Improving Research Representation in Anxiety, MDD, PTSD for Disenfranchised Groups

IF 2.5 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of the National Medical Association Pub Date : 2024-08-01 DOI:10.1016/j.jnma.2024.07.097
Mayenha E Guerrier MD
{"title":"Improving Research Representation in Anxiety, MDD, PTSD for Disenfranchised Groups","authors":"Mayenha E Guerrier MD","doi":"10.1016/j.jnma.2024.07.097","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>The underrepresentation of disenfranchised communities in clinical research on the top three mental health disorders—anxiety, major depressive disorder (MDD), and post-traumatic stress disorder (PTSD)—presents significant challenges to the development of effective and inclusive mental health interventions. This study aims to identify barriers to diverse participation and propose actionable strategies to improve representation in clinical research.</p></div><div><h3>Methods</h3><p>To address these issues, a comprehensive review of existing literature and analysis of current clinical research practices was conducted. The study examined the extent of underrepresentation across various demographic groups and explored the systemic, cultural, and logistical barriers that prevent equitable participation.</p></div><div><h3>Results</h3><p>The findings reveal persistent disparities in clinical research, with marginalized groups (including but not limited to racial and ethnic minorities and low-income individual populations) often underrepresented in studies. Barriers to inclusion include limited access to healthcare and research opportunities, language and cultural differences, and mistrust of the medical system. To combat these issues, the study proposes several strategies, such as community engagement initiatives, culturally sensitive recruitment practices, and partnerships with local organizations to build trust and awareness. Additionally, providing resources such as transportation, translation services, and financial compensation can help facilitate participation.</p></div><div><h3>Conclusion</h3><p>In conclusion, this research underscores the importance of implementing inclusive practices in clinical research on anxiety, MDD, and PTSD. By addressing barriers to participation and promoting equitable representation, the research community can ensure that findings are applicable to diverse populations and improve mental health outcomes for all individuals.</p></div>","PeriodicalId":17369,"journal":{"name":"Journal of the National Medical Association","volume":"116 4","pages":"Page 454"},"PeriodicalIF":2.5000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the National Medical Association","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0027968424001780","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction

The underrepresentation of disenfranchised communities in clinical research on the top three mental health disorders—anxiety, major depressive disorder (MDD), and post-traumatic stress disorder (PTSD)—presents significant challenges to the development of effective and inclusive mental health interventions. This study aims to identify barriers to diverse participation and propose actionable strategies to improve representation in clinical research.

Methods

To address these issues, a comprehensive review of existing literature and analysis of current clinical research practices was conducted. The study examined the extent of underrepresentation across various demographic groups and explored the systemic, cultural, and logistical barriers that prevent equitable participation.

Results

The findings reveal persistent disparities in clinical research, with marginalized groups (including but not limited to racial and ethnic minorities and low-income individual populations) often underrepresented in studies. Barriers to inclusion include limited access to healthcare and research opportunities, language and cultural differences, and mistrust of the medical system. To combat these issues, the study proposes several strategies, such as community engagement initiatives, culturally sensitive recruitment practices, and partnerships with local organizations to build trust and awareness. Additionally, providing resources such as transportation, translation services, and financial compensation can help facilitate participation.

Conclusion

In conclusion, this research underscores the importance of implementing inclusive practices in clinical research on anxiety, MDD, and PTSD. By addressing barriers to participation and promoting equitable representation, the research community can ensure that findings are applicable to diverse populations and improve mental health outcomes for all individuals.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
提高被剥夺权利群体在焦虑症、精神障碍和创伤后应激障碍方面的研究代表性
引言 在有关焦虑症、重度抑郁障碍 (MDD) 和创伤后应激障碍 (PTSD) 这三大精神疾病的临床研究中,被剥夺了权利的群体的代表性不足,这对开发有效且具有包容性的精神健康干预措施构成了重大挑战。为了解决这些问题,我们对现有文献进行了全面回顾,并对当前的临床研究实践进行了分析。结果研究结果显示,临床研究中持续存在差异,边缘化群体(包括但不限于少数种族和少数民族以及低收入人群)在研究中的代表性往往不足。他们参与研究的障碍包括获得医疗保健和研究机会有限、语言和文化差异以及对医疗系统的不信任。为解决这些问题,该研究提出了几项策略,如社区参与倡议、文化敏感性招聘实践以及与当地组织合作以建立信任和意识。此外,提供交通、翻译服务和经济补偿等资源也有助于促进参与。结论总之,本研究强调了在焦虑症、多发性硬化症和创伤后应激障碍的临床研究中实施包容性实践的重要性。通过解决参与障碍和促进公平代表性,研究界可以确保研究结果适用于不同人群,并改善所有人的心理健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
4.80
自引率
3.00%
发文量
139
审稿时长
98 days
期刊介绍: Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent. The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.
期刊最新文献
Sickle cell disease: Contributing factors and radiological assessments Sialadenitis of the anterior mandibular vestibule: A subset of burning mouth syndrome A review of the risks and relationships between oral health and chronic diseases A cross sectional analysis of residents by race/ethnicity and specialty from 2020-2023 The association between heart failure and systemic inflammatory response index: A cross‐sectional study
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1