, Gran-Ruaz Sophia, Rios Maia da Silva Lucia, Williams Monnica T
School of Psychology, University of Ottawa, Ottawa, ON K1N 6N5, Canada.
Behav Sci (Basel). 2025 Jun 25;15(7):856. doi: 10.3390/bs15070856.
Cumulative experiences of racism lead to stress and trauma. Racial trauma is associated with compromised functioning across psychological, social, and physical health domains. This is further complicated by any comorbidity with other mental health conditions. Many clinicians are not trained in identifying, diagnosing, and treating racial trauma. Given the pervasive nature of racism, limited clinician knowledge and experiences, as well as the impact of this condition, there is an urgent need for novel, culturally safe, and effective treatment. The newly developed Healing Racial Trauma Protocol (HRTP) shows significant promise. We explore the methodological considerations for a randomized controlled trial comparing the efficacy of the HRTP for racialized individuals suffering from racial trauma and to a control condition of treatment as usual, in reducing the severity of racial trauma and depression symptoms, as well as improved functioning. Ethical, pragmatic, and methodological considerations in trial design, research population, and treatment protocol are explored.
种族主义的累积经历会导致压力和创伤。种族创伤与心理、社会和身体健康领域的功能受损有关。若与其他心理健康状况合并出现，情况会更加复杂。许多临床医生未接受过识别、诊断和治疗种族创伤的培训。鉴于种族主义的普遍性、临床医生知识和经验的有限性以及这种状况的影响，迫切需要新颖、具有文化安全性且有效的治疗方法。新开发的治愈种族创伤方案（HRTP）显示出巨大的前景。我们探讨了一项随机对照试验的方法学考量，该试验比较了HRTP对遭受种族创伤的种族化个体的疗效与常规治疗对照条件，以降低种族创伤和抑郁症状的严重程度，并改善功能。还探讨了试验设计、研究人群和治疗方案中的伦理、务实和方法学考量。
